Or. Admin. Code § 333-255-0082

Current through Register Vol. 63, No. 11, November 1, 2024

Section 333-255-0082 - Air Ambulance Operating Requirements for Scene Response

(1) Air ambulance in operation and providing scene response care must have a minimum medical staff of two persons and a pilot:

(a) A pilot adhering to all regulations set forth in FAA Part 135; and

(b) Any combination of two medical personnel consisting of at least one Paramedic or ambulance-based clinician meeting the requirements specified in OAR 333-250-0270 sections (4) and (5).

(2) The following prehospital scene patient care equipment is required on all prehospital scene responses:

(a) All patient care equipment specified in OAR 333-255-0081 section (4);

(b) Fracture immobilization equipment:

(A) Traction splint capable of pediatric and adult application;

(B) Extremity splints in pediatric and adult sizes; and

(C) Extrication collars in pediatric and adult sizes;

(c) Bandages and dressings in assorted sizes, sterile and non-sterile;

(d) Wound packing material, including hemostatic dressings;

(e) Occlusive dressing or equivalent;

(f) Adhesive or hypo-allergenic tape in assorted sizes;

(g) Cardiac monitoring equipment:

(A) A portable battery-operated manual monitor defibrillator capable of recording ECG reading;

(B) ECG electrodes, pediatric and adult;

(C) Hands-free pediatric and adult or combination pads;

(D) Capable of transcutaneous cardiac pacing and may be a stand-alone unit or integrated in the monitor and defibrillator unit;

(E) Patient cables - 2; and

(F) ECG paper;

(h) Advanced airway care equipment:

(A) Primary and secondary laryngoscope devices in sizes to fit neonates to adults including:

(i) Straight 0, 1, 2, and 3; and

(ii) Curved 2 and 3;

(B) Endotracheal tubes in sizes to fit neonates to adults including:

(i) Uncuffed 2.5 mm and 3.0 mm;

(ii) Cuffed or Uncuffed 3.5 mm, 4.0 mm, 4.5 mm, 5.0 mm, 5.5mm; and

(iii) Cuffed 6.0 mm. 6.5mm, 7.0 mm, 7.5mm and 8.0 mm;

(C) Magill Forceps, pediatric and adult;

(D) Intubation stylettes, pediatric and adult;

(E) End-tidal CO2 detection device;

(F) Oxygen saturation monitor; and

(G) Chest decompression equipment including:

(i) 23g diameter maximum length 2cm needles;

(ii) 14g diameter maximum length 3.8cm needles; and

(iii) 14g or larger diameter minimum length 8.25cm needles or commercial chest decompression device.

(i) Sterile intravenous agents and medications authorized by the EMS medical director;

(j) Vascular access devices:

(A) Over-the-needle catheters in assorted sizes 24-gauge through 14-gauge; and

(B) Specifically designed needles for intraosseous infusions;

(k) Nasogastric tubes in sizes to fit neonates to adults;

(l) Oregon Trauma System's Identification Bracelets - 5; and

(m) Miscellaneous equipment:

(A) The U.S. Department of Transportation, 2016 "Emergency Response Guidebook, (A Guidebook for First Responders during the Initial Phase of Dangerous Goods/Hazardous Materials Transportation Incident)";

(B) A copy of standing orders dated within one year and signed by the EMS medical director; and

(C) A quick reference guide or other evidence-based reference material, such as length-based tape, that provides appropriate guidance for pediatric drug dosing and equipment sizing; and

(D) Appropriately sized pediatric restraint system(s) that, at a minimum, covers a weight range of between 10 and 99 pounds. Only the manufacturer's recommendations for the weight or size of the patient should be considered when selecting the appropriate device for the specific child being transported.

(3) In a prehospital resuscitation, when no other practical means of transportation, including any other properly equipped license-holder, is reasonably available, a license-holder may deviate from the rules to the extent necessary to meet the rescue situation.

(4) A licensed ambulance service operating an air ambulance providing scene response must ensure that the air ambulance complies with the following equipment requirements by no later than July 1, 2022:

(a) OAR 333-255-0081(5)(a) through (f);

(b) In this rule:

(A) Paragraph (2)(b)(A) and (B);

(B) Subsection (2)(d);

(C) Paragraph (2)(h)(A), (B) and (G); and

(D) Subsection (2)(k).

Or. Admin. Code § 333-255-0082

OHD 5-2001, f. & cert. ef. 4-24-01; PH 2-2007, f. & cert. ef. 2-1-07; PH 12-2010, f. 6-30-10, cert. ef. 7-1-10; PH 1-2013, f. & cert. ef. 1-25-13; PH 230-2018, amend filed 06/13/2018, effective 6/15/2018; PH 64-2021, minor correction filed 10/05/2021, effective 10/5/2021; PH 87-2021, amend filed 12/09/2021, effective 1/1/2022

Statutory/Other Authority: ORS 682.017, 682.068

Statutes/Other Implemented: ORS 682.017 - 682.117, 682.991