NOTICES
Required Equipment and Supplies for Quick Response Services
[36 Pa.B. 1008] Under 28 Pa. Code § 1015.1(a)(1) (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 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. Rechargeable portable electric 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. A manual suction unit may be used in place of the electric unit, provided the QRS submits justification for its use and guarantees it can provide the required suction.
2. Suction catheters, pharyngeal:
a. Rigid (1)
b. Flexible, sizes
6 and 8 (1 each)
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)
6. Penlight (1)
7. Portable oxygen unit (1):
a. Cylinder with a capacity of at least 300-liters/D size/500 psi
b. Yoke
c. Nonsparking wrench/tank opening device
d. Gauge/flow meter not gravity dependent and capable of delivering 0--25 liters per minute
e. 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), infant and pediatric (450--700cc) (1), capable of 100% oxygen delivery
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. Activated charcoal--50 grams
19. Bandage shears (1)
20. Triage tags (25)
21. Blankets (2)--cloth
22. Instant glucose (45 grams)
23. Emergency jump kit (1), capable of holding all supplies
24. Splinting devices:
Padded board splints, sizes 15", 3` and 4.5` (2 each)
25. Hard hat (1 per crew member)
26. Gloves, leather (1 pair per crew member)
27. Emergency Response Guidebook published by the United States Department of Transportation, current edition
28. Radio communications 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.
29. Although not required for recognition, if the QRS has been approved to use an Automated External Defibrillator (AED), each AED must be FDA-approved and include 2 sets of disposable, nonpolarized, self-adhesive gelled electrode pads and spare batteries.
30. Although not required for recognition, if the QRS has been approved to use epinephrine auto injectors, the QRS must carry two 0.3 mg/0.3 ml of 1:1,000 solutions for adult use and two 0.15 mg/0.3 ml of 1:2,000 solutions for pediatric use.
31. Personal infection control kit, consisting of:
a. Eye protection
b. Face mask
c. Gown
d. Surgical cap
e. Foot coverings
f. Double barrier gloves
g. Biological waste container or 3 disposable red bags
h. Infection control plan.
(There must be one set per crew member)
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).
CALVIN B. JOHNSON, M. D., M.P.H.,
Secretary
[Pa.B. Doc. No. 06-343. Filed for public inspection February 24, 2006, 9:00 a.m.]
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