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PA Bulletin, Doc. No. 09-1946

NOTICES

Bureau of Emergency Medical Services; Quick Response Service Program Recognition Requirements

[39 Pa.B. 6165]
[Saturday, October 17, 2009]

 Under 28 Pa. Code § 1015.1(a) (relating to quick response service), the following equipment and supplies shall be maintained and readily available in working order for use by a quick response service (QRS) recognized by the Department of Health under 28 Pa. Code § 1015.1 and by an applicant for QRS recognition.

A. Vehicle Requirements

 Although a QRS is not required to have a vehicle to respond to emergencies, if it does, the vehicle being used on the highways of this Commonwealth must conform to all applicable reqirements of 75 Pa.C.S. (relating to the Vehicle Code). If the QRS will not be using a vehicle, it must provide information on how it will transport its personnel and its equipment and supplies to the scene of an emergency.

B. Required Equipment and Supplies

 The following equipment and supplies must be carried and readily available and in working order for use by a QRS:

 1. Portable suction unit with wide-bore tubing with a lumen of at least 7 mm. The suction unit must be able to achieve a vacuum of 300 mm/Hg or 11.8" of water in 4 seconds.

 2. Suction Catheters, pharyngeal:

 a. Rigid (1)

 b. Flelxible, sizes
6 and 8 (1 ea.)
10 or 12 (2)
14 or 16 (2)

 3. Airways:

 a. Oropharyngeal (6 different sizes including at least one pediatric)

 b. Nasopharyngeal (5 different sizes)

 4. Sphygmomanometer:

 Small, medium and large (1 each). Interchangeable cuffs are permitted.

 5. Stethoscope (1 Adult and 1 Pediatric)

 6. Penlight (1)

 7. Portable Oxygen Unit (1):

 a. Cylinder with a capacity of at least 300-liters/D size/500 psi

 b. Non-0sparking wrench/tank opening device

 c. Gauge/flow meter not gravity dependent and capable of delivering 0-25 liters per minute

 d. Full spare cylinder with a 300 liter capacity

 8. Oxygen Delivery Devices:

 a. Nasal cannula, adult and pediatric (1 each)

 b. High concentration masks capable of providing 80% or greater concentration pediatric, infant and adult (1 each)

 c. Pocket mask with one-way valve and oxygen port (1)

 d. Bag-valve-mask devices, hand operated adult (1) and hand operated infant/pediatric (450-700cc) (1), must be capable of high concentration oxygen delivery with adult and pediatric masks

 9. Dressings:

 a. Multi trauma (10" × 30") (4)

 b. Occlusive (3" × 4") (4)

 c. Sterile gauze pads (3" × 3") (25)

 d. Soft self-adhering (6 rolls)

 10. Adhesive tape:

 4 rolls, one of which must be hypoallergenic

 11. Immobilization Devices:
Rigid/Semi rigid neck immobilizer: S, M, L and pediatric (1 each)

 12. Sterile burn sheet (4` × 4`) (2)

 13. Cold packs, chemical (4)

 14. Sterile Water/Normal Saline (2 liters)

 15. Triangular bandages (8)

 16. Sterile OB kit (1)—The kit must be sealed as a sterile unit, with contents listed on kit

 17. Separate bulb syringe (1)

 18. Bandage shears (1)

 19. Regional Approved Triage tags (20)

 20. Blankets (2)

 21. Instant glucose (45 grams)

 22. Emergency jump kit (1), capable of holding all supplies

 23. Splinting devices:

 Upper and lower extremity splints (2 each) or padded board splints, sized 15", 3` and 4.5' (2 each)

 24. Personal Protective Equipment (PPE)-helmet, eye protection, work gloves and high-visibility safety apparel (1 per provider)

 25. Emergency Response Guidebook published by the U.S. Department of Transportation, current edition

 26. Radio Communication Equipment:

 Equipment, per regional requirements and capable of communicating with a public safety answering point (PSAP) and ambulance services within the response areas of the QRS. A cellular phone may only be used as a backup means of communication

 27. Automated External Defibrillator (AED). (Effective January 01, 2011)

 28. Personal Infection Control Kit (1) set for each crew member, consisting of:

 a. Eye protection

 b. Face mask

 c. Gown

 d. Surgical cap

 e. Foot coverings

 f. Double barrier gloves

 g. Fit-tested disposable N95 respirator (1 per crew member)

 29. Biological waste container per Infection Control Plan

 30. Infection Control Plan

 31. Hand disinfectant—nonwater hand cleaner/disinfectant

C. Recommendation Regarding Latex

 Some patients and QRS personnel may have an allergy to latex. It is recommended, but not required, that where possible, latex free supplies and equipment should be carried.

 Persons with a disability who require an alternative format of this notice (for example, large print, audiotape, Braille) should contact George Aupperlee, Department of Health, Bureau of Emergency Medical Services, Room 606, Health and Welfare Building, 625 Forster Street, Harrisburg, PA 17120-0701, (717) 787-8740. Persons with a speech or hearing impairment may telephone V/TT (717) 783-6154 or the Pennsylvania AT&T Relay Service at (800) 654-5984 (TT).

EVERETTE JAMES, 
Secretary

[Pa.B. Doc. No. 09-1946. Filed for public inspection October 16, 2009, 9:00 a.m.]


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