ADVANCED LIFE SUPPORT SERVICES

REGISTRATION REQUIREMENTS

PART A: MINIMUM STAFF COMPLEMENT

Staffing of a basic ambulance must comprise of at least:

  • Driver – Qualification Level One first aid training course must also be competent in assisting the Pre-Hospital Emergency Care Doctor – with ALS equipment.
  • Doctor – Qualification Pre-Hospital Emergency Care Course.

PART B: MINIMUM FACILITIES

VEHICLE: A suitable vehicle which has been specially adapted to transport both seated and stretcher patients in a comfortable and safe manner. In the absence of an advanced Life Support Ambulance, the Emergency Service must have a 24-hour Response Vehicle (Stocked with ALS equipment and disposables) available to assist the Basic Life Support Ambulance Crew. This response vehicle must be manned by a doctor competent in Pre-Hospital Emergency Care. The Basic Life Support Vehicle must also be able to facilitate the Advanced Life Support Equipment needed to sustain life.

STRETCHER SPECIFICATION:

  • Stretcher must be suitably secured to the vehicle with a locking mechanism, which is easily released to allow for stretcher portability.
  • Stretcher straps must be on the vehicle in order to secure the patient to the stretcher.

OXYGEN:

  • Portable Oxygen Cylinders x 2.
  • Portable Oxygen Delivery Gauge.
  • Oxygen Tubing and Mask (40%) Adult x 2.
  • Oxygen Tubing and Mask (40%) Child x 2.
  • Nasal Cannular x 2.

OPTIONAL:

  • Large Oxygen Cylinders x 2;
  • High Pressure Oxygen Gauge;
  • Piped Oxygen to Wall Mount x 2;
  • Oxygen Flow Meterconnected to Wall Mount x 2

SUCTIONING:

  • Portable Suction unit x 1 (with charging facility);
  • Suction Catheter 8g x 2;
  • Suction Catheter 14g x 2;

BASIC EQUIPMENT REQUIREMENTS:

  • Trauma Board x 1;
  • Scoop Stretcher x 1;
  • Trac III Splint;
  • Short Spinal Boards or Vehicle Extrication Device (e.g. Kendriche-
  • K.E.D/ Spencer – S.E.D) x 1;
  • Head Blocks x 1;
  • Adult Bag Valve Mask x 1;
  • Paediatrics Bag Valve Mask x 1;
  • Neonatal Bag Valve Mask x 1;
  • Cervical Collar Small x 1;
  • Cervical Collar Medium x 1;
  • Cervical Collar Large x 1;
  • Splints (arm, leg);
  • Spider Harness x 1 or Stretcher Straps x 3;
  • Bed pan x 1;
  • Urinal x 1;
  • Kidney Dish x 1;
  • Sharps Container x 1;
  • Scissors x 1;
  • Thermometer x 1.

ADVANCED LIFE SUPPORT EQUIPMENT REQUIRED.

  • Defibrillator.
  • Portable Ventilator.
  • M.A.S.T. Suit.
  • Pressure Infuser.
  • Laryngoscop and Blades 1 to 4.
  • Adult Introducer.
  • Neonatal Introducer.
  • Adult Magils Forceps.
  • Paediatric Magils Forceps.
  • Artery Forceps.
  • Mosquito Forceps.

MONITORING DEVICE.

  • Portable BP. Cuff.
  • Stethoscope.
  • Pupil Torch.
  • Glucometer.
  • Pulse Oximeter.
  • Portable 3 Lead Cardiac Monitor.

SAFETY EQUIPMENT:

  • Safety Glasses x 2.
  • Fire Extinguisher x 2.
  • Hazard Triangles x 1.
  • Gloves x 1 Box.
  • Reflective Jacket x 2.

OTHERS:

  • Sheets x 2.
  • Blankets x 1.
  • Pillows x 2.
  • Pillow Cases x 2.

ADVANCED LIFE SUPPORT JUMP BAG BLS.

  • Oropharyngael Airway 00 x 2.
  • Oropharyngael Airway 0 x 2.
  • Oropharyngael Airway 1 x 2.
  • Oropharyngael Airway 2 x 2.
  • Oropharyngael Airway 3 x 2.
  • Oropharyngael Airway 4 x 2.
  • Elastoplasts Roll 75mm x 1.
  • Triangular Bandage x 2.
  • Conforming Bandages 50mm x 6.
  • Conforming Bandages 100mm x 6.
  • Conforming Bandages 150mm x 6.
  • Crepe Bandages 50mm x 6.
  • Crepe Bandages 100mm x 6.
  • Crepe Bandages 150mm x 6.
  • Gauze x 1 pkt (100) 10mm x 10mm.
  • Trauma Pad 100mm 200mm x 6.
  • Blood Lancets x 10.
  • Blood Glucose Testing Strips x 1 Bottle.
  • Mucous Extractor x 2 .
  • Cord Clamps x 4.
  • Scalpel Blade x 2.
  • Sanitary Towels x 4.
  • Oral Glucose x 2 Sachets.

A L S:

  • Administration Set 15 dropper x 2.
  • Administration Set 60 dropper x 2.
  • Alcohol Swabs x 10.
  • Colloid x 2 units.
  • E.T. Tube Size 2.0mm cuffed x 1.
  • E.T. Tube Size 2.0mm cuffed x 1.
  • E.T. Tube Size 2.5mm cuffed x 1.
  • E.T. Tube Size 3.0mm cuffed x 1.
  • 32. E.T. Tube Size 3.5mm cuffed x 1.
  • E.T. Tube size 4.0mm cuffed x 1.
  • E.T. Tube Size 4.0mm cuffed x 1.
  • E.T. Tube Size 4.5mm cuffed x 1.
  • E.T. Tube Size 5.0mm cuffed x 1.
  • E.T. Tube Size 6.0mm cuffed x 2.
  • E.T. Tube Size 7.0mm cuffed x 2.
  • E.T. Tube Size 8.0mm cuffed x 2.
  • E.T. Tube Size 9.0mm cuffed x 2.
  • Electrodes Adult x 21.
  • Electrodes Child x 21.
  • Hypodermic Needles Green x 10.
  • Hypodermic Needles Orange x 10.
  • I.V. Cannular 12g.
  • I.V. Cannular 14g.
  • I.V. Cannular 16g.
  • I.V. Cannular 18g.
  • I.V. Cannular 20g.
  • I.V. Cannular 22g.
  • I.V. Cannular 24g.
  • NACL 200ml x 2.
  • Ringers Lactate 1000ml x 2.
  • Nasogastric Tube Adult.
  • Nasogastric Tube Paed x 2.
  • Nebulisation Set Adult x 2.
  • Nebulisation Set Adult x 2.
  • Syringe 1ml x 4.
  • Syringe 2ml x 6.
  • Syringe 5ml x 4.
  • Syringe 20ml x 4.
  • Urine Catheter Adult x 2.
  • Urine Bag x 2.

DRUGS REQUIRED:

  • Adenosine 6mg/2ml x 6.
  • Adrenalin 1:00 1ml x 30.
  • Atropine 1mg x 10.
  • Atrovent UDV x 6.
  • Betrotec UDV X 6.
  • Calcium Gluconate 10% 10ml x 2.
  • Dextrose 50% 20ml x 4.
  • Aspirin 300mg x 10.
  • Dormicn 15mg x 3.
  • Oral Glucose x 4.
  • Ipradol 25ug/10ml.
  • Frudisemide 20mg x 10.
  • Lignocaine 10% 500mg/5ml x 2 or Lignocaine 2% 100mg/5ml x 10.
  • Lignocaine Spray.
  • Maxolon x 5.
  • Morphine Sulphate 15mg x 5.
  • Nitro Lingual Spray x 1.
  • Sodium Bicarbonate 8.5% 20ml x 4.
  • Solucortef 100mg x 4.
  • Sterile Water 10ml x 4.
  • Tramadol 100mg x 5.
  • Diazepam 10mg x 4.
  • Salbutamol Aerosol x 1.
  • Salbutamol UDV x 10.