(k) Impervious backboards, long, short; radiolucent preferred and extrication device. Short extrication/ immobilization device. Long backboard 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 in 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 bed pan.
(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 or 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.
(2) In addition to the medical and surgical equipment specified in sub. (1), ambulances staffed with emergency medical technicians may carry the equipment below based on a services scope of practice, approved protocols and required by training approved by the medical director the ambulance service provider reports to. Ambulances staffed with advanced emergency medical technicians and emergency medical technician- intermediates shall be equipped with the following:
(a) Sterile intravenous infusion agents, in plastic containers, with necessary IV starting equipment, including an assortment of appropriately sized adult and pediatric IV catheters, including small sized catheters to at least 24 gauge.
(b) Electrocardiogram monitor with acquisition and transmission.
(c) Electrocardiogram monitor 12, 15 or 18 lead with acquisition and transmission.
(d) Two or more intraosseous needles.
(e) Prepackaged medications, drugs and solutions specified in the standard operating procedures approved by the medical director that the ambulance service provider reports to and the department of health services.
(3) In addition to the medical and surgical equipment specified in subs. (1) and (2), ambulances staffed with emergency medical technician - intermediates may carry the equipment below based on a services scope of practice, approved protocols and with training approved by the medical director that the ambulance service provider reports to. Ambulances staffed by paramedics shall carry the following:
(a) Electrocardiogram monitor with interpretation.
(b) Electrocardiogram monitor 12, 15 or 18 lead with interpretation.
(c) Medications and drugs specified in the standard operating procedures approved by the medical director that the ambulance service provider reports to and the department of health services.
(4) No medications, drugs, fluids, solutions or containers shall be kept beyond their expiration date.
(5) All ambulance service providers shall perform tests or maintenance as recommended or required by the original equipment manufacturer on all medical equipment carried.
Trans 309.25 Subchapter III is repealed on July 15, 2023 or upon promulgation by the Department of Health Services of administrative rules establishing standards and inspections, as well as legislative appropriation of resources for such inspections, whichever comes sooner.
SECTION 48. Subchapter III is repealed.
SECTION 49. EFFECTIVE DATE. This rule shall take effect on the first day of the month following publication in the Wisconsin Administrative Register as provided in s. 227.22 (2) (intro.), Stats., except that Section 51 shall take effect on July 15, 2023. (END OF RULE TEXT)
Signed this ____ day of ______________ 2020.
________________________________________
Craig Thompson
Secretary
State of Wisconsin Department of Transportation
