N.J. Admin. Code § 8:41-3.4

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:41-3.4 - Basic equipment and supplies

(a) When "in-service," each MICU, SCTU and AMU shall be equipped with the following equipment and supplies:

1. An external pacemaker and a cardiac monitor with a DC or biphasic defibrillator that can provide both defibrillation and synchronized cardioversion and is capable of producing a paper recording of cardiac rhythms;

2. Assorted needles, syringes and IV supplies to include:

i. IV tubing and catheters; and

ii. Needle and syringe disposal containers that meet the requirements set forth at 8:41-4.2(i);

3. Adult airway management materials including:

i. At least five oropharyngeal and nasopharyngeal airways in assorted sizes and a water-soluble lubricant for utilization with the airways;

ii. Laryngoscope blades, handles, endotracheal tubes, stylets, spare batteries and bulbs;

iii. Oxygen masks and cannulas;

iv. A 1,600 mL sized bag-valve-mask device;

v. Any bag that has a "pop off valve" shall have a device to easily defeat the valve;

vi. A pulse-oximeter; and

vii. End-tidal CO[2] monitors;

4. Transparent domed resuscitation facemasks (at least one each in adult, pediatric and infant sizes) with 22 mm fittings for utilization with the bag-valve-mask device and/or positive pressure device;

5. All medications and solutions set forth at 8:41-6.1;

6. An IV infusion pump;

7. A blood glucose monitoring system, either electronic or visual;

8. Adult sized blood pressure cuffs (at least one each in small, medium and large sizes);

9. Six rigid cervical collars of a type approved by the FDA for pre-hospital utilization by EMTs-Basic (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;

10. Equipment to perform needle chest decompression;

11. Back-up medications and other equipment needed to provide for uninterrupted service;

12. A sterile obstetrical emergency delivery kit. The items may be individually wrapped or be contained in a "pack." Any pack shall have an exterior itemized list of contents. The kit shall contain the following items:

i. Four towels;

ii. Twelve sterile gauze compresses measuring four inches by four inches;

iii. Four sterile umbilical cord clamps;

iv. One sterile bulb syringe made of soft rubber (for newborn aspiration);

v. One receiving blanket;

vi. One pair of sterile scissors or a sterile scalpel;

vii. At least one set of eye protection or goggles; and

viii. Four pairs of sterile surgical gloves;

13. Wound dressing and burn treatment supplies, to include:

i. Two conforming roller bandages, measuring at least three inches wide by five yards long;

ii. Two triangular bandages (cravats) measuring 36 inches by 36 inches by 51 inches when unfolded;

iii. Four sterile, individually wrapped universal (or multi-trauma) dressings measuring at least nine inches by 30 inches when unfolded;

iv. Ten sterile, individually wrapped gauze pads measuring at least four inches by four inches;

v. Two rolls of medical adhesive type tape;

vi. Four sterile, individually wrapped occlusive dressings or one sterilized roll of aluminum foil; and

vii. Two sterile, individually wrapped burn sheets;

14. Personal protective gear for each required crewmember, to include isolation garments (including respiratory protection masks that are effective in filtering airborne pathogens and gowns), goggles (in addition to any set utilized in the obstetrical emergency delivery kit) and disposable, single-use "biohazard" type examination gloves which are impervious to bodily fluids and provide adequate barrier protection in accordance with 29 C.F.R. 1910.1030, incorporated herein by reference. Gloves and masks shall meet the standards for personal protective equipment set forth at 29 C.F.R. 1910.1030 and shall be disposed of after utilization in accordance with all applicable laws, rules and/or regulations;

15. A copy of the provider's communications failure protocols; and

16. A copy of approved standing orders pursuant to N.J.A.C. 8:41-7 and 8.

(b) In accordance with 8:41-6.3, each provider shall devise a plan for maintaining inventory control over medications, including all substances identified in Schedules II and III of the New Jersey Controlled Dangerous Substances Act (24:21-6 and 24:21-7) .

(c) Expended supplies and/or damaged equipment shall be replaced as soon as possible after utilization. Equipment may be temporarily left on/with a patient, when medically necessary.

(d) Supplies stored in the cabinets of emergency ambulances and specialty care transport units' shall either be clearly visible through the door of the cabinet or identifiable by way of a list of contents posted on that cabinet.

(e) To the extent possible, all providers shall equip their vehicles with latex-free equipment and supplies in order to accommodate those patients that may have latex allergies.

(f) Each provider may, within the limits and exclusions set forth in this chapter, equip its vehicles with such other equipment and supplies as it deems necessary for the provision of ALS treatment, provided that no equipment or supplies shall be carried that would permit a crewmember to render care beyond his or her scope of practice and/or in violation of the New Jersey Medical Practice Act, 45:9-1 et seq.

N.J. Admin. Code § 8:41-3.4