NOTICES

Quick Response Service Program Recognition Requirements

[41 Pa.B. 3274]
[Saturday, June 25, 2011]

 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 requirements in 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. Must achieve a vacuum of 300 mm/Hg or 11.8" of water in 4 seconds.

 2. Suction Catheters, Pharyngeal:
Rigid (1)
Flexible, sizes
6 and 8 (1 each)
10 or 12 (2)
14 or 16 (2)
(Must be sterile) Size is FR for each

 3. Airways:
Nasopharyngeal (5 different sizes to include at least one between size 16-24 fr. and one between size 26-34 fr.)
Oropharyngeal (6 different sizes to include at least one size 0-1, one 2-3 and one size 4-5)

 4. Sphygmomanometer:
Child, adult and thigh (large) (1 each). Interchangeable gauges are permitted

 5. Stethoscope (1) Adult and (1) Pediatric

 6. Penlight (1)

 7. Portable Oxygen Unit (1):
Cylinder with a capacity of at least 300 liters, (D size) with 500 psi Yoke Cylinder with a minimum total pressure of 500 psi. Nonsparking wrench/tank opening device gauge/flow meter not gravity dependent and capable of delivering 0-25 liters per minute
Full spare cylinder with a 300-liter capacity
Cylinders must be secured in the vehicle at all times.

 8. Oxygen Delivery Devices:
Nasal cannula, adult and pediatric (1 each)
High concentration masks capable of providing 80% or greater concentration
Adult, pediatric, and infant (1 each)
Pocket mask with one-way valve and oxygen port (1)
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:
Multi trauma (10" by 30") (4)
Occlusive (3" by 4") (4)
Sterile gauze pads (3" by 3") (25)
Soft self-adhering (6 rolls)

 10. Adhesive Tape: (4 rolls assorted), one of which must be hypoallergenic

 11. Immobilization Devices:
Lateral cervical spine device (1)
Long spine board (1)
Short spine board (1)
Rigid/Semirigid neck immobilizer S, M, L, pediatric (1 each) Multi-size are permitted and will suffice for the S, M, L (3)

 12. Sterile Burn Sheet (4` by 4`) (2)

 13. Cold Packs, Chemical (4)

 14. Hot Packs, Chemical (4)

 15. Sterile Water/Normal Saline (2 liters)

 16. Triangular Bandages (8)

 17. Sterile OB Kit (1)

 18. Separate Bulb Syringe (1)

 19. Bandage Shears (1)

 20. Regional Approved Triage Tags (20)

 21. Blankets (2)

 22. Instant Glucose (40% dextrose-d-glucose gel) 45 grams

 23. Emergency Jump Kit (1)

 24. Splinting Devices:
Upper and Lower Extremity Splints (2 each)

 25. Personal Protective Equipment (PPE) Helmet, eye protection and high-visibility safety apparel (1 per provider)

 26. Emergency Response Guidebook published by the United States Department of Transportation, current edition

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

 28. Automated External Defibrillator. (Effective January 1, 2011)

 29. Personal Infection Control Kit (1) set for each crew member, consisting of:
Eye protection
Face mask
Gown
Surgical cap
Foot coverings
Double barrier gloves
Fit-tested Disposable N95 Respirator (1 per crew members)

 30. Biological Waste Container per Infection Control Plan

 31. Infection Control Plan

 32. Hand Disinfectant-Nonwater Hand Cleaner/Disin-fectant

 33. Commercial Tourniquet (1)

 34. Copy of Most Current Version Statewide EMS Protocols

 All equipment that may be used in direct contact with patients must be reasonably clean and easily cleaned of blood and body fluids. No drug and/or medication or supplies may be carried beyond an expiration date assigned to it.

C. Recommendation Regarding Latex

 Some patients and QRS personnel may have an allergy to latex. It is recommended, but not required, that when 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 speech or hearing impairment may telephone V/TT (717) 783-6154 or use the Pennsylvania AT&T Relay Service at (800) 654-5984 (TT).

ELI N. AVILA, MD, JD, MPH, FCLM, 
Secretary

[Pa.B. Doc. No. 11-1055. Filed for public inspection June 24, 2011, 9:00 a.m.]

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