Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 20 - Community Health › Subchapter 10 - Screening, Medical Services, and Reporting › Part 2 - Emergency Medical Services › Section 216-RICR-20-10-2.12 - Minimum Equipment Requirements for Ambulance Vehicles

Current through June 14, 2024
A. The following
				  list indicates the minimum equipment required for each class of ambulance
				  vehicle license.
R = Required O = Optional X = Not
								  permitted
Section 1: General Requirements
Item
A-1C
A-1P
A-2C
A-2P
A-2A
B-1
B-2
C
Description
Communication with dispatcher
R
R
R
R
R
R
R
R
Two-way voice communications
Communication with hospital
R
R
R
R
R
R
O
R
Two-way voice communications
Complete tool kit
R
R
R
R
R
R
R
X
Minimum of: one (1) open-end adjustable wrench at
								  least twelve inches (12"); one (1) screwdriver regular blade at least eight
								  inches (8"); one (1) screwdriver, Phillips type at least eight inches (8"); one
								  (1) hacksaw with three (3) blades; one (1) pliers, vise-grip type; one (1)
								  three (3) pound hammer; one (1) crowbar at least twenty-four inches (24") or
								  halligan tool; one (1) battery cable cutter; two (2) ropes, at least one half
								  inch (1/2") diameter, fifty feet (50') long; two (2) pairs safety goggles;
								  two (2) pairs work gloves; two (2) reflective vests/garments or equivalent,
								  ANSI 207-2011 compliant; two (2) flashlights with batteries.
Controlled substance log book
R
R
R
R
X
X
X
R
Log of all controlled substances carried,
								  including lot numbers, total dose given per call, incident number, hospital
								  replacement, and any wastage. Logbook must be hardcover, bound, and have
								  numbered pages
Controlled substance security
R
R
R
R
X
X
X
R
Stored securely with at least two (2) locks,
								  keyed or combination
DOT inspection sticker
R
R
R
R
R
R
R
X
Rhode Island
DOT registration
R
R
R
R
R
R
R
X
Rhode Island
Emergency lights
R
R
R
R
R
R
R
X
Per NFPA 1917
Equipment properly secured
R
R
R
R
R
R
R
R
All supplies, equipment, tools, etc. shall be
								  stored in enclosed compartments or fastened to secure them during vehicle
								  motion. Equipment weighing three (3) lbs. or more mounted or stored in a
								  driving or patient area shall be contained in an enclosed compartment capable
								  of containing the contents when a ten (10) G force is applied in the
								  longitudinal, lateral, or vertical axis of the vehicle, if the equipment is
								  secured in a bracket or mount that can contain the equipment when the equipment
								  is subjected to those same forces.
Exhaust system
R
R
R
R
R
R
R
X
Fire extinguishers
R
R
R
R
R
R
R
R
Vehicle shall be equipped with at least two (2)
								  mounted and charged fire extinguishers, dry chemical, each with a capacity of
								  five (5) lbs. or greater, approved by Underwriter's Laboratory (UL), with at
								  least one (1) mounted in the patient compartment of transporting
								  ambulances.
Free from rust/dents
R
R
R
R
R
R
R
R
Non-emergency exterior lighting
R
R
R
R
R
R
R
R
Patient compartment lighting
R
R
X
X
X
R
X
R
Per NFPA 1917
Patient tracking system/ePCR
R
R
O
O
O
R
O
R
PTS and ePCR capable laptop computer or tablet
								  and all ancillary equipment and supplies including a docking station, bar code
								  scanner, tracking bracelets and triage tags and all shall be in good working
								  condition. The ePCR software must be RI CEMS approved. The service shall also
								  maintain a viable data connectivity plan.
RI Statewide EMS Protocols
R
R
R
R
R
R
R
R
Siren
R
R
R
R
R
R
R
X
Per NFPA 1917
Triage/tracking tags
R
R
R
R
R
R
R
R
Minimum of twenty-five (25) triage tags
Triangle reflectors
R
R
R
R
R
R
R
R
Minimum of 3A9A3:J22A2:J2 A2:J22
Section 2: Basic Life Support Supplies and
								  Equipment
Item
A-1C
A-1P
A-2C
A-2P
A-2A
B-1
B-2
C
Description
Antiseptic wipes
R
R
R
R
R
R
R
R
Minimum of six (6)
Adhesive tape
R
R
R
R
R
R
R
R
Blood glucose meter
R
R
R
R
R
R
R
R
One (1) meter with minimum of five (5) test
								  strips
Blood pressure cuffs
R
R
R
R
R
R
R
R
Adult, child, infant, large adult sizes
Cold packs
R
R
R
R
R
R
R
R
Minimum of three (3)
Conforming bandages
R
R
R
R
R
R
R
R
Minimum of six (6)
Chest seal dressing
R
R
R
R
R
R
R
R
Minimum of two (2) commercially prepared
								  units
Hypothermia blanket
R
R
R
R
R
R
R
R
Minimum of two (2) Mylar blankets
Mucosal atomization device
R
R
R
R
R
R
R
R
Minimum of two (2)
Obstetrics kit
R
R
R
R
R
R
R
R
Minimum of one (1)
Pediatric dosing device
R
R
R
R
R
R
R
R
Minimum of one (1)
Pelvic binder
R
R
R
R
R
R
R
R
Minimum of one (1) adult size
Splints
R
R
R
R
R
R
R
R
Minimum of two (2) to fit adult and pediatric
								  patients
Sterile burn sheets
R
R
R
R
R
R
R
R
Minimum of two (2)
Sterile gauze
R
R
R
R
R
R
R
R
Gauze pads in assorted sizes
Sterile water
R
R
R
R
R
R
R
R
Minimum of one (1) liter
Stethoscopes
R
R
R
R
R
R
R
R
Minimum of one (1) adult and one (1)
								  pediatric
Syringes/ needles
R
R
R
R
R
R
R
R
Minimum of two (2) in each size: ten (10) mL,
								  five (5) mL, one (1) mL; one (1) sixty (60) mL and two (2) one and one half
								  inch ( 1-1 /2") needles
Thermometers
R
R
R
R
R
R
R
R
Minimum of one (1) with a range of at least
								  seventy-eight (78.0º F) to one hundred and eleven and nine tenths degrees
								  Fahrenheit (111.9º F)
Tourniquet
R
R
R
R
R
R
R
R
Minimum of four (4), commercially prepared
Traction splint
R
R
O
O
O
R
O
R
Minimum of one (1) adult size
Trauma dressings
R
R
R
R
R
R
R
R
Minimum of three (3)
Trauma shears
R
R
R
R
R
R
R
R
Minimum of one (1)
Triangular bandages
R
R
R
R
R
R
R
R
Minimum of three (3)
Water soluble lubricant
R
R
R
R
R
R
R
R
Minimum of three (3) packets
Section 3: Extrication and Transportation
Item
A-1C
A-1P
A-2C
A-2P
A-2A
B-1
B-2
C
Description
Cervical collars
R
R
R
R
R
R
R
R
Minimum of one (1) in each size to fit infants
								  through tall adults
Child seat
R
R
O
O
O
R
O
R
Minimum of one (1) child restraint seat fitting
								  children weighing from twenty (20) to forty (40) lbs. The seat must be capable
								  of being secured to the vehicle's stretcher. Seat must be compliant with
								  current Federal Motor Vehicle Safety Standards requirements
Long spine board
R
R
O
O
O
R
O
R
Minimum of one (1)
Patient movement device
R
R
R
R
R
R
R
R
Minimum of one (1)
Stair chair
R
R
O
O
O
R
O
O
Minimum of one (1)
Straps for long spine board
R
R
O
O
O
R
O
R
Minimum of four (4), seven feet (7') to nine feet
								  (9') in length
Stretcher/straps /mattress
R
R
X
X
X
R
X
R
Stretcher having a mattress at least three inches
								  (3") thick with a waterproof non-porous covering. Stretcher must be equipped
								  with appropriate patient restraints: three (3) mounted leg/torso straps, and
								  two (2) shoulder straps tethered together at stretcher frame. Patient
								  restraints shall be compliant with all Federal Motor Vehicle Safety Standards
								  and shall incorporate metal to metal quick release buckles, be not less than
								  two inches (2") wide, and fabricated from nylon or other materials easily
								  cleaned and disinfected. A fold down, rigid, telescoping I.V. pole and holder
								  shall be provided on the left side of stretcher. Stretcher must operate
								  according to manufacturer's standards and be current on maintenance and
								  servicing as prescribed by the manufacturer. All stretchers should only be used
								  with the required fastener assembly and patient restraint as prescribed by the
								  manufacturer.
Section 4: Airway and Ventilation
Item
A-1C
A-1P
A-2C
A-2P
A-2A
B-1
B-2
C
Description
Advanced airway device kits
R
R
R
R
R
R
R
R
Minimum of one (1) of the following advanced
								  airway device kits: LMA kit that includes, at a minimum, LMA sizes 1, 2, 3, 4
								  and 5; LT/LTS kit that includes, at a minimum, LTA sizes 2, 2.5, 3, 4 and 5;
								  I-gel airway kit that includes, at a minimum, I-gel sizes 1, 1.5, 2, 2.5, 3, 4,
								  and 5; AirQ airway kit that includes, at a minimum, AirQ airway sizes 0.5, 1,
								  1.5, 2.0, 2.5, 3.5, and 4.5.
Bag-valve-masks
R
R
R
R
R
R
R
R
Minimum of one (1) in adult, pediatric and infant
								  sizes
Colorimetric advanced airway verification
								  devices
R
R
R
R
R
R
R
R
Minimum of one (1) adult and one (1) pediatric
								  sized device
Continuous positive airway pressure
R
R
R
R
R
R
R
R
Minimum of one (1) assembly to include a flow
								  generator, tubing and a minimum of one (1) small, medium and adult sized
								  mask
Main oxygen supply
R
R
O
O
O
R
O
R
Per NFPA 1917
Nasopharyngea l airways
R
R
R
R
R
R
R
R
Minimum of four (4), sized 16-34 French
On-board suction
R
R
O
O
O
R
O
R
Per NFPA 1917
Oropharyngeal airways
R
R
R
R
R
R
R
R
Minimum of three (3) in small, medium and large
								  sizes
Oxygen cannulas
R
R
R
R
R
R
R
R
Minimum of one (1) in adult and pediatric
								  sizes
Oxygen masks
R
R
R
R
R
R
R
R
Minimum of two (2) each in adult and pediatric
								  sizes
Oxygen nebulizer
R
R
R
R
R
R
R
R
Minimum of two (2)
Portable oxygen cylinder
R
R
R
R
R
R
R
R
Minimum of one (1) size D or larger with flow
								  meter capable of delivering one to fifteen (1 to 15) liters per minute of
								  oxygen
Portable suction unit, battery powered
R
R
O
O
O
R
O
R
Minimum of one (1)
Portable suction unit, manual
O
O
R
R
R
O
R
O
Minimum of one (1)
Pulse oximeter
R
R
R
R
R
R
R
R
Minimum of one (1)
Suction catheters and tubing
R
R
R
R
R
R
R
R
Minimum of two (2) rigid catheters and two
								  flexible catheters, one (1) between 6-10 French and one (1) between 12-16
								  French
Tongue depressors
R
R
R
R
R
R
R
R
Minimum of one (1)
Section 5: Infection Control
Item
A-1C
A-1P
A-2C
A-2P
A-2A
B-1
B-2
C
Description
Biohazard bag
R
R
R
R
R
R
R
R
Minimum of one (1)
Body substance isolation kits
R
R
R
R
R
R
R
R
Minimum of one (1) per crew member to include a
								  gown, protective goggles, one (1) pair of disposable gloves, a mask, a head
								  cover and a biohazard bag
Latex-free gloves
R
R
R
R
R
R
R
R
Multiple sizes
N95 respirators
R
R
R
R
R
R
R
R
Minimum of one (1) per crew member
Sharps receptacle
R
R
R
R
R
R
R
R
Minimum of one (1)
Section 6: Cardiac Care
Item
A-1C
A-1P
A-2C
A-2P
A-2A
B-1
B-2
C
Description
Automated external defibrillator
O
O
O
O
R
R
R
O
Approved by the U.S. Food and Drug
								  Administration. Minimum of one (1) with a fully charged battery and a minimum
								  of one (1) set of one (1) adult defibrillation pads. A minimum of one (1) set
								  of pediatric defibrillation pads or dosing attenuation device.
Cardiac monitor and defibrillator
R
R
R
R
X
X
X
R
Approved by the U.S. Food and Drug
								  Administration. Capable of biphasic manual defibrillation, synchronized
								  cardioversion, rhythm waveform display, 12 lead electrocardiogra m acquisition,
								  telemetry, and transcutaneous pacing.
Minimum of one (1) with a fully charged battery
								  and a minimum of one (1) set of one (1) adult defibrillation pads. A minimum
								  one (1) set of pediatric defibrillation pads or dosing attenuation
								  device.
Functional strip chart recorder. Electrodes to
								  acquire electrocardiogra ms
Section 7: Advanced Life Support Supplies and
								  Equipment
Item
A-1C
A-1P
A-2C
A-2P
A-2A
B-1
B-2
C
Description
Constricting bands
R
R
R
R
R
X
X
R
Minimum of two (2)
Cricothyrotomy kit
X
R
X
R
X
X
X
X
Minimum of one (1)
Endotracheal intubation kit
O
R
O
R
X
X
X
O
Minimum of one (1)
Intraosseous infusion device
R
R
R
R
R
X
X
R
Minimum of one (1)
IV catheters in assorted sizes 14-24G
R
R
R
R
R
X
X
R
Minimum of two (2) in each size
IV drip sets ten to fifteen (10 to 15)
								  drops
R
R
R
R
R
X
X
R
Minimum of two (2)
IV fluid warmer
R
R
O
O
O
X
X
R
Minimum of one (1) with capacity to hold two (2)
								  one (1) liter IV bags
IV infusion pump
X
R
X
R
X
X
X
O
Minimum of one (1)
Morgan lens
X
R
X
R
X
X
X
O
Minimum of one (1)
Nasogastric tubes
X
R
X
R
X
X
X
X
Minimum of three (3) in sizes between 8-18
								  French
Padded arm boards
R
R
R
R
R
X
X
R
Minimum of one (1)
Pleural decompression kit
X
R
X
R
X
X
X
X
Minimum of one (1), and four (4) decompression
								  needles
Stopcock, 3- or 4-way
R
R
R
R
R
X
X
R
Minimum of one (1)
Volumetric burette, one hundred (100) mL
R
R
R
R
R
X
X
R
Minimum of one (1)
B.
				  If one (1) or more of the critical deficiencies listed below are noted upon
				  inspection, the vehicle must not operate until all deficiencies are corrected,
				  as applicable.
1. Automated external
				  defibrillator
2.
				  Bag-valve-masks
3. Biohazard
				  bag
4. Blood pressure
				  cuffs
5. Cardiac monitor and
				  defibrillator
6. Cervical
				  collars
7. Communication with
				  dispatcher
8. Communication with
				  hospital
9. DOT
				  registration
10. Emergency
				  lights
11. Equipment properly
				  secured
12. IV catheters in
				  assorted sizes 14-24G
13. IV drip
				  sets ten to fifteen (10 to 15) drops
14. Latex-free gloves
15. Main oxygen supply
16. Nasopharyngeal airways
17. On-board suction
18. Oropharyngeal airways
19. Oxygen masks
20. Oxygen nebulizer
21. Patient Tracking System and
				  ePCR
22. Portable oxygen
				  cylinder
23. Portable suction
				  unit
24. Sharps
				  receptacle
25. Siren
26. Stair chair
27. Stethoscopes
28. Stretcher/straps/mattress
29. Suction catheters and tubing
30. Medications in minimum quantities per the
				  state formulary, unless a national shortage exists for a particular
				  medication.