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Ohio Laws and Rules
“MoICU” has the same meaning as mobile intensive care unit as defined in division (P) of section 4766.01 of the Revised Code.
An applicant shall complete the application in the English language.
(A) A MTO applying for licensure shall file with the board an application on the form prescribed by the board and shall submit the completed application to the board accompanied by the appropriate fee as defined in rule 4766-4-02 of the Administrative Code.
(B) In addition to the requirements set forth in section 4766.04 of the Revised Code, for each application the MTO applicant shall provide:
(1) The name of applicant to include:
(a) All names that applicant plans to operate under including but not limited to trade name(s), dba(s), registered with the Ohio secretary of state;
(b) Address of MTO’s headquarters;
(c) Mailing address of applicant;
(2) All medicare provider numbers, all medicaid provider numbers;
(3) Highest level of service to be provided, type of organization, service areas including county and state;
(4) A list of the names and addresses of all officers, directors, and/or owners of the MTO;
(5) The name, address and physician number of Ohio program medical director as specified in rule 4765-1-01 of the Administrative Code;
(6) For each satellite base, the MTO shall provide the street address, city, county, state, and zip code;
(7) The name of the primary contact person, business or administrative office telephone number, and if applicable, office fax number and e-mail address;
(8) Year of manufacture, make, model, vehicle identification number, odometer reading, license plate number (renewal only) of each MoICU or non-transport vehicle to be permitted;
(9) A color photograph of the side of vehicle displaying color scheme, insignia, monogram, or other distinguishing characteristic. If multiple color schemes, insignias, monograms, or other distinguishing characteristics are used, a color photograph of each must accompany application. (Digital photographs are encouraged.)
(10) A current certificate of liability insurance listing OMTB as a certificate holder with a thirty date cancellation notice as specified in section 4766.06 of the Revised Code;
The actual name on the licensure application shall appear on the certificate of liability insurance;
(11) Type of entity, including but not limited to, corporation, partnership, and sole proprietorship as registered with the Ohio secretary of state.
(C) Each MTO shall pay the appropriate fees as specified in rule 4766-4-02 of the Administrative Code.
(D) If an application for licensure is incomplete, the board will notify the MTO that the application will not be processed until it is complete. Such notification will occur via certified mail one time for each submission.
(E) The certificate of licensure issued by the board shall indicate the highest level of service that the MTO is authorized to provide.
(F) No applicant or licensee shall submit false statements in order to obtain a license or permit.
(G) A license is not transferable.
Effective: 07/02/2009
R.C. 119.032 review dates: 07/02/2014
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.03, 4766.04, 4766.07
(A) Each organization shall pay a license fee of one hundred dollars annually;
(B) Each organization shall pay a permit fee of one hundred dollars for each MoICU(s) annually;
(C) Each organization shall pay an inspection fee of one hundred dollars per MoICU.
(D) Each organization shall pay a one hundred dollar reinspection fee for every MoICU that requires reinspection as a result of a deficiency issued by the Ohio medical transportation board.
(E) Each organization shall pay a one hundred dollar fee for each temporary permit to be issued.
Effective: 05/03/2007
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.05
Prior Effective Dates: 04/18/2005
(A) The board shall conduct initial and renewal inspections of all organizations pursuant to Chapter 4766 of the Revised Code and Administrative Code to include the following:
(1) Organization service headquarters;
(2) Organization service satellite location(s);
(3) MoICU(s) and non-transport vehicle(s).
(B) All satellite locations (to be licensed) will be inspected pursuant to division (C) of section 4766-4-17 of the Administrative Code prior to commencing operations.
(C) The board may conduct routine unannounced inspections at any location(s) of licensed organization at any time, including night or weekend inspections to determine compliance with Chapter 4766 of the Revised Code and Administrative Code to include the following:
(1) Organization service headquarters;
(2) Organization service satellite location(s);
(3) MoICU(s) and non-transport vehicle(s).
(D) Upon licensure, each licensed organization shall prominently display the original certificate of licensure at the service’s headquarters and each satellite location.
(E) A license is not transferable.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04
(A) Each MoICU shall be made available for inspection by the board in accordance rule 4766-4-01 of the Administrative Code before the board deems the application to be complete.
(B) The board will inspect all MoICU’S for roadworthiness in accordance with standard motor vehicle requirements, and appropriate equipment as defined in rules 4766-4-21, 4766-4-22, and 4766-4-23 of the Administrative Code on an annual basis:
(1) All MoICU’s shall pass an inspection conducted by the board prior to being placed into operation or the renewal of licensure;
(2) All board identified deficiencies must be corrected. The vehicle shall be placed out-of-service until it passes reinspection by the board;
(3) Any MoICU(s) not inspected during the initial/renewal inspection shall be made available within sixty days or it will be deleted from the organization vehicle list;
(4) An organization must demonstrate proof that the MoICU(s) complies with all specifications set forth in the general service administration star-of-life ambulance, KKK-A-1822 standard in effect at the date of manufacture of the MoICU chassis by one of the following:
(a) Certificate issued;
(b) KKK-A-1822 placard/sticker;
(c) Signed affidavit.
(C) Upon licensure, each licensed organization shall apply the permit decal on the outside of the right rear window in accordance with division (B)(2) of section 4766.07 of the Revised Code on each MoICU. An additional or replacement vehicle shall, upon successful inspection, be issued a temporary permit. This permit shall be displayed on the inside of the right rear window of the vehicle and shall be valid for not more than thirty days from date of issue.
(1) The permit must be unobstructed at all times.
(D) A permit is not transferable.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.07
MoICU license and permit shall be issued to organizations who meet the criteria to provide the following level of service:
(A) Mobile intensive care- interfacility transports necessitating the use of the equipment or conditions noted in the MoICU ground section will be transported by a MoICU. In the event an MoICU is not available, treating physician shall determine the most appropriate means of transport.
(1) Ground
(a) Adult-MoICU’s licensed as adult providers are equipped to provide care to patients (14 years and older) in critical condition or with conditions with potential for deterioration during transport:
(i) Equipment requirements for an adult MoICU include pediatric sizes necessary to care for small adult patients;
(ii) Equipment specific to an adult critical patient include but are not limited to:
(a) Invasive monitors-Arterial lines, CVP monitors, ICP needles;
(b) Cardiac assist devices such as transvenous pacemakers, Intra-aortic balloon pumps, ventricular assist devices;
(b) Pediatric- MoICU’s licensed as pediatric providers are equipped to provide care to pediatric patients (29 days-18 years) in critical condition or with conditions with potential for deterioration during transport. Exception granted for ages 18 and above when the condition of the patient is the result of a congenital anomaly or condition more appropriately treated in a pediatric setting in which the patient has been receiving care:
(i) Equipment requirements for a pediatric MoICU include adult and neonatal sizes necessary to care for small and large pediatric patients;
(ii) Equipment specific to a pediatric critical patient include but are not limited to:
(a) Invasive monitors-Arterial lines, CVP monitors, ICP needles;
(b) Cardiac assist devices such as transvenous pacemakers. ventricular assist devices, extracorporeal support (ECMO);
(c) Neonatal- MoICU’s licensed as neonatal providers are equipped to provide care to neonatal patients (up to 28 days of life) in critical condition or with conditions with potential for deterioration during transport:
(i) Equipment requirements for a neonatal MoICU include pediatric sizes necessary to care for large neonates;
(ii) Equipment specific to a neonatal critical patient include but are not limited to:
(a) Invasive monitors-umbiblical arterial and venous lines, CVP monitors, ICP needles;
(b) Cardiac assist devices such as transvenous pacemakers. ventricular assist devices, extracorporeal support (ECMO);
(2) Fixed wing;
(3) Rotor wing.
(B) An organization shall not profess to engage in or advertise any level of service other than those defined in division (B) of section 4766.04 of the Revised Code.
(C) The certificate of licensure issued by the board shall indicate the highest level of service that the organization is authorized to provide.
Effective: 04/21/2005
R.C. 119.032 review dates: 04/21/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04
(A) The application for change in certification level as an MoICU licensed organization shall be made on such forms prescribed by the board and shall include the following:
(1) The name, address and license number of the functioning medical director for the licensed organization, who shall assure that the organization conforms with all standards as outlined and defined by law and rule;
(2) Documentation of an appropriate drug license number as prescribed by the state board of pharmacy;
(3) Evidence of functional pre-hospital and inter-hospital protocols in which all basic, intermediate, advanced, and MoICU personnel are trained and certified or licensed to perform, if appropriate physician’s presence on transport supercedes protocol. Protocols must be available at all locations.
(B) An organization licensed at the MoICU level shall notify the board in writing within ten days of any permanent decrease in the level of service to be provided.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04
(A) All MoICU(s) for which permits are issued pursuant to section 4766.07 of the Revised Code, shall display special issue “EMS Vehicle” license plates issued by the bureau of motor vehicles in pursuant to section 4503.49 of the Revised Code.
(B) Upon the effective date of a final order by the board revoking an organization license or decertifying a specific vehicle, the board shall notify the bureau of motor vehicles of such revocation or decertification.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4503.49
(A) Patient records
(1) Each licensed organization shall maintain accurate records concerning the transportation of each emergency and non-emergency patient;
(2) All records or other documents related to patient care or to emergency medical service personnel maintained by the licensed organization may be reviewed during an inspection:
(a) Such records or documents shall be made available in accordance with 45 C.F.R. 164.512 ;
(3) Each record shall include the patient’s name, sex, age or date of birth if known, address, location of incident or pickup, patient’s chief complaint, and patient’s history including:
(a) Current medical condition and diagnosis;
(b) List of current medications, route, dosage, administration schedule;
(c) Allergies and reaction;
(d) Vital signs and the time that the vital signs were taken:
(i) Blood pressure;
(ii) Pulse;
(iii) Respiration;
(e) Any responsible guardian;
(f) Advanced directives;
(g) Beginning location and final destination;
(h) Treatment rendered;
(i) Times:
(i) Time call received;
(ii) Dispatch time;
(iii) Enroute time;
(iv) On-scene time;
(v) Departure from scene time;
(vi) Arrival at destination time;
(j) The names and level of certification or licensure for all medical personnel;
(4) A copy of the record for each patient shall be provided to the receiving facility, which includes all the information required by this rule.
(B) Current notarized copy of the organization’s operating protocol(s) signed by the medical director shall be available at the headquarters and each satellite location.
(C) For each medical employee, verification of the current certification or license shall be readily available to the Ohio medical transportation board.
(D) A certificate of liability insurance issued by an insurer licensed to do business in this state that includes a thirty day notice of cancellation to the board.
(E) All licensed organizations shall establish a written policy covering the use of warning devices which shall be made available for the board’s inspection upon request.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.06
(A) All licensed organization dispatch centers shall be equipped with a base station capable of two-way communications with associated mobile radios on an assigned frequency. This channel will be used exclusively for dispatch and tactical communications and shall be independent of any involvement in the Ohio emergency radio network. The base station shall demonstrate and maintain a voice communications linkage with the radios used in the licensed MoICU(s) within the declared service area:
(1) The base station must be hard-wired;
(2) A hand held battery operated base station used as primary source of communication is prohibited.
(B) All licensed MoICU(s) shall be equipped with two-way communications which shall have the capability to communicate with the licensed organization’s dispatch center and with medical control in the licensed organization’s service area:
(1) All two-way communications used in licensed MoICU(s) shall have the ability to provide voice communication with the licensed organization’s associated base station(s) within the area the licensed organization serves or proposes to serve:
(a) The organization shall be capable of two-way communication with all the MoICU service radios and/or cellular telephones:
(i) All two-way communication devices shall maintain either a 110 volt or 12 volt power source backup for each communication device;
(b) All organizations shall maintain a detailed radio log that documents the following:
(i) Location of call;
(ii) Nature of call;
(iii) Initial dispatch time;
(iv) Enroute time;
(v) On-scene time;
(vi) Departure from scene time;
(vii) Arrival at destination time;
(2) Radio equipment used in licensed MoICU(S) shall meet the requirements specified in paragraph 90.203 of the federal communications commission rules and regulations
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
(A) Each licensed organization shall comply with all occupational safety and health administration, bloodborne pathogens regulations pertaining to the sanitation and maintenance of licensed MoICU(S).
(B) Sanitation procedures shall be provided to all personnel in a written document that conforms with current standards as set forth in occupational safety and health administration – bloodborne pathogens protocol.
(C) A written sanitation plan that conforms with the latest standards as written by the occupational safety and health administration, bloodborne pathogens. In addition, the following documentation shall be maintained for each vehicle:
(1) Cleaning schedule;
(2) Date the cleaning was completed;
(3) Documentation of who performed sanitation.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
(A) Mobile intensive care unit vehicles
(1) Provide a copy of the periodical maintenance plan for all vehicles that conform to manufacturer specifications;
(2) All licensed organizations shall maintain documentation of all periodical maintenance and repairs performed on each vehicle to include:
(a) Date of service or repair;
(b) Description of service/repair performed;
(c) Documentation of who performed service/repair;
(3) Out of service MoICU(s):
(a) The licensed organization shall place an out of service sign in a licensed MoICU(s) to be visible through the windshield with the following information included on the front of the sign:
(i) Date MoICU(s) was taken out of service;
(ii) Odometer reading at time MoICU(s) was taken out of service;
(iii) Reason MoICU(s) was taken out of service;
(iv) Printed name and signature of person responsible for taking vehicle out of service;
(v) The words “Out of Service” utilizing not less than 3” lettering.
(B) Bio-medical equipment
(1) All licensed organizations shall maintain documentation of all periodical maintenance and repairs of bio-medical equipment as required by manufacturer and/or food and drug administration:
(a) Date of last bio-medical inspection;
(b) Date of service or repair;
(c) Description of service/repair performed;
(d) Documentation of who performed inspection, service, or repair.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.07
(A) MoICU transport team shall consist of three personnel: a driver operator and two other healthcare personnel as described herein;
(1) Driver Operator means:
(a) A person who has successfully completed and passed an emergency vehicle operator course that meets requirements of National Highway and Traffic Safety Administration; or
(b) A person who is certified as an Ohio Emergency Medical Technician-Basic.
(2) Healthcare personnel means one each of the following:
(a) A registered nurse whose training meets or exceeds the training required for a paramedic; and
(b) A physician or another person designated by a physician, who holds a valid license or certificate to practice in a health care profession.
Effective: 04/21/2005
R.C. 119.032 review dates: 04/21/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04
(A) MoICU(s) are considered public safety vehicles pursuant to division (E)(1) of section 4511.01 of the Revised Code.
(B) MoICU(s) responding to an emergency incident or to an emergency care facility may use emergency lights and audible warning devices pursuant to section 4511.24 of the Revised Code.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.06, 4511.24
(A) A licensed organization shall not operate a licensed MoICU on any public way in Ohio if the licensed MoICU is not in full compliance with applicable sections 4766.01 to 4766.99 of the Revised Code. In the event of a disaster situation when licensed MoICUs based in the locality of the disaster situation are incapacitated or insufficient in number to render services needed, a licensed organization may utilize whatever means necessary to transport and treat patients.
(B) A MoICU that has not been issued a permit by the board may operate, for a period not to exceed sixty days, if the MoICU is used to replace a MoICU with a permit that has been temporarily taken out of service for repair or maintenance and is in compliance with all of the following:
(1) The temporary MoICU(s) shall meet all permit requirements as set forth in Chapter 4766. of the Revised Code;
(2) Prior to placing the temporary MoICU(s) in service, the licensed organization shall provide written documentation to the board that includes the following;
(a) Date licensed MoICU was removed from service;
(b) Non-licensed MoICU identification number;
(c) In-service date of non-licensed MoICU;
(d) Date licensed MoICU placed back into service;
(3) The licensed organization shall pay the appropriate fee(s) for each temporary permit;
(4) The board may at its own discretion grant an extension of the sixty day period.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.09
The exemption from licensure in division (B) of section 4766.09 of the Revised Code exempts out of state providers receiving a patient in Ohio for transport to a location not within Ohio or when transporting a patient received in another state. An out of state provider that receives a patient in Ohio for transportation to a location in Ohio shall be licensed and is subject to Chapter 4766. of the Revised Code and rules under this chapter and to all applicable fines and sanctions for any violation thereof.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07, 4766.13
(A) Each licensed organization shall give written notification to the board within three business days of any additions, deletions or changes in:
(1) Treatment or transport protocols;
(2) Executive officers or board members;
(3) Communications status, capability, or equipment;
(4) Medical director;
(5) Purchase or acquisition of a licensed organization:
(a) With any purchase or acquisition of a licensed organization, the organization shall be required to submit a new application for licensure and pay all applicable fees;
(b) All MoICU’s shall be retitled, rebranded in accordance with paragraph (B)(8)(e) of rule 4766-4-01 of the Administrative Code, inspected by the board, and display new EMS vehicle license plates within sixty days of the purchase or acquisition date.
(B) Within ten days of the date a licensed MoICU is permanently withdrawn from service, the licensed organization shall return to the board a deletion form prescribed by the board and the permit decal from the right rear window.
(C) Each licensed organization shall give written notification to the board thirty days prior to changing headquarter or satellite location or opening any satellite location. The notification shall include:
(1) Street address;
(2) City;
(3) County;
(4) Medicare provider number, if applicable;
(5) Ohio state board of pharmacy number.
(D) Within ten days of the date a licensed organization ceases to operate it shall return to the board all vehicle permits and the certificate of licensure.
(E) Within ten days of the date a licensed organization ceases to operate a satellite location it shall return to the board the certificate of licensure.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
(A) The board may investigate alleged violations of Chapter 4766. of the Revised Code and the rules promulgated thereunder.
(B) Board investigations may include but not be limited to the following:
(1) Interviews:
(a) Employer;
(b) Employees;
(c) Client;
(d) Health care workers;
(e) Public safety personnel;
(f) General public;
(2) Record review:
(a) Transportation documentation;
(b) Incident report;
(c) Crash and/or injury report;
(d) First report of injury;
(e) Employee records;
(3) Physical inspection;
(4) Photographs;
(5) Audio recording;
(6) Physician and/or coroner findings;
(7) Written and/or verbal complaints;
(8) Factual evidence;
(9) Any other item(s) deemed appropriate for specific investigations.
(C) The board may issue a violation notification during any inspection or investigation.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.08, 4766.11
The board may, in compliance with Chapter 119. of the Revised Code, suspend, revoke, or refuse to issue a license or service permit for any of the following reasons:
(A) Any violation of Chapter 4766. of the Revised Code or the rules promulgated thereunder.
(B) Failure of the organization to correct violation(s) cited by the inspectors of the board or provide sufficient documentation that organization is correcting said violation(s) within seventy-two hours of the date of the notification.
(C) Making a false statement on the application for a license or permit.
(D) Fraud or deceit in obtaining or attempting to obtain a license or permit.
(E) Lending a license or permit or borrowing or using the license or permit of another, or knowingly aiding or abetting such improper use or transfer of a license or permit.
(F) Incompetence, negligence or misconduct in operating the licensed organization or in providing emergency medical care to patients.
(G) Failure to have all equipment required in rules 4766-4-21, 4766-4-22, and 4766-4-23 of the Administrative Code, appropriate to the level of licensure on each in-service MoICU at all times.
(H) Failure to staff each MoICU with a sufficient number of certified or licensed personnel as defined in rule 4766-4-12 of the Administrative Code.
(I) Failure of the licensed organization to notify the board of a change of ownership within three business day days of purchase or acquisition.
(J) Abuse or abandonment of a patient.
(K) Unauthorized disclosure of medical or other confidential information.
(L) Willful preparation or filing of false reports or records, or the inducement of another to do so.
(M) Alteration or inappropriate destruction of medical records.
(N) Discrimination in the rendering of emergency medical service because of patient’s race, sex, creed, national origin, sexual preference, age, handicap, medical problem or financial inability to pay.
(O) Misuse or misappropriation of drugs or medication.
(P) Action by the licensed organization that is reckless or negligent so as to endanger the health or safety of patients or members of the general public while in the course of business as a licensed organization.
(Q) Continued pattern of violations.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.05, 4766.06, 4766.07, 4766.08, 4766.13, 4766.99
The board may, at its discretion, summarily suspend a license under the authority of section 4766.11 of the Revised Code.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.11
Mobile Intensive Care Units licensed at the adult level must carry adult & pediatric equipment and supplies listed in rules 4766-4-21 and 4766-4-22 of the Administrative Code.
(A) Isolation equipment
(1) Four packaged kits or
(a) Four isolation goggles & masks or mask/shield combination;
(b) Four isolation gowns;
(c) Four isolation gloves;
(2) Four isolation high particulate (HEPA)-assorted sizes;
(3) Four containers (bags) for infectious medical waste;
(4) Sharps container;
(5) Disinfectant/germicidal;
(6) Waterless hand cleaner.
(B) Airway equipment
(1) Complete oropharyngeal airway kit, adult/pediatric;
(2) Complete nasopharyngeal airway kit, adult/pediatric;
(3) Complete intubation kit, adult/pediatric:
(a) Extra batteries and bulbs;
(b) Syringes, assorted sizes;
(c) Adult stylet;
(d) Pediatric stylet;
(e) Adult magill forceps;
(f) Pediatric magill forceps;
(g) Booted hemostat;
(h) Adult endotracheal tube set, cuffed range 5.0 – 8.0 ;
(i) Pediatric endotracheal tube set, uncuffed range 3.0 – 5.5 and adapters;
(j) Water soluble lubricant;
(k) Laryngoscope handle;
(l) Laryngoscope blades, curved and straight, sizes 0-1-2-3;
(m) End-tidal CO2 detector.
(4) Cricothyrothomy kit/set, per protocol;
(5) Two Ventilator circuits.
(C) Definitive equipment
(1) Approved medications, per protocol;
(2) ECG monitor/defibrillator and appropriate pads, adult/pediatric;
(3) Two sets external pacemaker and pads;
(4) Transvenous pacemaker;
(5) Hemodynamic monitoring equipment;
(6) Pulse oximeter;
(7) Doppler & gel;
(8) Two I.V. pumps;
(9) Ventilator with minimum of PEEP;
(10) Generator and 110 power source;
(11) Chest tube draining system.
(D) Bleeding/burns equipment
(1) Ten adhesive dressing strips;
(2) Twenty gauze pads, assorted sizes;
(3) Four surgi pads/sterile sponge pads;
(4) Four assorted standard kling/kerlix
(5) Two universal trauma dressings, size 10” by 36”;
(6) Two sterile burn sheets or two burn packs;
(7) Four sterile water and/or .9% n.s. for irrigation.
(E) Suction equipment
(1) Wall mounted suction unit;
(2) Portable suction unit, battery operated;
(3) Two hard tip suction (Yankauer);
(4) Soft tip suction catheters set, adult & pediatric sizes;
(5) Two suction tubing;
(6) Suction bags (package) or equivalent;
(7) Two pairs sterile gloves.
(F) Oxygen equipment
(1) Main oxygen (M tank or greater);
(2) Wall mounted oxygen gauge 0-15 L/min. minimum;
(3) Compress air as appropriate;
(4) Two portable oxygen unit – minimum “D” tanks;
(5) Portable variable flow regulator 0-15 L/min. minimum;
(6) Bag-valve-mask with reservoir 100% oxygen flow:
(a) Two adult;
(b) Two pediatric;
(7) Transparent oxygen masks, simple and non rebreather:
(a) Two adult;
(b) Two pediatric;
(8) Nasal cannulas:
(a) Two adult;
(b) Two pediatric;
(9) Oxygen connective tubing and appropriate adapters;
(10) Two oxygen humidifier/nebulizer and appropriate connecting tubing.
(G) Adjunct equipment
(1) Scissors;
(2) Stethoscope-adult and pediatric;
(3) B/P cuffs:
(a) Pediatric;
(b) Adult;
(c) Large adult;
(4) Thermometer;
(5) Penlight;
(6) Flashlight;
(7) Two tongue blades;
(8) Two bite sticks;
(9) Patient cot with three straps;
(10) Two eye shields or eye protector pads;
(11) Four assorted tape;
(12) Exam gloves, one box each of small-medium-large or one box of uni-size;
(13) Two emesis basins or equivalent;
(14) Obstetrical kit;
(15) Urinal or equivalent;
(16) Bed pan or equivalent;
(17) Two ABC fire extinguisher, 5 lb. minimum, front and back;
(18) Nasogastric tubes, adult & pediatric sizes;
(19) Four patient restraints;
(20) Two each of hot & cold packs;
(21) Two pillows & cases;
(22) Six sheets;
(23) Two blankets.
(H) Intravenous equipment
(1) Ten alcohol or betadine preps;
(2) Two short arm boards;
(3) Four IV administration sets:
(a) Four IV infusion pump tubing;
(4) IV catheters and butterfly needles, assorted sizes;
(5) Two intraosseous needles;
(6) Needles, assorted sizes;
(7) Two IV solutions, per protocol;
(8) Associated adjunct equipment:
(a) Two invasive line set-up;
(b) Two pressure bags.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
Mobile Intensive Care Units licensed at the pediatric level must carry adult, pediatric, & neonatal equipment and supplies listed in rules 4766-4-21, 4766-4-22, and 4766-4-23 of the Administrative Code.
(A) Isolation equipment
(1) Four packaged kits or
(a) Four isolation goggles & masks or mask/shield combination;
(b) Four isolation gowns;
(c) Four isolation gloves;
(2) Four isolation high particulate (HEPA)-assorted sizes;
(3) Four containers (bags) for infectious medical waste;
(4) Sharps container;
(5) Disinfectant/germicidal;
(6) Waterless hand cleaner.
(B) Airway equipment
(1) Complete oropharyngeal airway kit-adult, pediatric, and neonatal;
(2) Complete nasopharyngeal airway kit-adult, pediatric, and neonatal;
(3) Complete intubation kit-adult, pediatric, and neonatal:
(a) Extra batteries and bulbs;
(b) Syringes, assorted sizes;
(c) Adult stylet;
(d) Pediatric stylet;
(e) Neonatal stylet;
(f) Adult magill forceps;
(g) Pediatric magill forceps;
(h) Booted hemostat;
(i) Adult endotracheal tube set;
(j) Pediatric endotracheal tube set;
(k) Water soluble lubricant;
(l) Laryngoscope handle;
(m) Laryngoscope blades, curved and straight, sizes 0-1-2-3;
(n) End-tidal CO2 detector;
(4) Invasive airway kit, per protocol, (i.e. cricothyrotomy set, pertrach set);
(5) Two ventilator circuits;
(6) Advanced airway-(i.e. laryngeal mask airway) pediatric and adult.
(C) Definitive equipment
(1) Approved medications, per protocol;
(2) ECG monitor/defibrillator and appropriate pads, adult/pediatric:
(a) One set pediatric paddles;
(3) Hemodynamic monitoring equipment;
(4) Pulse oximeter;
(5) Doppler & gel;
(6) Two I.V. pumps;
(7) Ventilator with minimum of PEEP;
(8) Generator and 110 power source;
(9) Chest tube draining system.
(D) Bleeding/burns equipment
(1) Ten adhesive dressing strips;
(2) Twenty gauze pads, assorted sizes;
(3) Four surgi pads/sterile sponge pads;
(4) Four assorted standard kling/kerlix;
(5) Two universal trauma dressings, size 10” by 36”;
(6) Two sterile burn sheets or two burn packs;
(7) Four sterile water and/or .9% n.s. for irrigation.
(E) Suction equipment
(1) Wall mounted suction unit;
(2) Portable suction unit, battery operated;
(3) Two hard tip suction (Yankauer);
(4) Soft tip suction catheters set, adult & pediatric sizes;
(5) Two suction tubing;
(6) Suction bags (package) or equivalent;
(7) Two pairs sterile gloves.
(F) Oxygen equipment
(1) Main oxygen (M tank or greater);
(2) Wall mounted oxygen gauge 0-15 L/min. minimum;
(3) Compress air as appropriate;
(4) Two portable oxygen unit – minimum “D” tanks;
(5) Portable variable flow regulator 0-15 L/min. minimum;
(6) Bag-valve-mask with reservoir 100% oxygen flow:
(a) Two adult;
(b) Two pediatric;
(c) Two neonatal;
(7) Transparent oxygen masks, simple and non rebreather:
(a) Two adult;
(b) Two pediatric;
(c) Two neonatal or head hoods;
(8) Nasal cannulas:
(a) Two adult;
(b) Two pediatric;
(c) Two neonatal;
(9) Oxygen connective tubing and appropriate adapters;
(10) Two oxygen humidifier/nebulizer and appropriate connecting tubing.
(G) Adjunct equipment
(1) Scissors;
(2) Stethoscope-adult, pediatric, and infant;
(3) B/P cuffs:
(a) Neonatal, sizes 1,2,3,4;
(b) Infant;
(c) Pediatric;
(d) Adult;
(e) Large adult;
(4) Thermometer;
(5) Penlight;
(6) Flashlight;
(7) Two tongue blades;
(8) Two bite sticks;
(9) Patient cot with three straps/isolette with two straps;
(10) Two eye shields or eye protector pads;
(11) Four assorted tape;
(12) Exam gloves, one box each of small-medium-large or one box of uni-size;
(13) Two emesis basins or equivalent;
(14) Obstetrical kit;
(15) Urinal or equivalent;
(16) Bed pan or equivalent;
(17) Two ABC fire extinguisher, 5 lb. minimum, front and back;
(18) Nasogastric tubes, adult & pediatric sizes;
(19) Four patient restraints;
(20) Two each of hot & cold packs;
(21) Two pillows & cases;
(22) Six sheets;
(23) Two blankets.
(H) Intravenous equipment
(1) Ten alcohol or betadine preps;
(2) Two short arm boards;
(3) Four IV administration sets:
(a) Four IV infusion pump tubing;
(4) IV catheters and butterfly needles, assorted sizes;
(5) Two intraosseous needles;
(6) Needles, assorted sizes;
(7) Two IV solutions, per protocol;
(8) Associated adjunct equipment:
(a) Two invasive line set-up;
(b) Two pressure bags.
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07
Mobile Intensive Care Units licensed at the neonatal level must carry pediatric, & neonatal equipment and supplies listed in rules 4766-4-22 and 4766-4-23 of the Administrative Code.
(A) Isolation equipment
(1) Four packaged kits or
(a) Four isolation goggles & masks or mask/shield combination;
(b) Four isolation gowns;
(c) Four isolation gloves;
(2) Four isolation high particulate (HEPA)-assorted sizes;
(3) Four containers (bags) for infectious medical waste;
(4) Sharps container;
(5) Disinfectant/germicidal;
(6) Waterless hand cleaner.
(B) Airway equipment
(1) Complete oropharyngeal airway kit, pediatric and neonatal;
(2) Complete nasopharyngeal airway kit, pediatric and neonatal;
(3) Complete intubation kit, pediatric and neonatal:
(a) Extra batteries and bulbs;
(b) Syringes, assorted sizes;
(c) Pediatric stylet;
(d) Neonatal stylet;
(e) Pediatric magill forceps;
(f) Booted hemostat;
(g) Pediatric endotracheal tubes set;
(h) Neonatal endotracheal tubes set;
(i) Water soluble lubricant;
(j) Laryngoscope handle;
(k) Laryngoscope blades, curved and straight, sizes 0-1-2-3;
(l) End-tidal CO2 detector;
(4) Two Ventilator circuits.
(C) Definitive equipment
(1) Approved medications, per protocol;
(2) ECG monitor/defibrillator and appropriate pads:
(a) One set pediatric paddles;
(3) Hemodynamic monitoring equipment;
(4) Pulse oximeter;
(5) Two I.V. pumps;
(6) Ventilator with minimum of PEEP;
(7) Generator and 110 power source;
(8) hest tube draining system.
(D) Bleeding/burns equipment
(1) Ten adhesive dressing strips;
(2) Twenty gauze pads, assorted sizes;
(3) Four surgi pads/sterile sponge pads;
(4) Four assorted standard kling/kerlix
(5) Four sterile water and/or .9% n.s. for irrigation.
(E) Suction equipment
(1) Wall mounted suction unit;
(2) Portable suction unit, battery operated;
(3) Two hard tip suction (Yankauer);
(4) Soft tip suction catheters set, pediatric & neonatal sizes;
(5) Two suction tubing;
(6) Suction bags (package) or equivalent;
(7) Two pairs sterile gloves.
(F) Oxygen equipment
(1) Main oxygen (M tank or greater);
(2) Wall mounted oxygen gauge 0-15 L/min. minimum;
(3) Compress air as appropriate;
(4) Two portable oxygen unit – minimum “D” tanks;
(5) Portable variable flow regulator 0-15 L/min. minimum;
(6) Bag-valve-mask with reservoir 100% oxygen flow:
(a) Two pediatric;
(b) Two neonatal;
(7) Transparent oxygen masks, simple and non rebreather:
(a) Two pediatric;
(b) Two neonatal;
(8) Nasal cannulas:
(a) Two pediatric;
(b) Two neonatal;
(9) Oxygen connective tubing and appropriate adapters;
(10) Two oxygen humidifier/nebulizer and appropriate connecting tubing.
(G) Adjunct equipment
(1) Scissors;
(2) Stethoscope, pediatric and infant;
(3) B/P cuffs:
(a) Neonatal, sizes 1,2,3,4;
(b) Pediatric;
(4) Thermometer;
(5) Penlight;
(6) Flashlight;
(7) Two tongue blades;
(8) Two bite sticks;
(9) Patient cot with three straps/isolette with two straps;
(10) Four assorted tape;
(11) Exam gloves, one box each of small-medium-large or one box of uni-size;
(12) Two emesis basins or equivalent;
(13) Two ABC fire extinguisher, 5 lb. minimum, front and back;
(14) Nasogastric tubes, assorted;
(15) Two each of hot & cold packs;
(16) Two pillows & cases;
(17) Six sheets;
(18) Two blankets.
(H) Intravenous equipment
(1) Ten alcohol or betadine preps;
(2) Two short arm boards;
(3) Four IV administration sets:
(a) Four IV infusion pump tubing;
(4) IV catheters and butterfly needles, assorted sizes;
(5) Needles, assorted sizes;
(6) Two IV solutions, per protocol;
(7) Associated adjunct equipment:
(a) Two invasive line set-up;
Effective: 04/18/2005
R.C. 119.032 review dates: 04/18/2010
Promulgated Under: 119.03
Statutory Authority: 4766.03
Rule Amplifies: 4766.04, 4766.07