Trans 309.21(1)(1) Every ambulance shall be equipped with one commercial elevating wheeled cot maintained in good working order made up with a sheet and a blanket and a stair chair or carry chair, designed to permit a patient to be carried on stairways and through other narrow areas. Each ambulance shall be equipped with a crash stable slide, center mounted, or equivalent cot fastener assembly of the quick-release type to secure the elevating wheeled cot to the ambulance body. The cot fastener assembly shall be the manufacturer’s approved bracket for the cot used. Trans 309.21(2)(2) At least 3 strap-type restraining devices for the chest, hip and knee shall be provided for each stretcher, capable of preventing longitudinal or transverse dislodgement of the patient during transit. Shoulder straps shall be required on the cot stretcher. Restraining straps shall be made of nylon or equivalent material and shall be at least 2 inches wide. The straps shall be constructed as a 2-piece assembly with quick-release buckles and shall be removable for easy cleaning. If a second patient is transported in the patient compartment on a long spine board the ambulance shall be equipped with the manufacturer’s approved securement for a long spine board and 3 strap-type restraining devices for the chest, hip and knee. Trans 309.21 NoteNote: Pursuant to s. Trans 309.25, this section is repealed upon promulgation by the department of health services of administrative rules establishing standards and inspections, as well as legislative appropriation of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.
Trans 309.21 HistoryHistory: CR 19-074: r. and recr. Register October 2020 No. 778, eff. 11-1-20; correction in (2) made under s. 35.17, Stats., Register October 2020 No. 778. Trans 309.22Trans 309.22 Suction aspirator system. An electrically powered suction aspirator system shall be furnished with an illuminated switch and a panel-mounted, labeled, quick disconnect inlet device on the panel. The suction pump shall be located in an area that is accessible, but the patient compartment shall be insulated from the pump’s sound and vibration. The pump shall be vented to the vehicle’s exterior. A vacuum control and a shut-off valve, or combination thereof, shall be provided to adjust vacuum levels. A vacuum indicator gauge of 3 inches +/-0.5 inches in diameter, with numerical markers at least every 100 mm Hg and a total range of 0 to 760 mm Hg, shall be provided. The collection bottle or bag shall be nonbreakable and transparent with a minimum 1,000 ml capacity. The minimum inside diameter for the suction tubing connectors shall be at least 1/4 inch. One spare, non-breakable suction collecting bottle shall be stored nearby if a disposable bag is not used. The following accessories shall be furnished and stored to be readily available, and shall be a single-patient use item: one suction rinsing water bottle; one semi-rigid non-metallic pharyngeal suction tip; at least one spare suction tip and at least one adult and one infant catheter; and one 6-foot length or more of translucent wide bore, non-kinking suction tubing, reasonably thick walled to prevent its collapse under high suction. The suction aspirator system shall provide a minimum of 30 liters per minute flow at the catheter tip. The suction aspirator system shall achieve a minimum of 300 mm Hg vacuum within 4 seconds after the suction tube is closed. Trans 309.22 NoteNote: Pursuant to s. Trans 309.25, this section is repealed 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.
Trans 309.22 HistoryHistory: CR 19-074: r. and recr. Register October 2020 No. 778, eff. 11-1-20; correction made under s. 35.17, Stats., Register October 2020 No. 778. Trans 309.23(1)(1) The ambulance shall have a hospital-type piped oxygen system capable of storing and supplying a minimum of 120 cubic feet of medical oxygen. The main oxygen supply shall have a minimum of 500 PSI. The oxygen containers shall be secured in a storage compartment. The cylinder controls shall be accessible from inside the vehicle. The pressure readout shall be visible inside the patient compartment. The piped oxygen system shall include a pressure regulator preset to 50 PSI, +/- 5 PSI, line pressure installed at the cylinder, and nonferrous piping and low pressure hoses suitable for medical oxygen. Oxygen piping shall be concealed and not exposed to the elements or damage, be securely supported, and be readily accessible for inspection and replacement. Oxygen shall be piped to self-sealing outlets. One duplex oxygen outlet station for the primary patient shall be located on the action wall and at least one other oxygen outlet shall be located in the patient compartment. Two oxygen outlets shall be equipped with a plug-in flowmeter and delivery tube. The flowmeter shall be capable of delivering at least 15 liters per minute. Trans 309.23(2)(2) A portable oxygen unit shall be carried. It shall be located near a patient compartment door and shall be accessible from outside of the ambulance. The portable oxygen unit shall have at least a 13-cubic-foot container and shall be equipped with a yoke, a pressure gauge, a non-gravity-dependent flowmeter, a delivery tube and oxygen masks. The portable oxygen supply shall have a minimum 500 PSI. The unit shall be capable of delivering an oxygen flow of at least 15 liters per minute. Portable cylinders or kits located in the patient compartment shall be secured with quick-release securing fittings. A full spare cylinder shall be stored in the ambulance. Oxygen masks shall be transparent and disposable. Trans 309.23 NoteNote: Pursuant to s. Trans 309.25, this section is repealed 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.
Trans 309.23 HistoryHistory: CR 19-074: r. and recr. Register October 2020 No. 778, eff. 11-1-20; correction in (1) made under s. 35.17, Stats., Register October 2020 No. 778. Trans 309.24(1)(a)(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 defibrillation or conduction pads. This paragraph applies to all in-service ambulances. Trans 309.24(1)(am)(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. Trans 309.24(1)(b)(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. Trans 309.24(1)(bm)(bm) All in-service ambulances shall have 2 approved non-visualized advanced airways. Trans 309.24(1)(fr)(fr) Heavy bandage or paramedic scissors for cutting clothing, belts and boots. Trans 309.24(1)(g)(g) Sphygmomanometer with pediatric, adult regular, and adult large size cuffs. Trans 309.24(1)(i)(i) Cervical collars, rigid for children ages 2 years or older; child and adult sizes small, medium, and large. Trans 309.24(1)(im)(im) Head immobilization devices, firm padding or commercial devices for adults and children. Trans 309.24(1)(jm)(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. Trans 309.24(1)(k)(k) Impervious, radiolucent long backboard and short extrication/ 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. Trans 309.24(1)(L)7.7. Thermal absorbent blanket and head cover, aluminum foil roll, or appropriate heat-reflective material, enough to cover a newborn. Trans 309.24(1)(Lm)(Lm) Length/weight-based tape or appropriate reference material for pediatric equipment sizing and drug dosing based on estimated or known weight. Trans 309.24(1)(r)4.4. Three or more jumpsuits or gowns that are disposable and impervious to body fluids. Trans 309.24(1)(r)6.6. Waterless hand cleanser, commercial antimicrobial, in towelette, spray or liquid form. Trans 309.24(1)(t)(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. Trans 309.24(2)(2) In addition to the medical and surgical equipment specified in sub. (1), ambulances staffed with emergency medical technicians may carry the equipment specified in pars. (a) to (e) based on a services scope of practice, approved protocols and required 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: Trans 309.24(2)(a)(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. Trans 309.24(2)(c)(c) Electrocardiogram monitor 12, 15 or 18 lead with acquisition and transmission. Trans 309.24(2)(e)(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. Trans 309.24(3)(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 specified in pars. (a) to (c) based on a services scope of practice and 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: Trans 309.24(3)(c)(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. Trans 309.24(4)(4) No medications, drugs, fluids, solutions or containers shall be kept beyond their expiration date. Trans 309.24(5)(5) All ambulance service providers shall perform tests or maintenance as recommended or required by the OEM on all medical equipment carried. Trans 309.24 NoteNote: Pursuant to s. Trans 309.25, this section is repealed 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.
Trans 309.24 HistoryHistory: CR 19-074: r. and recr. Register October 2020 No. 778, eff. 11-1-20; correction in (1) (am), (c), (cm), (f) 4. to 7., (g) to (i), (j) to (km), (o), (r) 7., 8., (2) (intro.), (3) (intro.) made under s. 35.17, Stats., and correction in (5) made under s. 13.92 (4) (b) 12., Stats., Register October 2020 No. 778. Trans 309.25Trans 309.25 Repeal of Subchapter III. This subchapter is repealed 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.
