South Carolina Code of Regulations › Chapter 61 - DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL › Subchapter 61-7 - EMERGENCY MEDICAL SERVICES › Sec2 61-7.2100 - MEDICAL EQUIPMENT

Current through Register Vol. 48, No. 6, June 28, 2024
A. The EMS Agency
			 shall ensure the following equipment is maintained on all in-service vehicles
			 in accordance with the response:
Required (R); Medical Control Option (MCO); Not
							 Applicable (N/A)
Item, and Quantity
EMERGENCY RESPONSE
AMBULANCE
EMT-Basic
Paramedic
EMT-Basic
AEMT
Paramedic
Air/Critical
Care
Personal Protective
							 Equipment
1.
Eye protection or face shield for each medical crew
							 member
One (1)
R
R
R
R
R
R
2.
Labeled Non-sterile, latex-free exam gloves - two (2)
							 sizes
Five (5) pairs each
R
R
R
R
R
R
3.
Mask/Face shield for each Crew Member
One (1)
							 each
R
R
R
R
R
R
4.
Protective clothes covering
R
R
R
R
R
R
Automatic External Defibrillator
							 (AED)
5.
AED: secured and positioned for easy access to
							 Attendants
One (1)
R
R
R
R
N/A
N/A
6.
Paddles or pads and cables, Adult and Pediatric,
							 compatible with AED
R
R
R
R
R
R
Monitor/Defibrillator
7.
Four (4) lead wave form, twelve (12) lead/EKG, SpO2
							 waveform with numeric reading, waveform capnography, and invasive pressure
							 ports for adult and pediatric, and neonate, if applicable. Printable and
							 transmittable and secured and positioned so displays are visible to Attendants.
							 All components are required, but not all on one device.
One (1)
N/A
R
N/A
N/A
R
R
8.
ECG Electrodes
Twenty (20)
MCO
MCO
MCO
MCO
R
R
9.
Extra roll of compatible printer paper
One (1)
N/A
R
N/A
MCO
R
R
10.
Internal rechargeable battery pack
One (1)
N/A
R
N/A
MCO
R
R
11.
Extra battery or AC adapter and cord
One (1)
N/A
R
N/A
MCO
R
R
12.
Defibrillator: May be integrated into cardiac monitor
							 module.
One (1)
N/A
R
N/A
MCO
R
R
13.
Pads - Pediatric and Adult (Neonatal sizes if
							 transports are conducted)
N/A
R
N/A
N/A
R
R
14.
Transcutaneous Pace - Adult and Pediatric
							 capabilities (stand-alone unit or integrated into cardiac monitor
							 modular)
N/A
R
N/A
N/A
R
R
Oxygen Delivery
15.
Nasal Cannulas - Adult
Two (2)
R
R
R
R
R
R
16.
Nasal
Cannula- Pediatric
Two (2)
MCO
MCO
R
R
R
R
17.
Non-Rebreather Mask
- Adult
Two (2)
R
R
R
R
R
R
18.
Non-Rebreather Mask
- Infant
Two (2)
N/A
N/A
N/A
N/A
N/A
R
19.
Non-Rebreather Mask
- Pediatric
Two (2)
R
R
R
R
R
R
20.
Disposable Nebulizer
Two (2)
MCO
R
MCO
R
R
R
21.
NPA 16 French through 34 French
(12, 16, 20, 24, 28, 32,
36)
One (1) each
MCO
R
R
R
R
R
22.
Nonmetallic oropharyngeal airways (OPAs): sizes
							 0-5.
One (1) each
R
R
R
R
R
R
23.
Positive Pressure
Airway device
One (1)
MCO
R
MCO
R
R
R
24.
Individual use circuit for Positive pressure device
							 compatible with the device
Two (2)
MCO
R
MCO
R
R
R
25.
Portable Oxygen Cylinder (min 1000 PSI) with working
							 regulator
One (1)
R
R
R
R
R
R
26.
Spare Portable Oxygen
Cylinder
One (1)
R
R
R
R
R
R
27.
On-Board Oxygen Cylinder (min 2000L) With working
							 regulator
One (1)
N/A
N/A
R
R
R
R
Bag Valve Mask Ventilation Units (BVM)
28.
Adult BVM
One (1)
R
R
R
R
R
R
29.
Pediatric BVM
One (1)
R
R
R
R
R
R
30.
Neonate BVM
One (1)
MCO
MCO
R
R
R
R
Bandage Material
31.
ABD pad at least five by nine inches (5" x 9")
Two (2)
R
R
R
R
R
R
32.
Adhesive bandages
Five (5)
R
R
R
R
R
R
33.
Individually wrapped four by four inch (4" x 4")
							 Sterile Gauze Pads
Fifteen (15)
R
R
R
R
R
R
34.
Individually wrapped Sterile Gauze bandage rolls two
							 (2) different Sizes Required
One (1) each size
R
R
R
R
R
R
35.
Four by four inch (4" x 4") Commercial Sterile
							 Occlusive Dressing or Chest Seal
Two (2)
R
R
R
R
R
R
36.
Hypoallergenic
Adhesive Tape - One inch (1")
One (1)
R
R
R
R
R
R
37.
Hypoallergenic
Adhesive Tape - Two
Inch (2")
One (1)
MCO
MCO
MCO
MCO
MCO
MCO
38.
Hypoallergenic
Adhesive Tape - Three
Inch (3")
One (1)
MCO
MCO
R
R
R
R
39.
Large Trauma Bandage Shears
One (1)
R
R
R
R
R
R
40.
Sterile Water or Normal Saline for irrigation
Minimum of 250 ml.
R
R
R
R
R
R
41.
Arterial Tourniquet
Two (2)
R
R
R
R
R
R
42.
Hemostatic Agent or Bandage (non-granular)
Two
							 (2)
MCO
MCO
MCO
MCO
MCO
MCO
Assessment Tools
43.
Thermometer
One (1)
MCO
MCO
R
R
R
R
44.
Sphygmomanometer, cuff, bladder, and tubing in sizes
							 for each age and size (Minimum of 3 sizes)
One (1) each size
R
R
R
R
R
R
45.
Adult Stethoscope
One (1)
R
R
R
R
R
R
46.
Pediatric Capable Stethoscope
One (1)
R
R
R
R
R
R
47.
Pulse Oximeter with numeric reading with Adult and
							 Pediatric capabilities
One (1)
R
R
R
R
R
R
48.
Penlight
Two (2)
R
R
R
R
R
R
Miscellaneous
49.
Commercial antimicrobial and waterless hand
							 cleanser
R
R
R
R
R
R
50.
EPA recommended Germicidal/viricidal agent or sodium
							 hypochlorite solution - ninety-nine (99) parts water and one (1) part bleach
							 for cleaning equipment.
R
R
R
R
R
R
51.
Portable Suction
R
R
R
R
R
R
52.
Wall Mounted Suction
N/A
N/A
R
R
R
R
53.
Suction Tubing
MCO
MCO
R
R
R
R
54.
Rigid suction Tip
MCO
MCO
R
R
R
R
55.
Flexible Suction Tip
Four (4) sizes
MCO
R
R
R
R
R
56.
Naloxone
Administration Kit
MCO
MCO
MCO
MCO
MCO
MCO
57.
Epinephrine
Administration Kit
MCO
MCO
MCO
MCO
MCO
MCO
58.
Sharps container (fixed with locking
							 mechanism)
One (1)
N/A
N/A
R
R
R
R
59.
Portable Sharps Container
One (1)
R
R
R
R
R
R
60.
Current color-coded Pediatric weight and length-based
							 drug dose chart
One (1)
MCO
R
MCO
R
R
R
61.
Antiseptic pads for injection sites
Twenty-four
							 (24)
R
R
R
R
R
R
62.
18-20g needles at least one and one-half inch (1
							 ½") length
Two (2) sets
N/A
R
N/A
R
R
R
63.
23g-25g needles at least one and one-half inch (1
							 ½") length
Two (2) sets
N/A
R
N/A
R
R
R
64.
1 ml Syringes
Two (2)
N/A
R
N/A
R
R
R
65.
3-5 ml Syringes
Two (2)
N/A
R
N/A
R
R
R
66.
10-20 ml Syringes
Four (4)
N/A
R
N/A
N/A
R
R
67.
Sterile burn sheet
One (1)
R
R
R
R
R
R
68.
Triangular Bandages
Two (2)
R
R
R
R
R
R
69.
Traction-type, lower extremity splint (Bi-polar or
							 Uni-polar type is acceptable)
One (1)
MCO
MCO
R
R
R
MCO
70.
Padded splints: 15" x 3" (or other approved
							 commercially available splints for arm or leg fractures)
Two (2)
R
R
R
R
R
MCO
71.
Padded Splints: 36" x 3" (or other approved
							 commercially available splints for arm or leg fractures)
Two (2)
MCO
MCO
R
R
R
MCO
72.
Pelvic Splint
One (1)
MCO
MCO
MCO
MCO
MCO
MCO
73.
Long Spine Board: at least 16" x 72". (A folding
							 backboard may be used as a substitute.)
One (1)
MCO
MCO
R
R
R
MCO
74.
Cervical collars: Adjustable or available in sizes of
							 short, regular, or tall. Adult and Pediatric
Minimum of one (1) each
R
R
R
R
R
MCO
75.
Commercially or
Premade Head
Immobilization Device -
Adult and Pediatric
One (1) each
MCO
MCO
R
R
R
MCO
76.
Nine (9) foot straps (one (1) set 10-point spider
							 straps may be used)
Minimum of three (3) each
MCO
MCO
R
R
R
R
77.
Triage Tag (Compatible with the state
							 system)
R
R
R
R
R
MCO
78.
Patient Restraints
one (1)
							 set
N/A
N/A
R
R
R
R
79.
Obstetrical Kit: Sterile, latex free. (Contains the
							 following: gloves, scissors or surgical blades, umbilical cord clamps or tapes,
							 dressing, towels, perinatal pad, bulb syringe and a receiving blanket)
One (1)
R
R
R
R
R
R
80.
Glucometer or Blood Glucose Measuring Device
One (1)
R
R
R
R
R
R
81.
Emesis basin or bag
One (1)
R
R
R
R
R
R
82.
Bedpan and urinal
One (1) each
MCO
MCO
R
R
R
R
83.
ABC Fire Extinguisher (minimum of 5 LBS, properly
							 mounted)
One (1)
R
R
R
R
R
R
84.
Battery Operated Flashlight (non-penlight)
Two (2)
MCO
MCO
R
R
R
MCO
85.
High Visibility vest or reflective clothing
Two
							 (2)
R
R
R
R
R
R
86.
Protective Work
Gloves
2 Pair
MCO
MCO
MCO
MCO
MCO
MCO
87.
Protective Helmet
Two (2)
MCO
MCO
MCO
MCO
MCO
R
88.
Flameless Flare, Glow Sticks, Cones, or Reflective
							 Triangles
Three (3)
R
R
R
R
R
MCO
89.
Blankets/ Linen
Three (3) each
MCO
MCO
R
R
R
R
Advanced Airway and Ventilatory Support
90.
Laryngoscope handle with extra set of batteries and
							 bulbs (Compatible with Blades)
One (1)
N/A
R
N/A
N/A
R
R
91.
Laryngoscope blades - 0-4 Miller, 1-4 Macintosh -
							 Adult/ Pediatric/Neonate sizes (Compatible with handle)
One (1) each
N/A
R
N/A
N/A
R
R
92.
Video Laryngoscope
One (1)
N/A
MCO
N/A
N/A
MCO
MCO
93.
Disposable ET tube sizes 2.5 through 8mm with stylets
							 sized for each tube
One (1) each
N/A
R
N/A
N/A
R
R
94.
Bougie type device
One (1)
N/A
MCO
N/A
N/A
MCO
MCO
95.
ET Placement Detector
One (1)
N/A
R
N/A
N/A
R
R
96.
Water soluble lubricating jelly
Four (4)
							 each
R
R
R
R
R
R
97.
Blind Insertion Airway Device (BIAD) - Age and weight
							 sizes as defined by FDA. Syringe(s) needed to inflate bulbs shall be included
							 in packaging, if not, appropriate size(s) carried by provider.
R
R
R
R
R
R
98.
Mucosal Atomizer
Device
One (1)
N/A
MCO
N/A
N/A
MCO
MCO
99.
Positive End-Expiratory Pressure (PEEP) valve (may be
							 incorporated into BVMs) - age appropriate
R
R
R
R
R
R
100.
Mechanical ventilator and circuit - age/weight
							 appropriate, including neonate, if applicable, includes measurement of:
							 Fraction of inspired oxygen (FiO2); Tidal volume (Vt);
Respiratory rate (RR) or frequency; and
							 PEEP.
N/A
N/A
N/A
N/A
MCO
R
101.
Continuous Positive Airway Pressure (CPAP), able to
							 be incorporated within the mechanical ventilator mechanical and with
							 appropriate setting and attachments for adult, pediatric, and neonate Patients,
							 if applicable
N/A
N/A
N/A
MCO
MCO
R
102.
Bi-level Positive Airway Pressure (BiPap), able to be
							 incorporated within the mechanical ventilator mechanical and with appropriate
							 setting and attachments for adult, pediatric, and neonate Patients, if
							 applicable
N/A
N/A
N/A
N/A
MCO
MCO
103.
Chest Decompression Kit
One (1)
N/A
R
N/A
N/A
R
R
104.
Printable waveform
End-tidal CO2 continuous monitoring capabilities. May
							 be incorporated within cardiac monitor modular
N/A
R
N/A
N/A
R
R
Venous Access
105.
Intravenous catheters 14g-20g
Two (2) each
N/A
R
N/A
R
R
R
106.
Intravenous catheters 22g-24g for pediatric/neonate
							 transport
Two (2) each
N/A
R
N/A
R
R
R
107.
Intraosseous needles - 15mm, 25mm, 45mm
One (1)
							 each
N/A
MCO
N/A
R
R
R
108.
Macro drip sets, 10-20 gtts/ml
Two (2)
N/A
R
N/A
R
R
R
109.
Micro drip set
One (1)
N/A
R
N/A
N/A
N/A
N/A
110.
IV start kits containing latex free tourniquet,
							 antiseptic solution, and latex free catheter dressing.
Three (3)
N/A
R
N/A
R
R
R
111.
Intravenous fluids: may be combination of
							 sizes100mL-1000mL variety such as Lactated
Ringers, Normal Saline, D5W. Capability to be
							 administered warm.
4000 ml total
N/A
R (2000 ml total)
N/A
R
R
R
112.
IV Pressure Infuser
One (1)
N/A
MCO
N/A
MCO
R
R
B. The
			 EMS Agency shall maintain the equipment used in the provision of Patient care
			 clean, in good repair, and operating condition, within the manufacturer
			 expiration date, and in accordance with Occupational Safety and Health
			 Administration (OSHA) Standard 1910.1030.
C. Local Medical Control Option (MCO). The
			 EMS Agency shall ensure all local MCO medical equipment is incorporated into
			 its Protocols pursuant to Section 502.B.