NOTICES

Notice of Quick Response Service Program Recognition Requirements

[31 Pa.B. 4701]

   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 vehicle is not a requirement for a QRS, if a QRS does not have a dedicated vehicle, it must provide a statement to the regional emergency medical services council explaining how the personnel will be responding to the scene of emergencies with the required equipment.

B.  Minimum Essential Equipment and Supplies

   1.  Rechargeable portable electric suction unit with wide-bore tubing with a lumen of at least 7mm. Must achieve a vacuum of 300 mm/Hg or 11.8" of water in 4 seconds.

   2.  Suction catheters, pharyngeal. Must be sterile:
Rigid (1)
Flexible, Total of 6:
   6 and 8 (1 each)
   10 or 12 (2)
   14 or 16 (2)
   Size is FR for each

   3.  Airways:

   Oropharyngeal (6 different sizes including at least one pediatric)

   4.  Sphygmomanometer:

   Child, adult and thigh (large) (1 each) interchangeable cuffs are permitted.

   5.  Stethoscope (1)

   6.  Penlight (1)

   7.  Portable oxygen unit (1):
Cylinder capacity of at least 300-liters/D size/500 psi
   Cylinder must be secured.
Yoke
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

   8.  Oxygen delivery devices:
Nasal cannula--adult and pediatric (1 each)
High concentration masks capable of providing 80% or greater concentration
   Pediatric, infant and adult--(1 each)
   Pocket mask with one-way valve and oxygen port    (1)
Bag-valve mask devices, hand operated, adult (1) and pediatric (450-700cc) (1)

   Must be capable of 100% oxygen delivery.

   9.  Dressings:
Multi trauma (10" x 30") (4)
Occlusive (3" x 4") (4)
Sterile gauze pads (3" x 3") (25)
Soft self-adhering (6 rolls)

   10.  Adhesive tape: 4 rolls, one must be hypoallergenic

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

   12.  Sterile burn sheet (4` x 4`) (2)

   13.  Cold packs, chemical (4)

   14.  Triangular bandages (8)

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

   16.  Separate bulb syringe (1)

   17.  Activated charcoal--50 grams

   18.  Bandage shears (1)

   19.  State approved triage tags (25)

   20.  Blankets (2)--cloth

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

   22.  Emergency jump kit (1): can be made of metal, fiberglass or canvas and must be capable of holding all supplies and equipment.

   23.  Splinting devices:
Padded board splints, sizes 4.5 ft., 3 ft. and 15 inches (2 each)

   24.  Hard hat (1 per responding crewmember).

   25.  Gloves: palm and fingers should be covered with work grade leather (1 pair per responding crewmember).

   26.  Emergency response guidebook (1)--current edition

   27.  Radio communications equipment: Radio equipment for communication with a public safety answering point and ambulance services in the emergency response areas of the QRS. A cellular phone may be used as a backup means of communication.

   28.  Personal protection equipment:

   a.  Eye protection, clear, disposable to protect the crewmember from splash or spill of any blood or body fluids. This may be in combination with eye-shield/face mask type combination masks.

   b.  Face mask, disposable to reasonably protect the crewmember's mouth and nose from airborne and blood-borne pathogens. This may be in combination with eye/shield face mask type combination masks. Must be impervious to body fluids.

   c.  Gown/coat that is capable of providing a sufficient barrier to keep blood or other body fluids from contacting the crewmember's skin or regular work clothes or uniform. Regular long sleeve shirts or jump suits do not satisfy this requirement unless they are impervious to body fluids.

   d.  Surgical cap/foot coverings that are impervious to body fluids which will provide protection from gross contamination from blood or body fluids.

   e.  Double barrier gloves that made of a material specifically designed as a barrier against infection. Nonlatex gloves should be available.

   f.  Container or disposable bags for storage/disposal of equipment (nonsharp items) or clothes, and the like, that may become contaminated with blood or other body fluids. The container and the bags must be labeled with the appropriate biohazard warnings. If bags are used, there must be three of them and they must be color-coded (red) and constructed of heavy duty plastic.

   29.  Infection control plan.

   Persons with a disability who require an alternative format of this notice (for example, large print, audiotape, Braille) should contact Robert H. Gaumer, Department of Health, Emergency Medical Services Office, Room 1032, Health and Welfare Building, Harrisburg, PA 17120, (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].

ROBERT S. ZIMMERMAN, Jr.,   
Secretary

[Pa.B. Doc. No. 01-1573. Filed for public inspection August 24, 2001, 9:00 a.m.]

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