Md. Code Regs. 30.09.11.03

Current through Register Vol. 51, No. 22, November 1, 2024

Section 30.09.11.03 - Additional Equipment Required for ALS Ambulances

In addition to the equipment required under COMAR 30.09.10, the following equipment and supplies shall be carried in commercial ambulances licensed to provide ALS service:

A. An onboard oxygen system that meets the requirements of COMAR 30.09.10.09A;

B. Cardiac monitoring/defibrillating/transcutaneous pacing equipment including:

(1) One monitor/defibrillator which has:

(a) Direct current capability,

(b) Paper print out capability,

(c) Synchronized cardioversion and unsynchronized defibrillation,

(d) Two adult and one pediatric defibrillator pads,

(e) Defibrillator pads with quick look capability,

(f) One set of EKG leads, and

(g) Transcutaneous pacing; and

(2) Supplies related to EKG monitoring to include the following items:

(a) 18 ECG electrodes,

(b) Spare set of EKG leads or equivalent,

(c) Spare monitor/defibrillator batteries,

(d) Two spare EKG paper rolls,

(e) Two adult transcutaneous pacing pads,

(f) One pediatric transcutaneous pacing pad, and

(g) One tube of electrode paste or two packages of electrolyte pads for use in defibrillation;

C. Medications including:

(1) All the medications listed in the Maryland Medical Protocols for Emergency Medical Services Providers in sufficient quantities to treat and care for each patient that they respond to and care for;

(2) Sufficient quantities to provide:

(a) At least the maximum dosage for one 100 kilogram patient for a period of 30 minutes, or

(b) An adequate quantity to treat and care for the patient if the transport time is expected to exceed 30 minutes;

(3) Controlled substances which are stored in a controlled access system acceptable to SOCALR; and

(4) Two nebulizers for medication administration;

D. Intravenous equipment and supplies including:

(1) Two 16 gauge 1 1/4 to 1 1/2inches long intravenous catheters with needles;

(2) Two 18 gauge, 1 1/4 to 1 1/2 inches long intravenous catheters with needles;

(3) Two 20 gauge, 1 1/4 to 1 1/2 inches long intravenous catheters with needles;

(4) Two 22 gauge, 1 1/4 to 1 1/2 inches long intravenous catheters with needles;

(5) Two 24 gauge, 1 1/4 to 1 1/2 inches long intravenous catheters with needles;

(6) Two 10 or 20 drops/milliliter or equivalent intravenous administration sets;

(7) Two 60 drops/milliliter or equivalent intravenous administration sets;

(8) Two 1000 cubic centimeter bags or equivalent of Ringer's lactate intravenous solution;

(9) Site preparation materials; and

(10) Roof-mounted hooks for hanging intravenous solutions;

E. Parenteral administration equipment including:

(1) Four 1 milliliter syringes with 25 gauge needles;

(2) Four 3-5 milliliter syringes with 1-inch, 18-21 gauge needles for IM injection;

(3) Four 10 milliliter syringes; and

(4) Four 18, 19, or 20 gauge needles;

F. Blood specimen collection equipment including:

(1) Two red top blood tubes;

(2) Two purple top blood tubes; and

(3) Two vacutainer barrels;

G. Ventilation and airway maintenance equipment including:

(1) Laryngoscope equipment and supplies:

(a) One of each size 0, 1, 2, 3, and 4 Miller laryngoscope blades,

(b) One of each size 1, 2, 3, and 4 MacIntosh laryngoscope blades, and

(c) One each adult and pediatric laryngoscope handles;

(2) Endotracheal tubes:

(a) One of each size 6, 7, 8, and 9 millimeter cuffed, and

(b) One of each size 2.5, 3, 3.5, 4, and 5 millimeter uncuffed;

(3) One adult flexible stylette;

(4) One pediatric flexible stylette;

(5) One roll of 1-inch adhesive tape;

(6) One 10 milliliter syringe;

(7) One pair adult McGill forceps;

(8) One pair pediatric McGill forceps;

(9) One 4-ounce tube or four 3-gram packets of water soluble surgical lubricant;

(10) One spare laryngoscope bulb for both MacIntosh and Miller blades;

(11) One spare set of laryngoscope batteries for both adult and pediatric handles; and

(12) One end title carbon dioxide (ETCO₂) detector.

H. One direct current to alternating current inverter power supply capable of providing proper wattage to power equipment used on an ALS ambulance; and

I. Miscellaneous equipment and supplies as follows:

(1) One glucometer;

(2) One pulse oximeter for each in-service ALS ambulance; and

(3) One current, printed within last 2 years, copy of a drug reference.

Md. Code Regs. 30.09.11.03

Regulations .03 adopted as an emergency provision effective January 6, 1997 (24:2 Md. R. 114); adopted permanently effective July 7, 1997 (24:10 Md. R. 711)
Regulations .03, Specialized Service, repealed and new Regulations .01_.05, ALS Service, adopted effective January 10, 2000 (26:27 Md. R. 2017)
Regulation .03 amended effective January 15, 2005 (31:26 Md. R. 1866)