NORTH COAST EMERGENCY MEDICAL SERVICES Policy # 2205

POLICIES AND PROCEDURES

Subject: Medical Direction

Paramedic Standard Equipment and Supply List

Associated Policies: 2202, 2203, 2204 02/05/98

  1. Authority and Reference
  1. Division 2.5, Health and Safety Code.
  2. California Code of Regulations, Title 22, Section 100126.
  3. North Coast Emergency Medical Services Policies and Procedures.
  4. California Emergency Medical Services Authority "Recommended Ambulance Equipment", contained in the California Highway Patrol Ambulance Driver's Handbook (# CHP-894).

  1. Purpose

To list minimum supplies and materials required for each Advanced Life Support Unit (Paramedic). Supplies and materials listed are in addition to those specified in the LALS Supply and Equipment List.

  1. Minimum Equipment and Supplies:

  1. Two (2) each, Activated Charcoal 50 gm suspended in 8 oz Sorbitol.
  2. One (1) each, Activated Charcoal 25 gm without Sorbitol or equivalent.
  3. Five (5) each, Adenosine 6 mg vials.
  4. Five (5) each, Bretylium Tosylate 500 mg in 10 ml ampules.
  5. Two (2) each, Diphenhydramine HCl 50 mg in 1 ml or 5 ml preloads.
  6. Two (2) each, Dopamine HCl 200 mg in 5 ml ampule or one (1) 1600µ/ml pre-mix.
  7. One (1) Glucagon 1 mg in 1 unit vial.
  8. Two (2) each, Isoproterenol 2 mg in 10 ml ampules.
  9. Two (2) each, Magnesium sulfate 10% solution in 50 ml or 50% solution (5G/10ml).
  10. Two (2) each, Metaproterenol Sulfate 0.4% or 0.6% solution for inhalation in 2.5 ml unit dose vials or equivalent.
  11. Two (2) each, Oxytocin 10 USP units in 10 ml vials or equivalent.
  12. One (1) Neosynephrine 0.5% solution.
  13. One (1) Procainamide 100 mg/ml (1 gm/10 ml) in 10 ml vial or equivalent.
  14. Two (2) each, Terbutaline 1 mg in 1 ml ampules.

  1. Minimum number of IV Solutions:

  1. One (1) NS 50 ml in plastic container.

 

  1. Other Equipment
  1. One (1) each, 40, 32, and 26 Fr. Ewald tubes or equivalent.
  2. One (1) each, Nasogastric tube, 12, 14,16, and 18 French or equivalent.
  3. One (1) Infant feeding tube, 8 French or equivalent.
  4. One (1) 60 ml irrigation (catheter tip) syringe.
  5. One (1) Closed system gastric lavage tray or equivalent.
  6. One (1) Heimlich valve.
  7. One (1) infusion pump, drip or volumetric (optional).
  8. Six (6) Betadine preps or equivalent.
  9. One (1) 3-way IV stopcock.
  10. One (1) Transtracheal over the needle catheter (13 gauge) or equivalent.
  11. Two (2) 12-14 gauge angiocatheters.
  12. One (1) Female luer-lock adapter.
  13. One (1) Jet Insufflation device.
  14. Two (2) Intraosseous needles 13-18 gauge, 1 1/2-2 inches long.