New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE, CREWMEMBER AND VEHICLE REQUIREMENTS › Section 8:41-3.6 - Pneumatic testing

Current through Register Vol. 56, No. 14, July 15, 2024
(a) All respiratory
				equipment shall be pneumatically tested by the provider at least once a year and, if
				required by the manufacturer, at more frequent intervals. Standards for performance
				of all required and optional respiratory equipment are as follows:
1. Each oxygen system shall be capable of
				delivering oxygen to a patient at a rate of at least 15 liters per minute during the
				entire time the patient is aboard the vehicle.
2. Each oxygen system shall have an oxygen
				flowmeter. Each flowmeter shall have a gauge or dial with a range of at least 0 to
				15 liters per minute (lpm) in calibrated increments. The flowmeter on portable
				systems shall not be gravity dependent. Flowmeters shall be accurate to within 1 lpm
				when at a setting equal to or less than 5 lpm, 1.5 lpm when at a setting between 6
				lpm and 10 lpm and within 2 lpm when at a setting equal to or greater than 11 lpm.
				Non-dial-type flowmeters shall take at least one full turn to go from 0 to 15 lpm.
				Indicators on dial-type flowmeters shall be securely seated at each flow rate
				position. If oxygen administration equipment is carried on the vehicle, there shall
				be at least four clear non-rebreathing valve inhalation masks (two adult-sized and
				two pediatric-sized) with oxygen reservoir of the single service type as approved
				for pre-hospital utilization and four single service cannulas (two adult-sized and
				two pediatric-sized). If oxygen humidifiers (or nebulizers) are utilized, a new,
				single service humidifier (or nebulizer) shall be utilized for each
				patient.
3. Each oxygen cylinder shall:
i. Contain only medical grade oxygen;
ii. Be color-coded green;
iii. Be contained in a U.S. Department of
				Transportation (U.S.D.O.T.) approved cylinder that has a valid hydrostatic testing
				date on it, in accordance with U.S.D.O.T. regulations; and
iv. Be tagged ("Full," "In Use," "Empty") or have
				a pressure indicating gauge attached to the cylinder.
4. Any installed oxygen system shall be capable of
				safely storing and supplying a minimum of 3,000 liters of medical oxygen. The oxygen
				cylinder controls shall be accessible from inside the vehicle. Cylinder opening
				handles or wrenches shall be affixed to, or shall be chained and clipped with, the
				oxygen cylinder. Any oxygen piping and/or hose shall be nonferrous and shall be
				suitable for medical oxygen. Any installed oxygen cylinder shall be retained in an
				oxygen tank holder certified by the manufacturer to comply with AMD Standard
				003-Oxygen Tank Retention System.
5. Any
				portable oxygen system shall be capable of safely storing and supplying 300 liters
				of medical oxygen. Cylinder opening handles or wrenches shall be chained to the
				regulator or affixed to the cylinder. All oxygen storage arrangements shall comply
				with applicable provisions of Federal Specifications for Ambulances, KKK-A-1822,
				"Portable Oxygen Unit."
6. The portable
				oxygen system, reserve oxygen cylinder and any portable positive pressure
				flow-restricted oxygen-powered ventilation devices shall be stored in a crashworthy
				manner.