N.D. Admin. Code 33-11-02-03

Current through Supplement No. 395, January, 2025

Section 33-11-02-03 - Minimum equipment requirements

In addition to a vehicle as described in section 33-11-01-15, the ambulance shall have the following, unless otherwise approved by the department:

1. Patient transport:

a. Mounted ambulance cot with retaining straps.

b. Stretchers with retaining straps. Vehicle design dictates quantity.

2. Spinal stabilization:

a. One adult long backboard, with retaining straps.

b. One seated spinal immobilization device, with retaining straps.

c. One pediatric-safe transport device.

d. One adult cervical collar.

e. One pediatric cervical collar.

3. Oxygen delivery:

a. Piped oxygen system - with appropriate regulator and flow meter, or two "E" size bottles for minimum oxygen supply with regulator and flowmeter.

b. Portable oxygen unit with carrying device, including one "D" size bottle with another "D" bottle in reserve.

c. Three adult cannulas.

d. Three pediatric nasal cannulas.

e. Three adult nonrebreather oxygen masks.

f. Three pediatric nonrebreather oxygen masks.

g. Three sets of oxygen supply tubing.

h. Noninvasive positive pressure ventilation device.

i. Nebulizer with tubing.

4. Suction:

a. Wall-mounted suction capable of achieving a minimum of four hundred millimeters of mercury vacuum within four seconds or less after clamping the suction tube.

b. Portable suction capable of achieving a minimum of four hundred millimeters of mercury vacuum within four seconds or less after clamping the suction tube.

c. One rigid tonsil tip suction catheter.

d. One flexible suction catheter between size six and ten french.

e. One flexible suction catheter between twelve and sixteen french.

5. Airway adjuncts:

a. One set of adult sizes nasopharyngeal airways.

b. One set of pediatric sizes nasopharyngeal airways.

c. One set of adult sizes oropharyngeal airways.

d. One set of child sizes oropharyngeal airways.

e. One set of infant sizes oropharyngeal airways.

f. Alternative airway devices such as a supraglottic airway as approved by local medical direction.

6. Bag valve masks:

a. One adult bag valve mask resuscitation unit with face mask.

b. One child bag valve mask resuscitation unit with face mask.

c. One infant bag valve mask resuscitation unit with face mask.

7. Splinting:

a. Adult commercial fracture splints usable for open and closed fractures, or padded boards.

b. Pediatric commercial fracture splints usable for open and closed fractures, or padded boards.

c. Adult lower extremity traction splint.

d. Pediatric lower extremity traction splint.

8. Environmental:

a. Four cold packs.

b. Four hot packs.

9. Bandaging and bleeding control:

a. Two sterile burn sheets or equivalent.

b. Three triangular bandages or commercial slings.

c. Two trauma dressings - approximately ten inches [25.4 centimeters] by thirty-six inches [91.44 centimeters].

d. Twenty-five sterile gauze pads - approximately four inches [10.16 centimeters] by four inches [10.16 centimeters].

e. Twelve soft roller self-adhering type bandages - approximately five yards [4.57 meters] long.

f. Two sterile occlusive dressings approximately three inches [76.2 millimeters] by nine inches [228.6 millimeters].

g. Two commercial "tactical" tourniquets.

10. Diagnostic:

a. Adult blood pressure cuff.

b. Large adult blood pressure cuff.

c. Child blood pressure cuff.

d. Stethoscope.

e. Pulse oximeter.

f. Glucose measuring device.

g. Penlight.

h. Thermometer.

11. Medications:

a. Three oral doses of glutose or glucose.

b. One small bottle, chewable aspirin.

c. Epinephrine, auto-injector for adult and pediatric doses or intramuscular, including syringes and needles for intramuscular delivery, if approved by medical director.

d. Naloxone, auto-injector (0.8 mg) or intranasal (4 mg - nasal spray, or syringe and atomizer).

12. Personal protective equipment:

a. One size small box of nitrile gloves.

b. One size medium box of nitrile gloves.

c. One size large box of nitrile gloves.

d. Box of surgical masks.

e. N95 masks, in small, medium, and large sizes and at least one per crew member.

f. Four nonabsorbent gowns.

g. Four pairs of protective eyeware.

13. Cleaning and biological:

a. Three red biohazard bags.

b. Biological fluid cleanup kit.

c. One sharps container, that is less than half full.

d. Medical grade disinfectant.

e. One gallon [3.79 liters] of distilled water or saline solution.

f. One bedpan.

g. One emesis basin.

h. One urinal.

i. One container of nonwater hand disinfectant.

14. Safety:

a. Two reflective vests.

b. A minimum set of three reflectorized flares.

c. Two flashlights.

d. A minimum of two dry chemical, mounted, five-pound [2.27-kilogram] fire extinguishers located in patient compartment and in either cab or exterior compartment.

e. Helmet, protective safety glasses or goggles eyewear, and leather or extrication gloves per crew member.

f. Two window and glass punches located in patient compartment and in cab.

15. Communications:

a. Radio, compatible with local communications system.

b. Portable, hand-held radio, rechargeable, battery-operated, compatible with local communications system.

16. Other:

a. Automated external defibrillator.

b. Twenty-five triage tags.

c. Pediatric reference material for equipment sizing and medication dosing.

d. Four assorted sizes rolls of tape.

e. Two blunt shears.

f. Cot-mounted or ceiling hooks intravenous fluid holder.

g. Two blankets.

h. Four sheets.

i. Four towels.

j. Disposable or sterilizable that includes an infant bulb suction and receiving blanket with head cover obstetrical kit.

k. One current edition of the Emergency Response Guidebook.

l. Alcohol or iodine swabs.

m. Water-soluble lubricant.

n. Razor.

N.D. Admin Code 33-11-02-03

33-11-01-11; redesignated effective March 1, 1985; amended effective February 1, 1989; August 1, 1994; August 1, 2003; January 1, 2006; July 1, 2010.

Amended by Administrative Rules Supplement 2023-391, January 2024, effective 1/1/2024.

General Authority: NDCC 23-27-04

Law Implemented: NDCC 23-27-04