PEORIA AREA EMS SYSTEM
PREHOSPITAL CARE MANUAL
PAEMS BLS Non-Transport Supply List
(Use in conjunction with IDPH Non-Transport Vehicle Inspection Form)
5 Triangular bandages Provider to hospital communication equipment
10 Rolls kling/Self-adhering roller bandages 10 PAEMS Non-Transport Forms
6 Trauma dressings 1 Sterile OB Kit
20 Sterile 4x4s 1 Roll of aluminum foil or silver swaddler
2 Vaseline gauze 1 Complete set of oropharyngeal airways
2 Rolls of adhesive tape 1 Complete set of nasopharyngeal airways
2 Blankets (sizes 12-30F w/ lubricant)
1 Isolation bag 1 Adult BP cuff
2 Sets of protective gowns, goggles & face shields 1 Child BP cuff
2 Long adult extremity splints/Sam splints 1 Infant BP cuff
2 Short adult extremity splints/Sam splints 1 Stethoscope
2 Long pediatric extremity splints/Sam splints 2 Long backboards (only 1 required for SEMSV)
2 Short pediatric extremity splints/Sam splints 2 CIDs w/ head blocks or towel rolls
1 Box small gloves 2 Sets of spider straps
1 Box medium gloves 2 Rigid No-neck c-collars (or adjustable adult)
1 Box large gloves 1 Rigid Tall c-collar (or adjustable adult)
1 Full primary oxygen cylinder (min. “D” size) 1 Rigid Short c-collar (or adjustable adult)
Oxygen flow meter/regulator for 15 L/min 1 Rigid Pediatric c-collar (or adjustable peds)
2 Adult non-rebreather masks 1 Rigid Baby No-neck c-collar (or adjustable peds)
2 Child non-rebreather masks 2 Individually wrapped burn sheets
1 Infant mask 1 Flashlight
1 Adult BVM
1 Child BVM
1 Infant BVM 1 AED (Not required for ILS & ALS)
2 Nasal cannulas 2 Sets of adult defibrillation pads (exp. _______)
Suction unit (or manually operated suction unit) 1 Set of pediatric defibrillation pads
1000mL Sterile saline/water (exp. __________) (if available) (exp. ____________)
6 Cold packs Battery charger or spare battery
6 Hot packs 1 Razor
1 Glucometer
1 Bottle of glucometer strips (exp. ____________) Medications
10 Alcohol preps
10 Lancets (safety lancets with a retracting needle) (See BLS Medication List)
1 Bottle testing solution (exp. ________________)
Glucometer log (minimum of 1 time/week testing
2 Adult nebulizer masks
1 Pediatric nebulizer mask
2 Combi-Tubes (41F)
2 Nebulizer kits
Signature: _____________________________________________ Date: ____________________
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PAEMS Ambulance Supply List
(Use in conjunction with IDPH Ambulance Inspection Form)
On-Board Equipment (at minimum)
20 Sterile 4x4s
Wheeled cot w/ 3 sets of straps + over-the-shoulder 10 Rolls of kling/Self-adhering roller bandages
straps along w/ 3 point fastener for the cot 2 Vaseline gauze
1 stair chair 2 Rolls of tape
Full primary oxygen cylinder (minimum “M” size) 5 Triangular bandages
3 Nasal cannulas 2 Individually wrapped burn sheets
2 Adult non-rebreather masks 2000mL Sterile saline/water (exp._____________)
2 Child non-rebreather masks 1 Quart drinking water (may sub sterile water)
2 Infant masks 2 Emesis basins
Suction (obtains 300mm within 4 seconds) 1 CPR mask w/ safety valve
Suction canister (1000mL) 6 Cold packs
3 sterile semi-rigid pharyngeal suction tips 6 Hot packs
2 sterile 6-8F suction catheters 1 Disposable urinal
2 sterile 10-12F suction catheters 1 Disposable bed pan
2 sterile 14-18F suction catheters 2 Emergency Childbirth Record Forms
2 Suction tubing 1 Sterile OB kit
1 Adult BVM 1 Roll of aluminum foil or silver swaddler
1 Child BVM 1 Child/infant car seat
1 Infant BVM 1 Broselow tape or Pedi-Wheel (most current)
1 Large adult BP cuff Pediatric trauma score reference
1 Adult BP cuff 1 Plastic baby bottle w/ nipple
1 Child BP cuff Poison control number displayed
1 Infant BP cuff 2 Sets of soft restraints
2 Stethoscopes 2 Pillows
1 Complete oropharyngeal airway kit 2 Pillowcases
1 Complete nasopharyngeal airway kit (12-30F) 2 Sheets
5 Packets water-soluble lubricant 2 Blankets
1 Pair trauma shears 4 Towels
2 Long adult extremity splints/Sam splints 1 Box small gloves
2 Short adult extremity splints/Sam splints 1 Box medium gloves
2 Long pediatric extremity splints/Sam splints 1 Box large gloves
2 Short pediatric extremity splints/Sam splints 2 Sets of protective gowns, goggles & face shields
1 Adult traction splint 1 Latex allergy kit (non-latex gloves, BP cuff
1 Pediatric traction splint sleeve, stethoscope w/ non-latex tubing)
1 KED 10 PAEMS Preliminary Run Report forms
2 Rigid No-neck c-collars (or adjustable adult) 10 IDPH ambulance run report forms
1 Rigid Tall c-collar (or adjustable adult) 1 Large red biohazard bag
1 Rigid Regular c-collar (or adjustable adult) 1 Sharps container
1 Rigid Short c-collar (or adjustable adult) 1 Flashlight
1 Rigid Pediatric c-collar (or adjustable peds) 2 – 5lb ABC fire extinguishers
1 Rigid Baby No-neck c-collar (or adjustable peds) 1 Cell phone
2 Long spine boards Ambulance to hospital radio equipment
2 Sets of spider straps Wrecking bar/goggles
2 Sets CIDs w/ head blocks or towel rolls 1 Box Zip lock bags
6 Trauma dressings 1 Box Kleenexes or toilet tissue
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PAEMS Ambulance Supply List
(Use in conjunction with IDPH Ambulance Inspection Form)
Portable Equipment
1 Full primary oxygen cylinder (minimum “D”
size) w/ dial flow meter/regulator for 15 L/min
1 Full spare oxygen cylinder
1 Adult non-rebreather mask
1 Child non-rebreather mask 1 Glucometer
1 Infant mask 1 Bottle of glucometer strips (exp. ____________)
1 Nasal cannula 10 Alcohol preps
1 Adult BVM 10 Lancets (safety lancets with a retracting needle)
1 Child BVM 1 Bottle testing solution (exp. ________________)
1 Infant BVM Glucometer Log (minimum of 1 time/week testing)
Pulse oximeter w/ both adult and pediatric probes
1 Portable suction unit
3 Sterile semi-rigid pharyngeal suction tips
1 Sterile 6-8F suction catheter
1 Sterile 10-12F suction catheter
1 Sterile 14-18F suction catheter Medications
1 Suction tubing
1 Complete oropharyngeal airway kit
1 Complete nasopharyngeal airway kit (12-30F) (See medication list for the appropriate level)
5 Packets water-soluble lubricant
2 Combi-Tubes (41F)
(One must be in the airway kit)
2 Nebulizer kits
2 Adult nebulizer masks
1 Pediatric nebulizer mask
1 AED w/ screen (Not required for ILS & ALS)
2 Sets of adult defibrillation pads (exp. ________)
1 Set of pediatric defibrillation pads (if available)
(exp. _________________)
Battery charger or spare battery
1 Razor
Signature: _____________________________________________ Date: ____________________
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PEORIA AREA EMS SYSTEM
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BLS Medication List
BLS Medications – Minimum Requirements
Unit
Medication Supplied Expiration Date(s)
Stock
1.
2.
5 Albuterol (Proventil) 2.5mg/3mL unit dose 3.
4.
5.
1 bottle – 81mg
1 Aspirin (ASA)
chewable tablets
1 Epi-Pen Auto-injector 0.3mg pre-filled injector
1 Glucagon 1mg & diluent unit dose
Nitroglycerin (NTG) 1 bottle – 0.4mg metered
1
Spray dose
1.
3 Oral Glucose 15g tube 2.
3.
307
PEORIA AREA EMS SYSTEM
PREHOSPITAL CARE MANUAL
PAEMS ILS Ambulance Supply List
(Use in conjunction with IDPH Ambulance Inspection Form
& PAEMS Ambulance Supply List)
Airway Bag IV Therapy Equipment – Vehicle
1 Pair Magill forceps 2 (Each size 22g – 14g) IV catheters
1 Laryngoscope handle 2 Saline locks
1 (each size 1-4) Laryngoscope blade – straight 5 (2-3mL) Pre-filled saline flushes
1 (each size 1-4) Laryngoscope blade – curved 1 Tubex syringe
1 (each size 6.0-8.5) Cuffed endotracheal tubes 5 (18g & 25g) Hypodermic needles
Spare laryngoscope handle batteries 10 Alcohol preps
1 10mL syringe 10 Veniguards
1 Adult end-tidal CO2 detector 4 (10gtts) IV tubing
1 Adult commercial ETT holder 4 (1000mL Bags) .9% Normal Saline
1 Adapter for ETT Albuterol administration 10 2x2s (or 4x4s)
4 Tourniquets
*One of the two required Combi-Tubes must be in
the airway bag Monitoring Equipment
IV Therapy Equipment – Drug Box
Cardiac monitor/defibrillator w/ screen and
printing capability; 12-Lead acquisition and
2 (Each size 22g – 14g) IV catheters transmission capabilities (in place of AED)
2 Saline locks 1 Set of pediatric defibrillation pads (required)
5 (2-3mL) Pre-filled saline flushes (exp. ______________________)
1 Tubex syringe
5 (18g & 25g) Hypodermic needles
10 Alcohol preps
Other Equipment
5 Veniguards
2 (10gtts) IV tubing
2 (1000mL Bags) .9% Normal Saline 2 (1mL) syringes (in vehicle & drug box)
10 2x2s (or 4x4s) 2 (3mL) syringes (in vehicle & drug box)
4 Tourniquets 2 (10mL) syringes (in vehicle & drug box)
1 Roll of tape 1 (30mL) syringe (vehicle)
1 (60mL) syringe (vehicle)
Medications
(See ILS Medication List)
Signature: _____________________________________________ Date: ____________________
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PEORIA AREA EMS SYSTEM
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ILS Medication List
ILS Medications – Minimum Requirements
Unit Stock Medication Supplied
3 Adenocard (Adenosine) 6mg/2mL vial
5 Albuterol (Proventil) 2.5mg/3mL unit dose
1 bottle – 81mg
1 Aspirin (ASA)
chewable tablets
3 Atropine 1mg/10mL pre-filled syringe
2 Dextrose 50% (D50) 25g/50mL pre-filled syringe
6 Epinephrine 1:10,000 1mg/10mL pre-filled syringe
1 Epi-Pen Auto-injector 0.3mg pre-filled injector
1 Glucagon 1mg & diluent unit dose
40mg/4mL pre-filled syringe
4 Lasix (Furosemide)
(or vial)
4 Lidocaine 100mg/5mL pre-filled syringe
2 Narcan (Naloxone) 2mg/1mL ampule
1 Nitroglycerin (NTG) Spray 1 bottle – 0.4mg metered dose
Controlled Substance Container
2 Valium (Diazepam) 10mg/2mL tubex
309
PEORIA AREA EMS SYSTEM
PREHOSPITAL CARE MANUAL
PAEMS ALS Ambulance Supply List
(Use in conjunction with IDPH Ambulance Inspection Form
& PAEMS Ambulance Supply List)
Airway Bag IV Therapy Equipment – Vehicle
1 Pair adult Magill forceps 4 (Each size 22g – 14g) IV catheters
1 Pair pediatric Magill forceps 2 Saline locks
1 Large laryngoscope handle 5 (2-3mL) Saline flushes
1 Small (pediatric) laryngoscope handle 2 Tubex syringes
1 (Each size 1-4) laryngoscope blade – straight 5 (18g & 25g) Hypodermic needles
1 (Each size 1-4) laryngoscope blade – curved 10 Alcohol preps
1 (Each size 6.0-8.5) cuffed endotracheal tubes 10 Veniguards
1 (each size 2.5-5.5) un-cuffed ET tubes 4 (10gtts) IV tubing
Spare laryngoscope handle batteries 4 (1000mL Bags) .9% Normal Saline
1 10mL syringe 1 (60 gtts) IV tubing
1 Adult end-tidal CO2 detector 10 2x2s (or 4x4s)
1 Pediatric end-tidal CO2 detector
1 Commercial adult ETT holder
1 Commercial pediatric ETT holder Monitoring Equipment
1 Adapter for ETT Albuterol administration
1 CPAP circuit
1 CPAP flow generator Cardiac monitor/defibrillator w/ screen and
1 Salem sump tube (18F) printing capability; 12-Lead acquisition and
1 Catheter tip syringe (60mL) transmission capabilities; Pacing capability;
Synchronized cardioversion capability (in place of
*One of the two required Combi-Tubes must be in AED)
the airway bag
Other Equipment
IV Therapy Equipment – Drug Box
2 (1mL) syringes (in vehicle & drug box)
2 (3mL) syringes (in vehicle & drug box)
2 (Each size 22g – 14g) IV catheters 2 (10mL) syringes (in vehicle & drug box)
2 Saline locks 1 (30mL) syringe (vehicle)
5 (2-3mL) Pre-filled saline flushes 1 (60mL) syringe (vehicle)
1 Tubex syringe 1 Chest decompression kit with valve device
5 (18g & 25g) Hypodermic needles 1 Jamshidi IO needle (drug box)
10 Alcohol preps 1 EZ-IO drill
5 Veniguards 2 Adult (15g, 25mm) EZ-IO needles
2 (10gtts) IV tubing 2 Pediatric (15g, 15mm) EZ-IO needles
2 (1000mL bags) .9% Normal Saline 1 Spare CPAP circuit (vehicle)
1 (60gtts) IV tubing 1 Spare Salem sump tube (18F) (vehicle)
10 2x2s (or 4x4s) 5 NTG papers for Nitro-Bid application
4 Tourniquets
1 Roll of tape
Medications
Signature /
Date:_______________________________ (See ALS Medication List)
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PEORIA AREA EMS SYSTEM
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ALS Medication List
ALS Medications – Minimum Requirements
Unit Stock Medication Supplied
3 Adenocard (Adenosine) 6mg/2mL vial
5 Albuterol (Proventil) 2.5mg/3mL unit dose
1 bottle – 81mg
1 Aspirin (ASA)
chewable tablets
3 Atropine 1mg/10mL pre-filled syringe
5 Atrovent (Ipratropium) 0.5mg/2.5mL unit dose
2 Benadryl (Diphenhydramine) 50mg/1mL pre-filled syringe
2 Dextrose 50% (D50) 25g/50mL pre-filled syringe
1 Dopamine 400mg/250mL in D5W
2 Epinephrine 1:1000 1mg/1mL ampule
6 Epinephrine 1:10,000 1mg/10mL pre-filled syringe
1 Glucagon 1mg & diluent unit dose
40mg/4mL pre-filled syringe
4 Lasix (Furosemide)
(or vial)
4 Lidocaine 100mg/5mL pre-filled syringe
2 Narcan (Naloxone) 2mg/1mL ampule
1 Nitroglycerin (NTG) Spray 1 bottle – 0.4mg metered dose
5 Nitropaste (Nitro-Bid) 1 inch pre-measured foil packet
1 Phenergan (Promethazine) 25mg/2mL ampule
2 Sodium Bicarbonate 50 mEq/50mL pre-filled syringe
Controlled Substance Container
1 Fentanyl 100mcg/2mL vial
1 Morphine 10mg/1mL tubex
2 Versed (Midazolam) 5mg/5mL vial
311
ILLINOIS DEPARTMENT OF PUBLIC HEALTH
Emergency Medical Systems and Highway Safety
500 E. Monroe Street, Springfield, IL 62701
AMBULANCE INSPECTION FORM
REGION # PROVIDER # VEHICLE #
PROVIDER NAME: LICENSE #: _____ _____ - _____ _____ _____ _____ - _____ _____
ADDRESS: CITY: STATE:
VEHICLE ADDRESS: CITY: VIN#:
BLS B/D ILS ALS LOCAL I.D._____________ EMS SYSTEM #________________ SAFETY STICKER DATE___________ MERCI UNIT I.D: ____ ______ ____
INITIAL ANNUAL SYSTEM PROVIDER/SELF REINSPECTION COMPLAINT OTHER (SEE COMMENTS SECTION) COMMENT SHEET ATTACHED
ISSUE LICENSE REINSPECTION REQUIRED (NON-LIFE THREATENING EQUIPMENT PROBLEMS) ADVISORY: DO NOT OPERATE UNTIL REPAIRED AND
REINSPECTED
LEGAL ACTION REQUIRED: A CONDITION HAS BEEN IDENTIFIED THAT COULD RESULT IN HARM TO THE PUBLIC. THIS VEHICLE SHOULD BE REMOVED FROM
SERVICE UNTIL ALL CORRECTIONS ARE MADE, THE VEHICLE IS REINSPECTED, AND MEETS EMS ACT’S REQUIREMENTS (SEE INPSECTION COMMENT FORM.)
[1] WHEELED MULTI-LEVEL COT [27] GAS POWERED PORTABLE UNIT [57] TRIANGULAR BANDAGES OR SLINGS, 5
W/3 SETS OF STRAPS + OVER- MEETS ABOVE REQUIREMENT [58] BURN SHEETS, CLEAN AND INDIVIDUALLY
SHOULDER STRAPS [28] CAPABLE OF CHARGING FROM WRAPPED - 2
[2] 3-POINT FASTENER FOR COT VEHICLE 12 VOLT SYSTEM AND 115 VOLT AC [59] STERILE SOLUTION, 2,000cc, PLASTIC BOTTLES
[3] COT FITS SECURELY IN FASTENER [29] OPERATES FROM INERNAL RECHARGEABLE OR BAGS
[4] SECONDARY STRETCHER W/ 3 SETS BATTERY SUPPLY [60] ALUMINUM FOIL WITH HEAD COVER OR SILVER
OF STRAPS [30] OPERATES FOR 20 CONTINUOS MINUTES SWADDLER WITH HOOD
ON-BOARD OXYGEN EQUIPMENT (PERFORM IF BATTERY SOUNDS WEAK) OR [61] OBSTETRICAL KIT, STERILE
[5] CYLINDER IS NOT EMPTY [31] MANUALLY OPERATED SUCTION DEVICE [62] COLD PACKS - 3
[6] DELIVERY TUBES (IDPH APPROVED) [63] EMESIS BASIN
[7] 1 ADULT, CHILD, INFANT MASKS MEDICAL EQUIPMENT [64] DRINKING WATER, 1 QUART, STERILE WATER
[8] 3 NASAL CANNULA [32] ADULT SQUEEZE BAG-VALVE-MASK OR DRINKING WATER
PORTABLE OXYGEN EQUIPMENT BAG WITH ADULT AND CHILD MASKS [65] AMBULANCE EMERGENCY RUN REPORTS, 10,
[9] FULL PRIMARY CYLINDER [33] CHILD SQUEEZE BAG-VALVE-MASK WITH WITH DATA AS OUTLINED IN 515.APPENDIX E
MINIMUM SIZE “D” INFANT AND CHILD MASKS [66] PILLOWS - 2
[10] DIAL FLOWMETER/REGULATOR [34] TRACTION SPLINT, ADULT [67] PILLOWCASES - 2
FOR 15 LPM [35] TRACTION SPLINT, PEDIATRIC [68] SHEETS - 2
[11] DELIVERY TUBES [36] ADULT BLOOD PRESSURE CUFF/GAUGE [69] BLANKETS - 2
[12] 1 ADULT, CHILD, INFANT MASKS [37] CHILD BLOOD PRESSURE CUFF/GAUGE [70] CPR MASK WITH SAFETY VALVE
[13] FULL, SPARE CYLINDER [38] INFANT BLOOD PRESSURE CUFF/GAUGE [71] URINAL - 1
[14] QUICK RELEASE, CRASH-STABLE, [39] STETHOSCOPE – 2 [72] BEDPAN - 1
MOUNTING BRACKET FOR CYLINDERS [40] LONG SPINE BOARD (ADULT) WITH 3 SETS [73] NONPOROUS DISPOSABLE GLOVES
OR OF STRAPS [74] IMPERMEABLE RED, BIOHAZARD
[15] QUICK RELEASE MOUNTING BRACKET IF [41] SHORT SPINE BOARD (32”’ x 16” MINIMUM) W/2 LABELED, ISOLATION BAGS
STORED IN A SECURE COMPARTMENT 9” STRAPS OR VEST TYPE (WRAP AROUND) [75] FACE PROTECTION, MASKS/EYE PROTECTION
ON-BOARD SUCTION EQUIPMENT DEVICE AND/OR FIELD SHIELDS
[16] OBTAINS 300MM WITHIN 4 SECONDS OF [42] AIRWAY, OROPHARYNGEAL (ADULT, CHILD, INFANT) [76] CHILD/INFANT CAR SEAT
CLAMPING TUBING [43] AIRWAY, NASOPHARYNGEAL WITH [77] PEDS EQUIPMENT/DRUG DOSAGE SIZING TAPE
[17] HAS 10’ TRANSPARENT NON-KINKING LUBRICATION, SIZES 12 - 30F OR
TUBING, 1/4” INSIDE DIAMETER [44] BANDAGE SHEARS [78] PEDIATRIC EQUIPMENT/DRUG AGE/WEIGHT
[18] CAN ADJUST VACUUM LEVELS [45] EXTREMITY SPLINTS, ADULT, 2 - LONG CHART (PAPER OR PEDI WHEEL)
[19] COLLECTION BOTTLE HOLDS 1000ML 2 - SHORT [79] PEDIATRIC TRAUMA SCORE REFERENCE
[20] 3 STERILE, SINGLE-USE CATHETERS, [46] EXTREMITY SPLINTS, PEDIATRIC, TWO [80] POISON CONTROL PHONE NUMBER
S 6-8F M 10-12F L 14-18F LONG AND SHORT [81] PLASTIC BABY BOTTLE W/NIPPLE
[21] 3 STERILE, SEMI-RIGID PHARYNGEAL RIGID CERVICAL COLLARS, ONE EACH: [82] FLASHLIGHT, BATTERY OPERATED - 2
SUCTION TIPS [47] INFANT AND PEDI ATRIC [83] AMBULANCE TO HOSPITAL RADIO TESTED AND
PORTABLE SUCTION EQUIPMENT [48] SMALL WORKING (MERCI)
[22] OBTAINS 300mm WITHIN 4 SECONDS OF [49] MEDIUM (MAYBE MULTISELECT) EXTRICATION EQUIPMENT
CLAMPING TUBING [50] LARGE [84] WRECKING BAR 24”
[23] TUBING IS TRANSLUCENT, NON-KINKING, [51] RESTRAINTS, ARM AND LEG [85] GOGGLES - 2
NON-COLLAPSING MEDICAL SUPPLIES [86] FIRE EXTINGUISHERS, 5 LB ABC - 2
[24] TUBING IS 1/4” INSIDE DIAMETER [52] TRAUMA DRESSINGS, 6 GENERAL OBSERVATIONS
[25] 3 STERILE, SINGLE-USE CATHETERS [53] STERILE GAUZE PADS, 4”x4”, 20 OR 4 PACKS [87] PATIENT AREA IS CLEAN
S 6-8F M 10-12F L 14-18F [54] BANDAGES, SOFT, ROLLER, SELF ADHERING, [88] EQUIPMENT IS SECURED IN PATIENT
[26] 3 STERILE, SEMI-RIGID PHARYNGEAL 4” x 5 YD OR MAY BE VARIOUS SIZES - 10 AREA
SUCTION TIPS [55] VASELINE GAUZE, 3” x 8”, 2
[56] ADHESIVE TAPE ROLLS, 2
COMMENTS:
As Owner/Representative, I agree to provide ambulance service in compliance with I hereby certify I have inspected this vehicle, that it meets all federal
the Emergency Medical Services Act’s Rules and Regulations, 24 hours a day, every day specifications, contains all the supplies and equipment listed on the IDPH
of the year. I agree to provide emergency service within my service area on a per need Ambulance Inspection Form and the vehicle and equipment is in working
basis without regard to the patient’s ability to pay. order.
______________________________________________________________________________ _________________________________________________________________
PRE-HOSPITAL CARE PROVIDER/OWNER OR REPRESENTATIVE - SIGNATURE AND TITLE IDPH REPRESENTATIVE – SIGNATURE AND TITLE
______________________________________________________________________________ ________ ________ / ________ ________ / ________ ________
EMS SYSTEM REPRESENTATIVE – SIGNATURE AND TITLE INSPECTION DATE
5/08
VEHICLE EQUIPMENT
Item Name Description and Quantity
Warning Lights Emergency warning beacon, visible 360 degrees, as permitted by
M.G.L c.90, s.7, or as required under KKK-A-1822 and any
amendments thereto.
Audible Warning A siren, audible 500 feet to the front.
Devices
Maps Street directories and road maps for primary and backup areas
served.
Fire Extinguishers Two (2) adequately charged fire extinguisher, five (5) pound C02 or
dry powder, Underwriter’s Laboratory approved. One of which shall
be mounted in the patient compartment.
One (1) adequately charged fire extinguisher, five (5) pound C02 or
dry powder, Underwriter’s Laboratory approved.
Hand lights Two (2) 6-volt hand lights, bulb type, or two bulb type hand lights
with rechargeable battery of 4.5 volts minimum.
Chock Blocks Two (2) vehicle chock block.
Road reflectors Six (6) DOTS approved triangular reflectors, or equivalent.
Hazardous • One (1) U.S Department of Transportation Emergency
Material Response Guidebook, current edition;
Guidebooks • One (1) National Institute of Occupational Health and safety
(NIOSH) Pocket Guide to Chemical Hazards, current edition.
Binoculars One(1) pair of binoculars minimum 7 x 35 mm.
Triage Tags Twenty Five (25) triage tags.
Protective Personal protective equipment adequate to safeguard crew from
Equipment anticipated exposures as defined by the licensee.
Reflective Garment One (1) set reflective vest or reflective garment, or equivalent, per
crew member
Protective Masks Two (2) respirators, conforming to OSHA Blood bore Pathogens
Standard 29 CFR 1910.1030(HEPA).
Specifications for vehicle/ambulance
1. General specification :
1.1. The purchaser requires ambulances for providing pre hospital care at
the level of Advanced Life Support to the accident and trauma patients.
Finished version of the ambulance will have to have adequate space in
the Patient Cabin, where apart from positioning of patient in
comfortable position, a number of medical and communication
equipment shall need to be fixed. The purchaser shall supply the
medical items and medical equipments. Besides the patient and the
equipments, the Patient Cabin should have enough space to
accommodate two paramedics for care of the patient. The ambulance
shall be suitable for continuous running /operation under prevailing
environment and road conditions in Delhi.
1.2. The vehicles shall fully comply with the stipulated requirements
enforced by the Government of India i.e. Central Motor Vehicle Rules
(latest) as applicable. A certificate of compliance to CMVR, road
worthiness, test certificate and type test certificates (including
performance, safety, stability aspects etc.) for the chassis /fully built up
ambulance from Automotive Research Association of India(ARAI) shall
be furnished by the tenderers.
2. Technical Specifications :
2.1 Patient Cabin will need to provide:
a) Enough space for positioning of patient not less than 6’2”.
b) Storage space for keeping medical equipment and consumables
required for Advanced Life Support services The details of
equipments and accessories are as given above
c) Demarked area for placement of stretcher ensuring no twisting of
patient takes place while opening or closing of the doors.
d) Sitting space for at-least two persons one of whom may be
paramedic.
e) The selected tenderers shall be required to satisfy the purchaser that
the Patient Cabin provided in the ambulances to be supplied to the
CATS meets the above requirements in respect of length, width and
height of the patient Cabin.
2.2. The power supply arrangement in the ambulance should be adequate
to sustain the requirements of normal lights as per the
requirements of Motor Vehicle Rules and in addition must cater to the
needs for internal lighting within cabin area, air-conditioning and
functionally of medical and communication equipments.
2.3 Horse power: 80 (minimum). The prime mover shall be at least four
cylinders of Diesel/Petrol engine, water cool and developing adequate
horsepower at rated speed to take full load of ambulance fitted with
medical equipments, communication equipments including
telemedicine equipments (mentioned in annexure “A” & “B”) and
accessories. The engine shall be provided with direct electric 12 volt
starting, 12 volt battery, alternator, fuel injection pump, lubricating oil
pump, oil filter, Air Filter and oil pump etc..
2.4 Enhanced suspension system keeping in view local road conditions,
ensuring smooth ride for the patient, minimal vibration to the
sophisticated electro-magnetic equipments.
2.5 Ensuring proper arrangement for power supply exists in the
ambulance. Power supply should be adequate to sustain simultaneous
functioning of air conditioning unit, electro-magnetic equipment and
normal lighting within the patient cabin.
2.6 The bidder shall furnish the detailed specifications of engine, clutch,
transmission, steering, suspensions, brakes, wheels and tyres, electric
systems, fuel tank, dimensions, weight etc.
