216 R.I. Code R. 216-RICR-20-10-2.12
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) |
216 R.I. Code R. 216-RICR-20-10-2.12
Amended effective 12/27/2020