Florida Administrative Code › 64 - DEPARTMENT OF HEALTH › 64J - Division of Emergency Preparedness and Community Support › Chapter 64J-1 - EMERGENCY MEDICAL SERVICES › Section 64J-1.006 - Neonatal Transports

Current through Reg. 50, No. 138; July 16, 2024
(1) A Neonatal
				Ambulance shall meet the requirements listed in Table V, paragraphs
				 64J-1.006(1)(c) and
				(d), and subsections
				 64J-1.006(2) and
				(3), F.A.C., and shall be exempt from meeting
				the equipment and medical supply requirements listed in Rule
				 64J-1.002, F.A.C., Table I and
				in Rule  64J-1.003, F.A.C., Table
				II.
(2) For any Neonatal transport,
				the Medical Director and the receiving neonatologist shall confirm that the
				level of care, staffing, and equipment is commensurate to the needs of the
				Neonate being transported.
(3) The
				Neonatal Ambulance shall have exterior wording or marking which identifies that
				the ambulance is only for Neonatal Transport. The wording shall be such that
				the public cannot mistake a neonatal vehicle as an ambulance for general
				patient care.
(4) Any EMS provider
				operating a Neonatal Ambulance shall have a Medical Director for all Neonatal
				Transports who meets the requirements of paragraphs
				 64J-1.004(1) 
				-(4)(a)-(f), F.A.C., except as follows:
(a)
				The Medical Director shall be board certified and active in Neonatal-Perinatal
				Medicine, and shall demonstrate and have available for review by the department
				documentation of active participation on a national, regional or statewide
				physician group involved in Neonatal Transport;
(b) The Medical Director is not required to
				have prehospital care experience;
(c) All references to "patients" and "BLS and
				ALS procedures" shall be understood as referring to "neonates" and "neonatal
				advanced life support procedures" respectively;
(d) All references to "paramedics" and "EMTs"
				shall be understood as referring to persons staffing the Neonatal Transport as
				referenced in subsection (5), below; and
(e) The Medical Director shall participate in
				direct contact time with the transport staff while transporting a neonate for a
				minimum of 10 hours per year.
TABLE V
(Reference Section
							  64J-1.006, F.A.C.)
Neonatal Transports
ITEM
QTY.
1. Direct two-way communications with the designated
							 neonatologist or attending physician and or receiving ICU.
2. A standby or backup power source other than the
							 one contained in the isolette.
One
3. A source of electrical power sufficient to operate
							 the isolette and ancillary electrically powered equipment.
One
4. A transport incubator with portable power supply,
							 portable oxygen tanks or liquid oxygen, and a source of compressed air,
							 including appropriate valves, meters, and fittings.
One
5. Portable heart rate monitor with visual or audible
							 display and alarm system.
One per patient
6. Portable blood pressure monitor with assortment of
							 cuff sizes suitable for infants.
One each
7. Battery powered mechanical I.V. pumps capable of
							 delivering as low as 1 cc. increments for I.V. fluids.
Two
8. Battery or self-powered oxygen sensor and
							 transcutaneous oxygen monitor or oxygen saturation monitor.
One
9. Oxygen delivery device and tubing capable of
							 administering high concentrations of oxygen.
One
10. Temperature monitoring device.
One
11. Portable ventilator appropriate for neonatal
							 patients.
One
12. Anesthesia and/or self-inflating bag with oxygen
							 reservoir less than 750 ml and manometer (pressure gauge); premature, newborn
							 and infant size clear masks.
13. Laryngoscope handle.
One
14. Blades.
Miller 00, Miller 0
15. Bulbs and batteries.
Two each
16. Endotracheal tubes.
2.0, 2.5, 3.0, 3.5, 4.0
17. Stylet.
Two each
18. Adapters.
Assortment of sizes
19. Oral Airways.
Assortment of sizes
20. Suction equipment with low suction capabilities
							 of less than 80 mm of hg.
One
21. Sterile Gloves assorted sizes.
Sufficient quantity for all crew members
22. Suction catheters.
Size 5.0, 6.0, 8, & 10
Two each
23. Syringes sizes 1 cc. through 60 cc.
Assortment of sizes
24. Medication access device.
Two each
25. Vascular access devices 23-27 gauge.
Assortment of sizes
26. I.V. extension tubing.
Sufficient length to administer I.V
27. Securing device.
Assorted sizes
28. I.V. filters.
Two
29. Umbilical catheters.
Size 3.5 & 5
Two
30. Antiseptic solution.
Ten
31. Blood sugar device.
One
32. Lancets.
Five
33. Neonatal stethoscope.
One
34. Flashlight.
One
35. Gauze pads.
Assortment of sizes
36. No. 5 & No. 8 French feeding tubes.
One each
37. High intensity light capable of
							 transillumination.
One
38. Approved biomedical waste plastic bag or
							 impervious container and used sharps container per Chapter 64E-16,
							 F.A.C.
One each
39. Gloves - latex or other suitable
							 materials.
Sufficient quantity for all crew members
40. Respiratory face masks.
Sufficient quantity for all crew members
41. Special procedure tray or instruments with
							 capability for performing umbilical catheterization, venous cutdown and
							 thoracostomy.
One
42. Bulb syringe. (Additional to OB kit)
One
43. Cord clamp.
One
44. Chest tube evacuation device.
One
45. Needle aspiration device or chest tubes.
Appropriate sizes for neonate
MEDICATION
WT/VOL
QTY.
1. Atropine Sulfate.
1 mg./10 ml
One
2. Injectable Vitamin K.
1 mg./0.5 ml
One
3. Antibiotics, to be determined by medical
							 director.
4. Calcium Gluconate.
10% - 10- ml
One
5. Digoxin ped.
0.1 mg./ml
One
6. Anticonvulsant as required by medical
							 director.
7. Dextrose.
50% 50 cc
One
8. Dopamine or dobutamine.
Depends on medication
One
9. Epinephrine.
1:10, 000
One
10. Eye prophylaxis.
One
11. Furosemide (Lasix).
20 mg./2 ml
One
12. Heparin.
One
13. Lidocaine.
1%/2 mg
One
14. Naloxone (Narcan).
1.0 mg./ml or .4 mg./ml
One
15. Paralyzing agent.
One
16. Phenobarbital.
One
17. Prostin VR. (available for transport)
500 mcg/ml
One
18. Sodium Bicarbonate.
4.2% soln
One
19. Sedative as determined by the medical
							 director.
One
20. Volume expander.
One
21. I.V. fluid.
Bags of D5W and D10W
One each
22. Injectable non-preservative sterile water.
One
23. Injectable non-preservative normal saline.
One