Nevada Administrative Code › Chapter 450B - Emergency Medical Services › AMBULANCE SERVICES AND FIRE-FIGHTING AGENCIES › Section 450B.550 - Ambulance: Design and equipment

Current through June 11, 2024
1. Each ambulance
				placed in service after August 1, 1991, must contain at least 300 cubic feet
				(8.5 cubic meters) of space and meet the following requirements:
(a) Have at least 60 inches (152 centimeters)
				of headroom above the level of the primary gurney.
(b) Provide a combined total of at least 35
				cubic feet (1 cubic meter) of enclosed cabinets for storage, compartments and
				shelves conveniently located for medical supplies and equipment and installed
				systems as applicable for the level of service intended.
(c) Provide 40 candlepower of interior
				lighting at the patient's level in the patient's compartment. The lighting must
				be located so that no glare is directed to the driver's compartment or line of
				vision while the vehicle is in motion. The lighting must be shielded with a
				shatterproof covering which does not reduce the illumination.
(d) Have a bulkhead partition separating the
				patient's compartment and the driver's compartment, with a sliding transparent
				panel in the bulkhead or a system of intercommunication for the driver and
				attendant.
(e) Provide an adequate
				seat, equipped with a backrest and a safety belt secured to the floor or
				bulkhead at the head of the space for the gurney, from which position the
				attendant may observe the patient and the instruments which indicate the
				patient's condition during transport.
(f) Contain a squad bench at least 22 inches
				(56 centimeters) wide and 72 inches (183 centimeters) long, with a padded top
				which is covered in material impervious to moisture, is easily sanitized and
				may be hinged at the sidewall for access to storage.
(g) Have the squad bench equipped with at
				least three safety belts for use when transporting patients who are ambulatory
				or able to sit up.
(h) Provide a
				clear walkway of not less than 18 inches (46 centimeters) between the gurney
				and the squad bench and at least 25 inches (64 centimeters) of kneeling space
				along the side of the primary gurney to allow the attendant to administer care
				to a patient.
(i) Provide a system
				of heating and air-conditioning in both the driver's and patient's compartments
				which is adequate to maintain comfortable levels of temperature and clean air
				inside these compartments.
(j) Have
				shatterproof glass wherever glass is used in the interior of the patient's
				compartment.
(k) Be designed so
				that the interior of the patient's compartment is free of any exposed sharp
				edges or projections. All the interior finish of the patient's compartment must
				be of material that is impervious to soap and water, disinfectant and mildew,
				and the finish must be fire resistant.
(l) Have at least one wheeled gurney or
				stretcher with three or more straps with which to secure the patient. The head
				of the gurney must be equipped with restraints for the upper torso that are
				placed over the shoulders of the patient.
(m) Have gurney fasteners which are secured
				to the floor or sidewall of the patient's compartment. They must be capable of
				quick release, adjustable and stable.
(n) Have all the medical equipment and
				supplies in the patient's compartment placed in closed storage or otherwise
				secured.
(o) Have a source of power
				adequate to operate simultaneously all systems for heating, air-conditioning,
				radio communications, interior lighting and devices for audible or visual
				warnings while the vehicle is in motion.
(p) Have built-in suction apparatus for use
				in maintaining the patient's airway.
(q) Have built-in equipment for supplying and
				administering oxygen with a minimum of 122 cubic feet (3.5 cubic meters) of
				storage area for oxygen.