Wisconsin Administrative Code › Department of Transportation › Chapter Trans 309 - Ambulance Inspection › Subchapter III - Medical Equipment Standards › Section Trans 309.24 - Medical and surgical equipment

Current through June 24, 2024
(1) All ambulances
				shall be equipped with the following:
(a) An
				automatic, semiautomatic or manual defibrillator for use on adults and
				pediatric patients as specified in the standard operating procedures approved
				by the medical director that the ambulance service reports to and included in
				the plan approved by the department of health services, with appropriately
				sized defi-brillation or conduction pads. This paragraph applies to all
				in-service ambulances.
(am) Oxygen
				administration equipment, including adequate length tubing; transparent masks,
				adult and child sizes, both non-rebreathing and valveless; nasal cannulas,
				adult, child, and infant sizes; nebulizers, adult, child, and infant sizes; and
				a tracheostomy tube. All masks, tubing and cannulas shall be single-patient
				use.
(b) One bag-valve-mask unit for
				each size, adult, child and infant. The bag shall be hand-operated,
				self-refilling with an accumulator capable of delivering an FiO2 of 90 percent,
				and may not have a pop-off valve. The mask portion shall be transparent. The
				valve portion shall be clear, disposable and operable in cold weather. A child
				bag shall have a reservoir of approximately 450 ml, and an adult bag shall have
				a reservoir of at least 1000 ml.
(bm) All in-service ambulances shall have 2
				approved non-visualized advanced airways.
(br) Laryngoscope with adult and pediatric
				blades.
(c) Oropharyngeal airways
				sizes 0 to 5, adult, child, and infant sizes.
(cm) Nasopharyngeal airways sizes 16F to 34F,
				adult and child sizes.
(cr) Adult
				and pediatric forceps.
(d) Water
				soluble lubricant.
(e) Pulse
				oximeter with pediatric and adult probes.
(em) Blood glucose monitoring
				equipment.
(f) Bandages and
				bandaging accessories to include:
1.
				Commercially packaged or sterile burn sheets, minimum 2.
2. Triangular bandages, minimum 2.
3. Sterile multi-trauma dressings in various
				large and small sizes.
4. Abdominal
				dressings 10 inches by 12 inches or larger.
5. Four-inch by 4-inch or other suitable size
				gauze sponges.
6. Gauze rolls,
				various sizes sufficient for expected uses.
7. Occlusive dressing or equivalent, sterile
				3 inches by 8 inches or larger.
8.
				Adhesive hypoallergenic tape of various sizes.
(fm) Arterial tourniquet.
(fr) Heavy bandage or paramedic scissors for
				cutting clothing, belts and boots.
(g) Sphygmomanometer with pediatric, adult
				regular, and adult large size cuffs.
(h) Adult and pediatric
				stethoscopes.
(i) Cervical collars,
				rigid for children ages 2 years or older; child and adult sizes small, medium,
				and large.
(im) Head
				immobilization devices, firm padding or commercial devices for adults and
				children.
(j) Lower extremity,
				femur traction devices for adults and children.
(jm) Upper and lower extremity immobilization
				devices, joint-above and joint-below fracture, in sizes appropriate for adults
				and children. The devices shall be rigid support constructed with appropriate
				material, such as cardboard, metal, pneumatic, vacuum, wood, or
				plastic.
(k) Impervious,
				radiolucent long backboard and short extrica-tion/ immobilization device. Long
				back-board shall be head-to-feet length with at least 3 appropriate restraint
				straps and with capabilities to add padding for children and handholds for
				moving patients.
(km) Orthopedic,
				scoop-type, break-apart stretcher.
(l) Obstetrical kit including all of the
				following:
1. Sterile gloves.
2. Scissors or other cutting
				utensil.
3. Umbilical cord
				clamps.
4. Sterile
				dressings.
5. Towels.
6. Bulb suction or bulb syringe.
7. Thermal absorbent blanket and head cover,
				aluminum foil roll, or appropriate heat-reflective material, enough to cover a
				newborn.
(lm)
				Length/weight-based tape or appropriate reference material for pediatric
				equipment sizing and drug dosing based on estimated or known weight.
(m) Thermometer with low temperature
				capability.
(n) Commercial cold
				packs and hot packs.
(o) Sterile
				saline solution for irrigation, bottles or bags.
(p) Blanket, a minimum of 4 sheets, linen or
				paper and pillow.
(pm)
				Towels.
(q) Disposable emesis bags
				or basins.
(qm) Disposable
				bedpan.
(qr) Disposable
				urinal.
(r) Infection control
				equipment to include:
1. Three or more eye
				protection units (full peripheral glasses or shield).
2. Three or more surgical masks.
3. Three or more pairs of nonsterile
				gloves.
4. Three or more jumpsuits
				or gowns that are disposable and impervious to body fluids.
5. Three or more disposable shoe
				covers.
6. Waterless hand cleanser,
				commercial antimicrobial, in towelette, spray or liquid form.
7. Standard commercial sharps containers,
				fixed and portable.
8. Bio-hazard
				bags of identifiable color, markings, or both.
9. Disinfectant solution for cleaning
				equipment.
10. N95 or N100
				respiratory protection masks.
(s) Patient physical restraints.
(t) Medications and drugs specified in the
				standard operating procedures approved by the medical director that the
				ambulance service provider reports to and included in the plan approved by the
				department of health services.