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Home My WebLink Aboutbocc.con.038.2000 CONTRACT # D3k-;2" PITKIN COUNTY AMBULANCE LICENSE FOR: SNOWMASS-WILDCAT FIRE PROTECTION DISTRICT MEDIC 7, MEDIC 8, MEDIC 9 GRANT OF LICENSE/PERMIT The undersigned, representing the Board of County Commissioners of Pitkin County, Colorado, do hereby grant a license to the above named applicant to provide ambulance service within Pitkin County. This license shall have upon it any restrictions listed below, shall be granted any waivers listed below, and shall be valid for the dates listed below, unless revoked by the Board pursuant to the provisions of Pitkin County Resolution No. 87-7 and any applicable laws of the State of Colorado. RESTRICTIONS: None WAIVERS GRANTED: None THIS LICENSE IS VALID FROM: January 1, 2000 UNTIL DECEMBER 31, OF THE SAME CALENDAR YEAR ��-GG•. s,r APPROVED BY BOCC Shellie Roy Harper, ehairperson ON Pitkin County Board of County Commissioners /7l PrrKm couNTY 1 APPLICATION FOR AMBULANCE SERVICE LICENSE GENERAL INFO MATION Ambulance Service Name: Doing Business As: Jc"-,e Office Address: CCU ( it STREETIPO BOX CITY J STATE ZIP CODE Office Communications: C)d3- ,Xa l;) c'i a'3 0a-9 y 6W F Pic cc VOICE FAX E-MAIL INTERNET SERVICE INFORMATION Service Area: `gin e. zz A'l!_ Safi Pc -)c k Service Director: 0-ti r e' Y) N l' c w� Service Type: PUBLIC 7L. PRIVATE__ BLS_ ALS EMERGENT TRANSFER— SPECIAL EVENTS_ Number of Ambulances Licensed: 3 I IHYSICIAN DVI40R INFORMATION _.:ttysician Advisor Name: .(fir- 64e u 6oc k U Colorado License Number: `3`1 &7)rc Office Address: f;H 0 - STREETIPO BOX CITY STATE ZIP CODE .ice Communications: "1( - _`-Lj L; (a VOICE FAX E-MAILIL INTERNEI' I hereby certify that the information provided in this application is true to the best of my knowledge and belief and contains no willful misrepresentation or falsification. Determination that an Ambulance Service License has been issued based on false information constitutes rounds for license revocation,suspension of operations and possible criminal prosecution. tC) t cc, J•-� tC� SERVICE DIRECTOR'S SIGNATME DATE PHYSICIAN ADVISOR'S SIGNATURE DATE (FOR EMS COUNCIL USE ONLY) Date Received: 3 Z / A Ambulance Permits Attached: y L*, _ 3 EMS Council Comments: Tloaf—, - - EMS Council Recommendation: -:PAss ltw3 ANo SCay.vit Ayo%,,Qanaa EMS Council Chairperson Signature: �E" k✓ 31 za p�• 1 NAME DATE Date Referred to BoCC: BoCC Action: Date: PITKm COUNTY APPLICATION FOR AMBULANCE VEHICLE PERMIT SERVICE INFORMATION Ambulance ServiceName: `x,r;�Ur�`,c�'� 1,U ,' r)cc.+ 1 re p;u'tPe+1c,� putNiC� Office Address: L 17.-j U uu)vm o ,_, l�' �; a 6 e STREET/PO BOX CITY J STATE ZIP CODE Office Communications: Cj a.3.00 I cI c-A3-O P3 4 5w F PQ rc d aC ,\e 1; VOICE FAX E-MAIL INTERNET HICLE INFORMATION Designation: N Po ! C 7 License Plate: VC�L -�t,-1 ' VIN: 1 (afzK-34'Nc-�F-- 1kncLr7 Chassis Year: Make: Type: I II_ III_ 4x4• yes ' no_ Insurance Company: A-C,-r\CA"VC 1.-bPolicy Number: OF 1`j C A-Ml' ';;k--�Expiration:_'3 3L C Vehicle Location: : V C 0 f� lr STREET/PO BOX CITY 1 STATE ZIP CODE �' ' (include reason for request) SERVICE DIRECTOR'S SIGNATURE DATE (FOR AMBULANCE INSPECTOR'S USE ONLY) Clear CCIC: ✓ Clear NCIC: ✓ Insurance Card Present: ✓ Registration Card Present: `Permit Fee Attached Basic Life Support Required Equipment List Attached Mechanical Condition Certification Attached Advance Life Support Provider Required Equipment Certification Attached Comments/Recommendation: j FFIP � 3l�lz� INSPECTORS SIGNATURE POSITION r rDATE f'rmy COUNTY VEHICLE SAFETY AND OPERABILITY CERTIFICATION Ambulance Service Name: 5 yh rl`!e `License Plater"'97Ambulance Number: SYSTEMS ACCEPTABLE NOT ACCEPTABLE COMMENTS Wheels& Tires DG eering IDC Alignment Suspension Service Brakes Parking Brake Driving Lights Visual Warning Systems Audible Wanting Systems Electrical System �xhaust System Fuel System Glass,Mirrors Body & Sheet Metal I, 1` t* �nrLh f ,professing to be a motor vehicle mechanic with training in all of the systems listed above, have evaluated the condition of these systems on the ambulance indicated above and have determined this ambulance to be in safe operating condition. This evaluation does not warrantee the future safety and/or operability of this ambulance due to conditions beyond my control. MECHANIC'S NAME AGENCY/COMPANY PHONE NUMBER DATE f'fmm COUNTY ADVANCED LIFE SUPPORT PROVIDER REQUIRED EQUIPMENT CERTIFICATION Ambulance Service Name: e:iv t�c� fit',, th(�t FP e PT CA A Ambulance Designation: 14-e a11(-'I RF UI M ALS EQUIPMENT 1. All equipment and supplies listed on the Basic Life Support Required Equipment List. 2. Pediatric diagnostic equipment, age/weight/vital signs chart and drug dosage/equipment size list. Adult, pediatric and neo-natal vascular access supplies and equipment as authorized in medical protocols approved for this ambulance service. 4. Adult, pediatric and neo-natal endotracheal intubation equipment as authorized in medical protocols approved for this ambulance service. 5. Cardiac monitor/defibrillator with printer and adult and pediatric monitoring and defibrillating capabilities as authorized in medical protocols approved for this ambulance service. Pharmacological agents and administration equipment and supplies as authorized in medical protocols approved for this ambulance service. 7. Any additional equipment and supplies needed to perform other procedures as authorized in medical protocols approved for this ambulance service. As Physician Advisor for s cet 'i,�t Qrnfizc 4--1 c•� Q, .N1 c f ti I certify that this ambulance carries the equipment and supplies listed above and meets the*minimum requirements, established by the State of Colorado and Pitkin County, to provide medical care and transportation of the sick and injured at the Advanced Life Support level. Provision of Advanced Life Support is limited as described in 3-CCR-713-6, Section 4 "Medical Acts Allowed EMTs and Paramedics." 5 7() PHYSICIAN ADVISOR'S SIGNATURE COLORADO MEDICAL LICENSE NUMBER DATE �G PITKM COUNTY BASIC LIFE SUPPORT 3 REQUIRED EQUIPMENT LIST SAF&JY EQUIPMENT One 2-1/2 lb. or larger ABC fire extinguisher, accessible from the patient compartment and having been /serviced within the last year per NFPA 10 Section 4. r/ One 5 lb. or larger ABC fire extinguisher, accessible from outside the vehicle and having been serviced /within the last year per NFPA 10 Section 4.. V T�'�'o "NO SMOKING-OXYGEN IN USE"signs,one in cab and one in patient compartment. Flashlight,2-D cell equivalent or better with spare bulb and batteries or charger. ✓S t of 3 reflective warning devices. reflective vest, coat or equivalent for each member of the crew normally assigned.�"" d7 SAP 7 _�t'1/ east one "SHARPS" container, clearly labeled and easily accessible in the patient compartment. { v/Restraining devices for all items not in a securable cabinet iFMFR(-.NNCY WARNING EQUIPMENT able warning device (siren) with at least 2 different tones. 1- Visual warning devices (lights) with alternating red and/or blue flashing or rotating visible from all sides simultaneously and clear flashing or oscillating visible from front. EQUIPMENTONS -1 Aiobile VHF radio with appropriate State, Pitkin County and individual agency frequencies. 7;v7 mobile UHF radio with appropriate State, Pitkin County, hospital and individual agency frequencies. Portable radio with charger and/or cellular phone for back-up communications with dispatch and hospitals. EQUIPMENT AND SUPPLIES Airwayl Fixed suction system with wide bore tubing, rigid pharyngeal curved suction tip and soft catheter suction /tip with sizes from 5 Fr. to 14 Fr. Portable suction system with wide bore tubing, rigid pharyngeal curved suction tip and soft catheter suction tip with sizes from 5 Fr. to 14 Fr. ulb Syringe. Nasopharyngeal airways in pediatric and adult sizes. opharyngeal airways in pediatric and adult sizes. to stick or equivalent (oropharyngeal airway). Fixed oxygen system with a minimum storage capacity of 125 cubic feet (M cylinder) and a minimum livery capability for three patients simultaneously at flows of at least 1-15 LPM. Portable oxygen system with a minimum storage capacity of 15 cubic feet (D cylinder) and a minimum /delivery capability for one patient at flows of at least 1-15 LPM. ,/_llfifant Bag-Valve-Mask with 500cc bag, reservoir and newborn, infant and child masks. V Adult Bag-Valve-Mask with 1000cc bag, reservoir and adult mask. **All mask attachments must be 15mm** y Oxygen masks and cannulas capable of delivering oxygen to adults and infants at flows of at least 1-15 LPM. 1 LC BASIC LIFE SUPPORT REQUIRED EQUIPMENT LIST MEDICAL EQUIPMENT AND SUPPLIES Diagno $leod pressure cuffs in large adult,regular adult,child, infant and neonatal sizes. S thoscopes in adult and pediatric sizes. ✓Pulse oximeter with adult and pediatric sensors. Immobilization& Splinting: O lower extremity traction splint. i/Ur and lower extremity splints of any type (vacuum, air, SAM, wire, board, etc.). t., .ong spineboard, vacuum mattress or equivalent with appropriate accessories to immobilize patients from head to heels. -/ Qne orthopedic stretcher(scoop). Short spineboard, KED or equivalent with appropriate straps to immobilize patients from head to pelvis. ✓Pe iatric spineboard or adult spineboard adaptable to pediatric use. /Adult and pediatric sized head immobilization equipment for each long spineboard and/or scoop stretcher d. Rigid Rigid riecervical immobilization collars in tall adult through infant sizes. Woun e: vl�$afidages, including but not limited to, roller gauze,triangular and elastic per agency needs. �Dr essings, including but not limited to,trauma, ABD, gauze, occlusive and bandaids per agency needs. jj terile bum sheets. &-lovidone and alcohol swabs or equivalent. t,-',kdhesive tape, including but not limited to, 1" and 2"per agency needs. L--§terile irrigation solution. ,ostetri al Supplies: Sterile OB kit to include: towels,4x4s, umbilical tape or cord clamps, scissors, bulb syringe, sterile ,bfanket and sterile gloves. Silver Swaddler and stocking cap or equivalents. Infectio ontrol: F,zcam gloves in small, medium and large sizes. face and eye shields. ✓✓ id-proof gowns with full length sleeves or equivalent. Disinfectant spray or wipes for personnel and equipment. Miscellaneous: Mal glucose. �tivated charcoal. ,5 Ijeavy duty bandage scissors or shears capable of cutting clothing, belts, boots, etc. spill-proof emesis container with at least 1 liter capacity. c5�C/ iversal or separate male and female urinals. lti-level.wheeled gurney 1 V"S,tair chair or equivalent. J ankets. ✓Patient compartment heater. 2 PFrK 1V COUNTY APPLICATION FOR AMBULANCE VEHICLE PERMIT SERVICE INFORMATION Ambulance Service Name: Office Address: STREETIPO BOX CITY STATE ZIP CODE Office Communications: CIa3 aaQ 4 6w' FP00 VOICE FAX E-MAIL INTERNET HICLE INFORMATION Designation: F t C License Plate: V C K-515 VIN: f v8 44\K-54 N I KT4I (, 14-1C-4 Chassis Year: 1 C1 SA Make: Type: I X II— III— 4x4: yes N...,/ no_ Insurance Company: ,-\ehi,r-a:,bPolicyNumber: �Ft-:� CM0GGS-( --Expiration: 3 3Cf Vehicle Location: : e)('-M C'L ,i Cv-e,e k Rc4. . 5n�t t .rt{�� l,�i��c�t_ C C S l L- (5 STREET/PO BOX CITY STATE ZIP CODE �XQUEST FOR WAIVER(include reason for request) SERVICE DIRECTOR'S SIGNATURE DATE (FOR AMBULANCE INSPECTOR'S USE ONLY) Clear CCIC: ✓ Clear NCIC: •✓ Insurance Card Present: r Registration Card Present: Permit Fee Attached ✓ Basic Life Support Required Equipment List Attached ✓' Mechanical Condition Certification Attached Advance Life Support Provider Required Equipment Certification Attached Comments/Recommendation: INSPECTOR'S SIGNATURE POSITION DATE PITKLY COUNTY VEHICLE SAFETY AND OPERABILITY CERTIFICATION Ambulance Service Name: 5K6kW& 1t7 P,it plP 1 License Plate:WON Ambulance Number: _ SYSTEMS ACCEPTABLE NOT ACCEPTABLE COMMENTS Wheels & Tires Bering X Alignment Suspension Service Brakes Parking Brake Driving Lights Visual Warning Systems Audible Warning Systems Electrical System �xhaust System Fuel System Glass, Mirrors Body& Sheet Metal I, ��Q "✓"� ,professing to be a motor vehicle mechanic with training in all of the systems listed abo e, have evaluated the condition of these systems on the ambulance indicated above and have determined this ambulance to be in safe operating condition. This evaluation does not warrantee the future safety and/or operability of this ambulance due to conditions beyond my control. (MECHANIC'S NAME AGENCY/COMPANY PHONE NUMBER DATE J PITKIIV COUNTY ADVANCED LIFE SUPPORT PROVIDER REQUIRED EQUIPMENT CERTIFICATION Ambulance Service Name: he-e Prot ,pislAmbulance Designation: ",-�I c g REQUIRED A .R EQUIPMENT 1. All equipment and supplies listed on the Basic Life Support Required Equipment List. 2. Pediatric diagnostic equipment, age/weight/vital signs chart and drug dosage/equipment size list. Adult, pediatric and neo-natal vascular access supplies and equipment as authorized in medical protocols approved for this ambulance service. 4. Adult, pediatric and neo-natal endotracheal intubation equipment as authorized in medical protocols approved for this ambulance service. 5. Cardiac monitor/defibrillator with printer and adult and pediatric monitoring and defibrillating capabilities as authorized in medical protocols approved for this ambulance service. Pharmacological agents and administration equipment and supplies as authorized in medical protocols approved for this ambulance service. J 7. Any additional equipment and supplies needed to perform other procedures as authorized in medical protocols approved for this ambulance service. As Physician Advisor for `ono wn�� -lti' 1 C c+ Fi�e P c,i e c^*i�� i�h ,C i , , I certify that this ambulance carries the equipment and supplies listed above and meets the-minimum requirements, established by the State of Colorado and Pitkin County, to provide medical care and transportation of the sick and injured at the Advanced Life Support level. Provision of Advanced Life Support is limited as described in 3-CCR-713-6, Section 4 "Medical Acts Allowed EMTs and Paramedics." PHYSICIAN ADVISOR'S SIGNATURE COLORADO MEDICAL LICENSE NUMBER DATE i j .. PI TKIN CO UN 7 Lc B BASIC LIFE SUPPORT REQUIRED EQUIPMENT LIST SAFETJf EQUIPMENT One 2-1/2 lb. or larger ABC fire extinguisher, accessible from the patient compartment and having been serviced within the last year per NFPA 10 Section 4. One Ib. or larger ABC fire extinguisher, accessible from outside the vehicle and having been serviced 'thin the last year per NFPA 10 Section 4.. Two "NO SMOKING-OXYGEN IN USE"signs,one in cab and one in patient compartment. Flashlight, 2-D cell equivalent or better with spare bulb and batteries or charger. 1 �t of 3 reflective warning devices. { �e reflective vest, coat or equivalent for each member of the crew normally assigned. j least one "SHARPS" container, clearly labeled and easily accessible in the patient compartment. 1 Restraining devices for all items not in a securable cabinet WARNING EQUIPMENT A able warning device (siren) with at least 2 different tones. isual warning devices (lights) with alternating red and/or blue flashing or rotating visible from all sides simultaneously and clear flashing or oscillating visible from front. CATIONS EQUIPMENT iobile VHF radio with appropriate State, Pitkin County and individual agency frequencies. IV�ebile UHF radio with appropriate State, Pitkin County,hospital and individual agency frequencies. ,/Portable radio with charger and/or cellular phone for back-up communications with dispatch and hospitals. i - 4EDICAL EQUIPMENT AND SUPPLIES Airway: I V Fixed suction system with wide bore tubing, rigid pharyngeal curved suction tip and soft catheter suction tip with sizes from 5 Fr. to 14 Fr. Portable suction system with wide bore tubing, rigid pharyngeal curved suction tip and soft catheter l suction tip with sizes from 5 Fr. to 14 Fr. �ttlb Syringe. ✓14d✓ asopharyngeai airways in pediatric and adult sizes. ,Oropharyngeal airways in pediatric and adult sizes. V�tte stick or equivalent (oropharyngeal airway). V Fixed oxygen system with a minimum storage capacity of 125 cubic feet (M cylinder) and a minimum slivery capability for three patients simultaneously at flows of at least 1-15 LPM. / Portable oxygen system with a minimum storage capacity of 15 cubic feet (D cylinder) and a minimum delivery capability for one patient at flows of at least 1-15 LPM. _infant Bag-Valve-Mask with 500cc bag, reservoir and newborn, infant and child masks. ✓✓ Adult Bag-Valve-Mask with 1000cc bag, reservoir and adult mask. **All mask attachments must be 15mm** Oxygen masks and cannulas capable of delivering oxygen to adults and infants at flows of at least 1-15 LPM. 1 �� 8 PITKIN COUNTY /ArtBASIC LIFE SUPPORT REQUIRED EQUIPMENT LIST WDIC.AL. EQUIPMENT AND SUPPLIES D77-13, no�c:ood pressure cuffs in large adult, regular adult, child, infant and neonatal sizes. Stethoscopes in adult and pediatric sizes. lse oximeter with adult and pediatric sensors. Irrurio§ilization& Splinting: One lower extremity traction splint. ✓Upper and lower extremity splints of any type (vacuum, air, SAM, wire, board, etc.). ✓Long spineboard, vacuum mattress or equivalent with appropriate accessories to immobilize patients from head to heels. ,/One orthopedic stretcher(scoop). _bort spineboard, KED or equivalent with appropriate straps to immobilize patients from head to pelvis. �P diatric spineboard or adult spineboard adaptable to pediatric use. r/Adult and pediatric sized head immobilization equipment for each long spineboard and/or scoop stretcher ,aafried. Rigid cervical immobilization collars in tall adult through infant sizes. Woun�,e'are: ✓✓B dages, including but not limited to, roller gauze, triangular and elastic per agency needs. 5ssings, including but not limited to,trauma, ABD, gauze, occlusive and bandaids per agency needs. rile bum sheets. ✓Po vidonee and alcohol swabs or equivalent. ✓Adhesive tape, including but not limited to, 1" and 2"per agency needs. LAterile irrigation solution. .bste 1 Supplies: Sterile OB kit to include: towels, 4x4s, umbilical tape or cord clamps, scissors, bulb syringe,sterile -blanket and sterile gloves. ✓ Silver Swaddler and stocking cap or equivalents. Infectiop Control: ✓Exam gloves in small, medium and large sizes. F�ce and eye shields. ✓ d-proof gowns with full length sleeves or equivalent. Disinfectant spray or wipes for personnel and equipment. Misce eous: �rat glucose. �ctivated charcoal. eavy duty bandage scissors or shears capable of cutting clothing, belts, boots, etc. ill-proof emesis container with at least 1 liter capacity. ✓/universal or separate male and female urinals. v ulti-level,wheeled gurney ��*13 air chair or equivalent. ankets. tient compartment heater. 2 PITKIN COUNTY APPLICATION FOR AMBULANCE VEHICLE PERMIT SERVICE INFORMATION Ambulance Service Name: Office Address: C . i3C X y'3L, 5/�e�� , �c� � (� ( c-c ) CO , SSI Lr 15 STREET/PO BOX CITY STATE ZIP CODE Office Communications: 5e/�F M C VOICE FAX E-MAIL INTERNET MICLE INFORMATION Designation: M r c.� ,L License Plate: U=t3 ln) - -7 4s`7 VIN: 1 (5 Chassis Year: f�+`i Make: C\-�e L el E �- Type: I.� II_ III. 4x4: yes >( no_ Insurance Company: Awe-i ccw\ Tolicy Number: VW:) (M•-1 Ul(c;�9- .Expiration: -C�' Vehicle Location: : Si'�'� Qu, i C'd Pe 54 ��,� n rt t: 11 o.c C'C $I(t I STREET/PO BOX CITY STATE ZIP CODE �SQUEST FOR WATVER(include reason for request) SERVICE DIRECTOR'S SIGNATURE DATE (FOR AMBULANCE INSPECTOR'S USE ONLY) Clear CCIC: / Clear NCIC: Insurance Card Present: Registration Card Present: ✓ Permit Fee Attached ✓ Basic Life Support Required Equipment List Attached Mechanical Condition Certification Attached Advance Life Support Provider Required Equipment Certification Attached Comments/Recommendation: J INSPECTORS SIGNATURE POSITION DATE PITKIN COUNTY VEHICLE SAFETY AND OPERABILITY CERTIFICATION Ambulance Service Name:60 w f7 l" �L ��efA . License Plate:UO tJ'?�bulance Number: t SYSTEMS ACCEPTABLE NOT ACCEPTABLE COMMENTS Wheels & Tires p( eering X Alignment X Suspension Service Brakes Parking Brake Driving Lights Visual Warning Systems Audible Warning Systems Electrical System xhaust System Fuel System Glass, Mirrors Body& Sheet Metal -Jo er.. , professing to be a motor vehicle mechanic with training in all of the systems listed above, have evaluated the condition of these systems on the ambulance indicated above and have determined this ambulance to be in safe operating condition. This evaluation does not warrantee the future safety and/or operability of this ambulance due to conditions beyond my control. 5ha ► -W P 1110 -ga3,,Z21z MECHANIC'S NAME AGENCY/COMPANY PHONE NUMBER DATE PITKIIV COUNTY ADVANCED LIFE SUPPORT PROVIDER REQUIRED EQUIPMENT CERTIFICATION Ambulance Service Name: W, (a+ 'F,-e Pit -pttA .Ambulance Designation: IIMfA(C ci RF. UIRED AL.S EQUIPMENT 1. All equipment and supplies listed on the Basic Life Support Required Equipment List. 2. Pediatric diagnostic equipment, age/weight/vital signs chart and drug dosage/equipment size list. ' Adult, pediatric and neo-natal vascular access supplies and equipment as authorized in medical protocols approved for this ambulance service. 4. Adult, pediatric and neo-natal endotracheal intubation equipment as authorized in medical protocols approved for this ambulance service. 5. Cardiac monitor/defibrillator with printer and adult and pediatric monitoring and defibrillating capabilities as authorized in medical protocols approved for this ambulance service. Pharmacological agents and administration equipment and supplies as authorized in medical protocols approved for this ambulance service. 1 7. Any additional equipment and supplies needed to perform other procedures as authorized in medical protocols approved for this ambulance service. As Physician Advisor for o u%(n.c,�)t) 1,;;'r +;�f P.-p+f c 4-i c,,\ 061,)c 4, I certify that this ambulance carries the equipment and supplies listed above and meets the,minimum requirements, established by the State of Colorado and Pitkin County, to provide medical care and transportation of the sick and injured at the Advanced Life Support level. Provision of Advanced Life Support is limited as described in 3-CCR-713-6, Section 4 "Medical Acts Allowed EMTs and Paramedics." PHYSICIAN ADVISOR'S SIGNATURE COLORADO MEDICAL LICENSE NUMBER DATE PITKBV COUNTY �L -1 BASIC LIFE SUPPORT REQUIRED EQUIPMENT LIST i S „ 4 One 2-1/2 lb. or larger ABC fire extinguisher, accessible from the patient compartment and having been serviced within the last year per NFPA 10 Section 4. ne 5 lb. or larger ABC fire extinguisher, accessible from outside the vehicle and having been serviced thin the last year per NFPA 10 Section 4.. j I/Two "NO SMOKING-OXYGEN IN USE"signs,one in cab and one in patient compartment. Flashlight, 2-D cell equivalent or better with spare bulb and batteries or charger. I ✓fit of 3 reflective warning devices. i One reflective vest, coat or equivalent for each member of the crew normally assigned. _ ?�t least one "SHARPS" container, clearly labeled and easily accessible in the patient compartment. 1 Restraining devices for all items not in a securable cabinet F_MIF4GFNCY WARNING EQUIPMENT Audible warning device (siren) with at least 2 different tones. ✓Visual warning devices (lights) with alternating red and/or blue flashing or rotating visible from all sides simultaneously and clear flashing or oscillating visible from front. COMMUNICATTONS EQUIPMENT Mobile VHF radio with appropriate State, Pitkin County and individual agency frequencies. j obile UHF radio with appropriate State, Pitkin County, hospital and individual agency frequencies. i/ Portable radio with charger and/or cellular phone for back-up communications with dispatch and hospitals. 4EDICAL. EQUIPMENT AND SUPPLIES Airway� I :/Fixed suction system with wide bore tubing, rigid pharyngeal curved suction tip and soft catheter suction with sizes from 5 Fr. to 14 Fr. Portable suction system with wide bore tubing, rigid pharyngeal curved suction tip and soft catheter I ction tip with sizes from 5 Fr. to 14 Fr. l/ Bulb Syringe. opharyngeal airways in pediatric and adult sizes. Oropharyngeal airways in pediatric and adult sizes. k"bite stick or equivalent (oropharyngeal airway). V"Fixed oxygen system with a minimum storage capacity of 125 cubic feet (M cylinder) and a minimum livery capability for three patients simultaneously at flows of at least 1-15 LPM. Portable oxygen system with a minimum storage capacity of 15 cubic feet (D cylinder)and a minimum elivery capability for one patient at flows of at least 1-15 LPM. �Il fant Bag-Valve-Mask with 500cc bag, reservoir and newborn, infant and child masks. Ad It Bag-Valve-Mask with I000cc bag, reservoir and adult mask. "All mask attachments must be 15mm" Oxygen masks and cannulas capable of delivering oxygen to adults and infants at flows of at least 1-15 LPM. 1 PITKIIV COUNTY BASIC LIFE SUPPORT REQUIRED EQUIPMENT LIST MEDICAL• EQUIPMENT AND SUPPMES Diagno $kood pressure cuffs in large adult, regular adult, child, infant and neonatal sizes. Stethoscopes in adult and pediatric sizes. Pulse oximeter with adult and pediatric sensors. Immob' ization& Splinting: timer extremity traction splint. U er and lower extremity splints of any type (vacuum, air, SAM, wire, board, etc.). ong spineboard, vacuum mattress or equivalent with appropriate accessories to immobilize patients from head to heels. One orthopedic stretcher(scoop). ort spineboard, KED or equivalent with appropriate straps to immobilize patients from head to pelvis. atric spineboard or adult spineboard adaptable to pediatric use. Adult and pediatric sized head immobilization equipment for each long spineboard and/or scoop stretcher wed. --'Rigid cervical immobilization collars in tall adult through infant sizes. Wound e: Adages, including but not limited to, roller gauze, triangular and elastic per agency needs. �D�essings, including but not limited to, trauma,ABD, gauze, occlusive and bandaids per agency needs. "V Sterile burn sheets. r/Po idone and alcohol swabs or equivalent. Adhesive tape, including but not limited to, 1" and 2"per agency needs. t/- `terile irrigation solution. ostetri l Supplies: Sterile OB kit to include: towels, 4x4s, umbilical tape or cord clamps, scissors, bulb syringe, sterile � ket and sterile gloves. Silver Swaddler and stocking cap or equivalents. Infection-Control: E am gloves in small, medium and large sizes. ✓Face and eye shields. i-11fuid-proof gowns with full length sleeves or equivalent. �sinfectant spray or wipes for personnel and equipment. Miscel eous: ral glucose. vated charcoal. JIetiavy duty bandage scissors or shears capable of cutting clothing, belts, boots, etc. ill-proof emesis container with at least 1 liter capacity. yniversal or separate male and female urinals. b&lti-level.wheeled gurney fair chair or equivalent. � lets. Patt compartment heater. 2