reglab/statecodes huggingface dataset:
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE REQUIREMENTS › Section 8:40-3.10 - Biomedical equipment testing and maintenance

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each provider shall
				develop and maintain a testing and maintenance schedule for its biomedical equipment
				in accordance with the manufacturer's recommendations or in compliance with Federal
				standards, whichever is more frequent. All biomedical equipment and devices shall
				comply with all applicable provisions set forth by the Federal Food and Drug
				Administration for safe care, utilization and maintenance of medical
				devices.
(b) For the purposes of this
				section, biomedical equipment includes, but is not limited to:
1. Cardiac resuscitators (that is, Thumpers (R)
				);
2. Automated external defibrillator
				(AED);
3. Pulse oximeters; and
4. Automatic ventilators.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE REQUIREMENTS › Section 8:40-3.11 - Automated external defibrillator reporting

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each licensed
				provider shall comply with the manufacturer's equipment maintenance and testing
				requirements.
(b) A notation shall be
				made on the patient care report each and every time a crewmember applies an AED to a
				patient.
1. In addition, a crewmember shall make a
				complete verbal report to the receiving physician or registered nurse; and
2. A copy of the patient care report shall be
				filed with the receiving health care facility no later than 24 hours after
				completion of the call.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 3 - GENERAL ADMINISTRATIVE REQUIREMENTS › Section 8:40-3.12 - Vehicle PIOOS logs

Current through Register Vol. 56, No. 14, July 15, 2024
Every licensed provider shall keep a log for each vehicle,
				  specifying PIOOS time, the cause of the problem and its resolution. Additionally, a
				  provider shall develop and maintain a program of preventive maintenance for each
				  vehicle.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.1 - Minimum crewmember requirements

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each crewmember who
				is operating a vehicle shall possess a valid driver's license, as required by
				39:3-10. Licenses shall be made
				available to Department staff upon demand.
(b) Each crewmember shall:
1. Be at least 18 years old;
2. Wear identification clearly setting forth his
				or her first and last name and the name of the provider on whose behalf he or she is
				providing care; and
3. Dress in
				clothing, including any outerwear, of a similar uniform appearance that presents a
				professional appearance.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.2 - Crewmember competency

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each crewmember
				shall have knowledge of and/or skills in the following:
1. Application, operation, care and removal of the
				on-board medical equipment, as well as knowledge of potential in transport
				complications which may arise from the utilization of the equipment and the
				treatment of these complications;
2. The
				policies and procedures for the operation of a MAV or BLS ambulance, as
				applicable;
3. Safety operations for
				vehicle accident and incident procedures;
4. All communications equipment;
5. All applicable laws, rules and/or regulations
				including, but not limited to, those set forth at
				26:2K-7 through 20,
				26:2K-35 through 38 and N.J.A.C. 8:40,
				8:40A, 8:41 and 8:41A; and
6. The scope
				of practice applicable to his or her respective certification level.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.3 - Vehicle registration

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each MAV and BLS
				ambulance shall be registered, maintained and operated in accordance with
				39:1-1 et seq. The vehicle registration
				card shall be made available to Department staff upon demand.
(b) Vehicles registered as a motor vehicle in New
				Jersey shall display a valid motor vehicle inspection decal issued by the New Jersey
				Motor Vehicle Commission (NJMVC). The vehicle shall only be utilized to provide
				service after it has successfully passed all motor vehicle tests conducted by the
				NJDMV or an authorized Reinspection Station. No vehicle shall be utilized to provide
				services while it bears a voided, expired or "Rejected" NJMVC sticker.
(c) Vehicles registered as motor vehicles in other
				states shall display a valid motor vehicle inspection decal issued in accordance
				with the requirements of the state registering the vehicle. The vehicle shall only
				be utilized to provide service after it has successfully passed all tests conducted
				in accordance with the requirements of the state registering the vehicle.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.4 - Vehicle safety

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The vehicle shall be
				maintained in a safe operating condition. The vehicle and all required equipment
				shall be functional and operable when the MAV or BLS ambulance is
				"in-service."
(b) The responsibility for
				the safe operation of each MAV or BLS ambulance shall rest with the crewmembers
				staffing that vehicle.
(c) No provider
				shall operate any vehicle without due regard for the safety of the general public or
				without adhering to all applicable laws, rules and/or regulations. No provider shall
				allow the operation of any vehicle that is patently unsafe to drive, presents a
				hazard to personnel and/or bystanders, has not passed New Jersey Motor Vehicle
				Commission (NJMVC) inspection or does not display a valid NJMVC inspection
				sticker.
(d) No person shall staff or
				operate, or be allowed to staff or operate, an MAV or BLS ambulance:
1. After consuming or while under the influence of
				alcohol, narcotics or any substance that substantially compromises a person's
				decision-making abilities;
2. In a
				reckless manner;
3. At an excessive rate
				of speed; or
4. While engaging in any
				illegal conduct.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.5 - Vehicle sanitation

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The interior of the
				vehicle, including all areas utilized for storage, and the equipment and supplies
				within the vehicle, shall be kept clean and sanitary. A disinfectant shall be
				routinely applied to all contact surfaces. The floor, walls and equipment shall be
				free of stains, dirt, debris, odors and insect infestation.
(b) All interior surfaces shall be covered with
				stain resistant material that is impervious to blood, vomitus, grease, oil and
				common cleaning materials.
(c) Blankets,
				pillows and mattresses shall be kept clean and in good repair. All pillows and
				mattresses shall have protective, waterproof and stain resistant covers.
(d) Clean linens shall be utilized in the
				transport of stretcher patients. All linens shall be changed after each patient.
				Disposable linens may be utilized, so long as they are disposed of after each
				patient.
(e) There shall be adequate,
				clean, dustproof storage for clean linens.
(f) Plastic bags and/or covered containers or
				compartments shall be provided and shall be utilized for all soiled supplies
				(including linens and blankets) carried within the vehicle.
(g) In order to protect the safety of the general
				public and emergency response personnel, after a vehicle has been occupied by or
				used to transport a patient known or suspected to have a communicable disease, the
				vehicle shall, prior to transportation of another patient, be cleaned and all
				contact surfaces, equipment and blankets shall be disinfected according to
				applicable standards set forth by the Occupational Safety and Health Administration
				(OSHA) at
				29 C.F.R. §
										1910.1030, as amended and supplemented,
				incorporated herein by reference, and adopted in New Jersey by the Public Employees
				Occupational Safety and Health Act, N.J.S.A. 36:6A-25 et seq., as amended and
				supplemented, incorporated herein by reference.
(h) Where possible, only single-service implements
				shall be inserted into the patient's nose or mouth. These single-service items shall
				be wrapped and properly stored and disposed of after utilization. Non-disposable
				patient care equipment shall be decontaminated after each patient utilization in a
				manner consistent with the sending or receiving health care facility's requirements
				for equipment decontamination. No airway, tube, catheter or other similar device
				shall be utilized on more than one patient unless sterilized in accordance with
				manufacturer's recommendations.
(i)
				Exterior surfaces of the vehicle shall be routinely cleaned.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.6 - Vehicle heater/air conditioner

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each vehicle shall
				have a functional heater and air conditioner:
1.
				When the outside temperature is below 65 degrees Fahrenheit, the heater shall,
				within 20 minutes after initial engine start up, provide an inside ambient patient
				compartment temperature of 68 to 72 degrees Fahrenheit.
2. The air conditioner shall, within 45 minutes
				after engine start up, provide an inside ambient patient compartment temperature of:
i. Sixty-eight to 72 degrees Fahrenheit when the
				outside temperature is between 75 and 85 degrees Fahrenheit; and
ii. At least 13 degrees Fahrenheit below the
				outside temperature when the outside temperature is over 85 degrees Fahrenheit.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.7 - Vehicle chassis, body and components

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The motor vehicle
				chassis, body and components shall be standard commercial products and shall comply
				with all Federal Motor Vehicle Safety Standards (FMVSS) and Federal regulations
				applicable or specified for the year of manufacture.
(b) The curb weight and payload weight shall not
				exceed the gross motor vehicle weight rating as determined by the
				manufacturer.
(c) Tires shall be
				appropriate for the Gross Vehicle Weight of the vehicle and shall not be damaged or
				have excessive tread wear. Radial and non-radial tires shall not be mixed on the
				vehicle.
(d) The completed/modified
				vehicle's center of gravity shall be within the parameter recommended by the chassis
				manufacturer.
(e) All seats shall comply
				with
				49 C.F.R.
				571.207 (FMVSS No. 207). Automotive safety belts
				and anchorages for seats and for occupied wheelchairs shall comply with
				49 C.F.R.
				571.208, 209 and 210 (FMVSS Nos. 208, 209 and
				210).
(f) All glazing shall comply with
				49 C.F.R.
				571.205 (FMVSS No. 205).
(g) The provider shall, with the approval of the
				Department, permanently assign a unique nonduplicated recognition number to each
				vehicle. The recognition number shall consist of at least one, but not more than
				six, characters. For the purpose of this paragraph, a character shall mean either an
				Arabic number, an Arabic letter, a space or a dash. At least one of the characters
				in the recognition number shall be either an Arabic letter or Arabic number.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.8 - Vehicle carbon monoxide concentrations

Current through Register Vol. 56, No. 14, July 15, 2024
(a) In order to minimize
				the amount of carbon monoxide, noxious gases, diesel exhaust, fumes and contaminants
				entering the vehicle:
1. The vehicle exhaust
				system, as well as the vehicle exterior, doors, windows and related gaskets shall be
				in good condition and free of leaks; and
2. The vehicle exhaust system shall extend beyond
				the sides of the vehicle and away from the fuel tank filler pipes and
				doors.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.9 - 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 every six
				months and, if required by the manufacturer, at more frequent intervals.
(b) Periodic pneumatic testing may be conducted by
				the provider or by an outside agency. All tests should be conducted in accordance
				with the Department's pneumatic testing guide, entitled "Pneumatic and Oxygen
				Delivery Testing Standards." Copies of the guide are available for a fee from
				OEMS.
(c) The results of all pneumatic
				tests shall be kept on file at the provider's principal place of business.
(d) At the discretion of the Department, pneumatic
				testing conducted by approved outside agencies may be accepted for the purpose of
				vehicle licensure.
(e) Pneumatic testing
				shall be a part of any annual or biennial inspection for the purpose of licensure of
				a vehicle, and shall be performed prior to the initial licensure of any vehicle.
				Pneumatic testing may also be a part of any inspection, at the discretion of
				Department staff.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.10 - Physical behavioral restraints

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Patients shall not
				be placed and/or transported in physical behavioral restraints unless:
1. A physician or court has authorized the
				placement of the restraints;
2. The
				patient is in the custody of a law enforcement officer; or
3. The medical condition of the patient mandates
				transportation to, and treatment at, a health care facility, and the patient
				manifests such a degree of behavior that he or she:
i. Poses serious physical danger to himself or
				herself or to others; or
ii. Causes
				serious disruption to ongoing medical treatment that is necessary to sustain his or
				her life or to prevent disability.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.11 - Personal safety

Current through Register Vol. 56, No. 14, July 15, 2024
(a) If a crewmember
				reasonably believes that his or her personal safety is in jeopardy, the crewmember
				should retreat from the scene and call for police assistance. A crewmember should
				return to the scene in order to assess and treat the patient only when the scene has
				been secured. Such retreat shall not be considered patient abandonment unless the
				crewmembers leave the scene and/or advise the dispatch center that they are
				available for other calls.
(b)
				Crewmembers shall not wear or carry any weapons or explosives while on duty. For the
				purpose of this chapter, the terms "weapons" and "explosives" include not only
				offensive weapons, but also defensive weapons such as stun guns, stun batons, air
				tasers, pepper spray, mace defensive spray and/or telescopic steel batons.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 4 - GENERAL CREWMEMBER, EQUIPMENT AND VEHICLE REQUIREMENTS › Section 8:40-4.12 - Guide dogs

Current through Register Vol. 56, No. 14, July 15, 2024
In accordance with the New Jersey Law Against Discrimination,
				  10:5-1 et seq., seeing-eye dogs,
				  service dogs, hearing ear dogs, companion dogs and/or guide dogs trained by a
				  recognized agency or school to assist a blind, handicapped or hearing impaired
				  person shall be permitted on any MAV or BLS ambulance where their presence is
				  necessary to perform the duties for which they are trained.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 5 - SPECIFIC MOBILITY ASSISTANCE VEHICLE SERVICE REQUIREMENTS › Section 8:40-5.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) These rules shall
				apply to any person, public or private institution, agency, entity, corporation
				and/or business concern that operates, or seeks to operate, a mobility assistance
				vehicle service within the State of New Jersey. These rules serve to define the
				operational requirements of such a service, to provide for a uniform application of
				standards, and to specify the personnel, equipment, organization and other resources
				required to successfully operate the service.
(b) No person, public or private institution,
				agency, entity, corporation or business concern shall provide MAV services in any
				form or manner or utilize any vehicle as an MAV within the State of New Jersey until
				licensed by the Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 5 - SPECIFIC MOBILITY ASSISTANCE VEHICLE SERVICE REQUIREMENTS › Section 8:40-5.2 - Patient restrictions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When "in-service,"
				an MAV may be utilized to provide non-emergency health care transportation to sick,
				infirm or otherwise disabled persons:
1. Who are
				under the care or supervision of a physician or other recognized health care
				provider;
2. Whose medical condition is
				not of sufficient magnitude or gravity to require transportation in a BLS ambulance,
				but does require transportation from place to place for medical care; and
3. Whose utilization of an alternate form of
				transportation, such as taxicab, bus, other public conveyance or private vehicle
				might create a serious risk to life and health. This shall include those persons who
				are either ambulatory or wheelchair-bound.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 5 - SPECIFIC MOBILITY ASSISTANCE VEHICLE SERVICE REQUIREMENTS › Section 8:40-5.3 - Required crewmembers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When "in-service,"
				each MAV shall be staffed by at least one crewmember who meets the requirements of
				8:40-4.1. A second crewmember, also
				meeting the same requirements, shall be required at the time the patient(s) is/are
				loaded or unloaded, if a patient in a wheelchair is to be moved up or down five or
				more steps or if a patient in a wheelchair weighs 200 or more pounds and is to be
				moved up or down two or more steps. The second crewmember need not be present at
				other times.
(b) If oxygen
				administration devices are not carried in the vehicle, the required MAV crewmembers
				shall possess and shall make available to Department staff upon demand:
1. A CPR certification card. Providers that
				routinely transport patients under eight years of age shall ensure that their MAV
				crewmembers have successfully completed the requirements for, and hold certification
				in, Pediatric Basic Life Support to the standards of the American Heart Association;
				and
2. A valid PAT (Passenger Assistance
				Techniques) Technician certification card issued by Transportation Management
				Associates, Fort Worth, Texas, or a valid certification card indicating completion
				of a course that is similar in content and curriculum that has been approved by the
				Department, consistent with the minimum program standards and course objectives set
				forth in chapter Appendix B; or a valid MAV (Mobility Assistance Vehicle) Technician
				certification card issued by Medical Transportation Association of New Jersey, or a
				valid certification card indicating completion of a course that is similar in
				content and curriculum that has been approved by the Department, consistent with the
				minimum program standards and course objectives set forth in chapter Appendix
				B.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 5 - SPECIFIC MOBILITY ASSISTANCE VEHICLE SERVICE REQUIREMENTS › Section 8:40-5.4 - Crewmember duties

Current through Register Vol. 56, No. 14, July 15, 2024
(a) The collective
				duties of the crewmembers staffing an MAV shall include, but are not limited to:
1. Assuring that all required and necessary
				equipment and supplies are onboard the vehicle and in working order prior to
				departure;
2. Operating the vehicle in a
				safe manner, starting and stopping the vehicle slowly and smoothly and complying
				with all applicable motor vehicle laws, rules and/or regulations;
3. Providing the patient with prompt, effective
				and appropriate care;
4. Assisting the
				patient to enter into and/or exit from the vehicle;
5. Supervising the well being of the patient and
				ensuring the patient's privacy and comfort;
6. Assuring that all vehicle occupants (patients,
				passengers and crewmembers) are properly restrained in accordance with
				8:40-4.4(f);
7. Assuring that all wheelchairs are properly
				restrained in the required restraints and that all wheelchair patients are
				restrained in the wheelchair in accordance with
				8:40-5.6(c). Wheelchair
				patients are to be restrained with a seatbelt until the patient is transferred from
				the wheelchair at the patient's destination;
8. Prohibiting smoking within the vehicle at all
				times;
9. Completing the patient care
				report; and
10. Reporting verbally to
				the appropriate personnel when the patient is delivered to the receiving health care
				facility or other place of medical care.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 5 - SPECIFIC MOBILITY ASSISTANCE VEHICLE SERVICE REQUIREMENTS › Section 8:40-5.5 - Oxygen administration

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Oxygen
				administration devices may, but need not, be carried on an MAV. If carried, except
				in those instances where the patient supplies such devices, the MAV shall be staffed
				with at least one EMT-Basic, and the oxygen and related equipment shall meet the
				standards set forth at
				8:40-6.6.
(b) Each vehicle shall have a pocket-mask device,
				CPR mask with a one-way valve or some other approved barrier protection device for
				utilization in the event that CPR is performed on a patient.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 5 - SPECIFIC MOBILITY ASSISTANCE VEHICLE SERVICE REQUIREMENTS › Section 8:40-5.6 - Patient transport devices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Stretchers and/or
				patient litters shall not be carried on, or within, any MAV.
(b) There shall be a four-point forward facing
				wheelchair restraint system to secure and immobilize each occupied wheelchair
				transported in the vehicle. Vehicles first licensed after February 17, 1998 shall be
				equipped only with forward-facing wheelchair systems and patient seats. Vehicles
				first licensed on or before February 17, 1998 shall continue to be licensed with
				their configuration as of February 17, 1998.
1.
				The wheelchair restraint system shall secure and immobilize the frame of the
				wheelchair in a crashworthy manner and so that movement of the occupied wheelchair
				does not exceed one inch in any direction. The restraint system shall not be
				attached to the wheels of the wheelchair.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 5 - SPECIFIC MOBILITY ASSISTANCE VEHICLE SERVICE REQUIREMENTS › Section 8:40-5.7 - Ramps and lifts

Current through Register Vol. 56, No. 14, July 15, 2024
(a) There shall be an
				operable ramp or fully automatic lift for the safe entry and exit of occupied
				standard size wheelchairs. The ramp or lift shall be permanently fastened to the
				vehicle and be capable of accommodating a load of at least 500 pounds. When the
				vehicle is in transit, the ramp or lift shall be secured in a crashworthy manner and
				shall be positioned so as not to obstruct both of the patient compartment exterior
				doorways.
(b) The ramp or lift shall
				have a slip resistant surface, be structurally sound, free from defects and provide
				a rigid interlocking surface when being utilized.
(c) The lift, as well as any ramp that relies on
				electric, hydraulic or other power for its operation, shall be capable of manual
				operation by an unassisted person or there shall be a manually operated backup
				device. The manual backup device shall be capable of both lifting and lowering the
				patient and shall perform either function within five minutes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 5 - SPECIFIC MOBILITY ASSISTANCE VEHICLE SERVICE REQUIREMENTS › Section 8:40-5.8 - Patient compartment requirements and dimensions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each vehicle
				utilized as an MAV shall have a patient compartment. There need not be a partition
				between the driver's seating area and the patient compartment.
(b) The patient compartment shall have the
				following dimensions:
1. Height: At least 58
				inches between the floor and the ceiling, when measured above each wheelchair
				restraint position;
2. Width: At least
				56 inches between the vehicle interior sides when measured at any point 42 inches
				above the floor. (The width of cabinets, etc. shall be included when measurements
				are made.) When "in-service" and transporting a wheelchair bound patient, all aisles
				shall be maintained at a width of at least 30 inches; and
3. Length: At least 92 inches between the interior
				surface of the rear door and the rear surface of the driver's seat or, if present,
				the surface of any bulkhead or partition, if three or four wheelchair positions are
				present. At least 82 inches between the interior surface of the rear door and the
				rear surface of the driver's seat or, if present, the surface of any bulkhead or
				partition, if one or two wheelchair positions are present.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 5 - SPECIFIC MOBILITY ASSISTANCE VEHICLE SERVICE REQUIREMENTS › Section 8:40-5.9 - Vehicle markings and emergency warning devices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each MAV shall bear
				the following markings:
1. The trade name (as it
				appears on the vehicle license) shall be visible on the two exterior sides of the
				vehicle in a size not less than four inches high;
2. The vehicle recognition number shall be visible
				on the rear and the two exterior sides of the vehicle in a size not less than three
				inches high; and
3. The International
				Symbol of Access for the Handicapped (that is, the outline form of a person in a
				wheelchair) shall be visible on the rear and the two sides of the vehicle in a size
				not less than eight inches high.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 5 - SPECIFIC MOBILITY ASSISTANCE VEHICLE SERVICE REQUIREMENTS › Section 8:40-5.10 - Two-way communications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each MAV shall have
				at least one form of two-way communications. However, no MAV shall be equipped with
				a JEMS radio.
(b) The following radio
				frequencies shall not be utilized in two-way communications to, or from, an MAV:
1. Any of the UHF radio frequencies known as "Med
				1" through "Med 10" and "MED A" through "MED X";
2. Any of the VHF radio frequencies listed in
				Appendix A of this chapter, incorporated herein by reference; and/or
3. Any of the following radio frequencies: 155.280
				MHz, 155.340 MHz, 153.785 MHz.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.1 - Scope and purpose

Current through Register Vol. 56, No. 14, July 15, 2024
(a) These rules shall
				apply to any person, public or private institution, agency, entity, corporation
				and/or business concern that operates, or seeks to operate, a BLS ambulance service
				within the State of New Jersey. These rules serve to define the operational
				requirements of such a service, to provide for a uniform application of standards,
				and to specify the personnel, equipment, organization and other resources required
				to successfully operate the service.
(b)
				No person, public or private institution, agency, entity, corporation or business
				concern shall provide BLS ambulance services in any form or manner or utilize any
				vehicle as a BLS ambulance within the State of New Jersey unless licensed by the
				Department.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.2 - Patient restrictions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When "in-service," a
				BLS ambulance may be utilized to provide pre-hospital basic life support emergency
				medical care, or non-emergency medical care and transportation (including BLS
				inter-facility transfers) to sick, infirm or otherwise disabled persons who are
				under the care or supervision of a physician or other recognized health care
				provider. This shall include those persons who require:
1. Transportation in a prone or supine
				position;
2. Constant attendance due to
				a medical and/or mental condition;
3.
				Aspiration or suctioning;
4. Emergency
				medical services or other medical services, including, but not limited to, BLS
				inter-facility transfers;
5. Treatment
				in the emergency department of a general hospital;
6. Treatment in, or admission to, the obstetrical
				unit (labor and delivery suite) or the Intensive and/or coronary care unit of a
				general hospital; or
7. Transportation
				in physical behavioral restraints.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.3 - Required crewmembers

Current through Register Vol. 56, No. 14, July 15, 2024
(a) When "in-service,"
				each BLS ambulance shall be staffed with a minimum of two EMT-Basics.
1. A provisionally certified EMT-Basic, as
				identified at 8:40A-7.4, may serve as a third
				crewmember, but shall not be utilized to meet the minimum crewmember requirements
				set forth in (a) above.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.6 - Oxygen administration

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each BLS ambulance
				shall be equipped with both an installed and a portable oxygen system, as well as
				one reserve oxygen cylinder with a capacity of at least 300 liters.
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 the portable
				system shall not be gravity dependent. Flowmeters shall be accurate to within 1.0
				lpm when at a setting equal to or less than 5.0 lpm, 1.5 lpm when at a setting
				between 6.0 lpm and 10 lpm and within 2.0 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.
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. The 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. All installed oxygen cylinders shall be
				retained in an oxygen tank holder certified by the manufacturer to comply with AMD
				Standard 003-Oxygen Tank Retention System.
5. The 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. Consistent with
				8:40-4.4(d)7, the
				portable oxygen system, reserve oxygen cylinder and any portable positive pressure
				flow-restricted oxygen-powered ventilation devices (FROPVDs) shall be stored in a
				crashworthy manner.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.7 - Aspirator/suction equipment

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each BLS ambulance
				shall be equipped with both an installed and a portable aspirator.
1. Each aspirator shall be equipped with a
				non-breakable collection bottle and at least three feet of transparent or
				translucent non-collapsible suction tubing with an interior bore of at least
				one-quarter inch. Three-eighths of an inch bore is recommended. There shall be at
				least one Yankauer-type suction instrument and at least eight suction catheters for
				each aspirator, in not less than four assorted adult and pediatric sizes. At least
				one catheter shall be a size "8" and one shall be a size "18." An infant bulb
				syringe, in addition to the one carried in the obstetrical kit, shall also be
				carried.
2. The installed aspirator
				shall be powered by the vehicle's electrical system and shall be securely mounted
				and located so as to allow easy access for aspiration of any stretcher bound
				patient. The aspirator shall provide a flow rate of at least 30 liters per minute at
				the end of the suction tube and a vacuum pressure of at least 300 mmHg within four
				seconds and a maximum vacuum pressure of at least 400 mmHg during the entire normal
				range of vehicle operation.
3. The
				portable aspirator shall be powered by an integral battery. The aspirator shall
				provide a flow rate of at least 25 liters per minute at the end of the suction tube
				and a vacuum pressure of at least 300 mmHg within four seconds and a maximum vacuum
				pressure of at least 400 mmHg for at least 20 minutes. BLS ambulances that utilize
				aspirators that are powered by field replaceable batteries shall carry a sufficient
				supply of batteries to permit the device to operate continuously and, in accordance
				with Federal Specifications for Ambulances, KKK-A-1822, "Portable Suction
				Aspirator," to meet the flow and vacuum pressure requirements for at least 20
				minutes.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.8 - Patient transport devices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each BLS ambulance
				shall be equipped with:
1. A wheeled patient
				litter for the transport of stretcher-bound patients. The litter shall be at least
				72 inches long (when flat) and at least 20 inches wide. The litter shall have a
				commercially manufactured stretcher mattress. The litter and mattress shall be
				adjustable from a flat to a semi-sitting position. The litter shall be adjustable
				from a minimum height of nine to 18 inches to a maximum height of 33 to 40 inches
				measured to the top of the mattress. There shall be clean linens on the
				litter;
2. A portable stretcher for the
				safe transport of stretcher-bound patients up and down flights of stairs. The
				stretcher may be of the Reeves(R) type, folding type or of the combination
				stretcher/stair-chair type. Reeves(R)-type stretchers are required on BLS ambulances
				utilized to provide emergency response; and
3. A portable stair-chair for the safe transport
				of patients up and down flights of stairs. A combination stretcher/stair-chair
				device shall be sufficient to meet the requirements of both (a)2 above and this
				paragraph.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.9 - Spine boards, orthopedic litter and splints

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each BLS ambulance
				shall be equipped with the following:
1. One long
				spine board made of impervious, inflexible material, 72 inches long by 16 inches
				wide with associated strap holes and full-length three-quarter inch runners, or
				another configuration that protects the crewmembers' hands from injury during
				patient movement;
2. A commercially
				available vest-type upper spinal immobilization device (for example, K.E.D.(R)),
				approved by the FDA for utilization by EMT-Basics;
3. Four straps, measuring two inches wide by nine
				feet long with quick release type metal buckles. ("Slide-through" type strongly
				recommended.) Velcro(R)-type closures shall not be utilized. The vehicle may
				substitute three clip-on type straps in place of the required straps if the vehicle
				is equipped with a long spine board that utilizes such straps. A commercial
				backboard restraint may also be substituted for the straps;
4. One orthopedic litter at least 78 inches long
				(when extended) by at least 16 inches wide. It shall open/close (separate/rejoin)
				along its long axis into two halves;
5.
				Six rigid cervical collars of a type approved by the FDA for pre-hospital
				utilization by EMT-Basics (for example, StifNeck(R) or Philadelphia-type) in at
				least three different sizes, one of which shall be of a size to accommodate
				pediatric patients;
6. One head
				restraint system, utilized to immobilize a patient's head while the patient is
				restrained on a backboard, of a type approved by the FDA for pre-hospital
				utilization by EMT-Basics. Sandbags shall not be utilized as spinal immobilization
				devices;
7. A minimum of six splinting
				devices (for example, padded board splints which are impervious to bodily fluids,
				blood and other potentially infectious materials, selected commercial fracture
				products), in a variety of sizes suitable for splinting arms and/or legs;
				and
8. One adult size, lower extremity
				traction splint approved by the FDA for pre-hospital utilization by EMT-Basics,
				complete with all associated straps, heel stand windlass, and accessories, or other
				devices approved by the Commissioner.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.10 - Patient compartment requirements and dimensions

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each vehicle
				utilized as a BLS ambulance shall have a distinct patient compartment. The patient
				compartment shall be separated from the driver's seating area by a bulkhead or
				partition, which may include a passageway.
(b) The patient compartment shall have the
				following interior dimensions:
1. Height: At least
				54 inches between the floor and the ceiling when measured at, or near, the center of
				the patient compartment;
2. Width: At
				least 56 inches between the vehicle interior sides when measured at any point 52
				inches above the floor. The width of cabinets, etc., shall be included when
				measurements are made;
3. Length: At
				least 116 inches between the interior surface of the rear door and the surface of
				the bulkhead or partition, when measured at floor level; and
4. There shall be an aisle at least 10 inches wide
				next to the required patient litter.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.11 - Vehicle certification to Federal specifications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each BLS ambulance
				shall be certified to meet the version of Federal Specifications for Ambulances,
				KKK-A-1822, which was current at the time the vehicle was manufactured. The
				certification shall be made by the vehicle manufacturer or converter in accordance
				with applicable paragraphs of the Federal KKK-A-1822 specifications.
(b) The following exceptions to the Federal
				KKK-A-1822 specifications are permitted. Inclusion of the following items on a BLS
				ambulance is optional:
1. Spare tire and
				storage;
2. Tools for changing a
				tire;
3. 115 volt AC utility
				power;
4. Utility power
				connector;
5. Electrical 115 volt VAC
				receptacles;
6. Solid state
				inverter;
7. Spotlight;
8. Exterior storage accommodation;
9. Extrication equipment and storage;
10. Color, paint and finish; and
11. Color standards and tolerances.
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.12 - Vehicle markings and emergency warning devices

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each BLS ambulance
				shall bear the following markings:
1. The trade
				name (as it appears on the vehicle license) shall be visible on the two exterior
				sides of the vehicle in a size not less than four inches high;
2. The vehicle recognition number shall be visible
				on the rear and the two exterior sides of the vehicle in a size not less than three
				inches high;
3. The words "Ambulance" or
				"Emergency Medical Services" shall be in mirror image, centered above the grill, on
				the front of the vehicle in a size not less than four inches high and on each side
				and on the rear of the vehicle body in a size not less than six inches high. The
				words "Ambulance" or "Emergency Medical Services" may be separate from, or may be
				incorporated in, the trade name required in (a)1 above;
4. Block-type blue, "Star of Life" shall be
				located both to the right and left of the word "Ambulance" on the front of the
				vehicle in a size not less than three inches high on a four-inch by four-inch white
				field; and
5. Block-type blue, "Star of
				Life" shall be visible on each side of the vehicle in a size not less than 16 inches
				high. A block-type blue, "Star of Life" shall be provided on each rear door window
				glass or on rear door panels in a size not less than 12 inches high. If installed on
				the rear door window glass, the "Star of Life" shall be translucent or
				"cut-out."
New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40 - MOBILITY ASSISTANCE VEHICLE AND BASIC LIFE SUPPORT AMBULANCE SERVICES › Subchapter 6 - SPECIFIC BASIC LIFE SUPPORT AMBULANCE SERVICE REQUIREMENTS › Section 8:40-6.13 - Two-way communications

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Each BLS ambulance
				shall be equipped with communications equipment, including at least one mobile
				radio, with the following minimum features:
1.
				Two-way, VHF high-band with Effective Radiated Power (ERP) as approved by the
				FCC;
2. Selection, transmission and
				receipt on each of the required JEMS radio frequencies from the driver's
				compartment;
3. Transmission and receipt
				of each of the required JEMS radio frequencies from the patient compartment. While
				only one radio is required, there shall be a microphone and speaker in both the
				driver and the patient compartments; and
4. A functional, dual-tone, multi-frequency
				encoder in either the driver's or the patient compartment.