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RULE §157.13Fixed-wing Air Ambulance Operations

    (C) tape in various sizes.

  (8) container(s) and methods to collect, contain, and dispose of body fluids such as emesis, oral secretions, and blood consistent with OSHA bloodborne pathogen requirements;

  (9) urinal and bedpan with toilet tissue;

  (10) infection control equipment. The licensee shall have a sufficient quantity of the following supplies for all air medical personnel, each flight crew member, and all ground personnel with incidental exposure risks according to OSHA requirements which includes but is not limited to:

    (A) protective gloves;

    (B) protective gowns;

    (C) protective eyewear;

    (D) protective face masks, National Institute for Occupational Safety and Health (NIOSH) approved N95 or greater;

    (E) an approved bio-hazardous waste plastic bag or impervious container to receive and dispose of used supplies; and

    (F) handwashing capabilities or antiviral towelettes.

  (11) an adequate trash disposal system exclusive of bio-hazardous waste control provisions;

  (12) the following additional equipment in amounts and sizes specified by the medical director is required for an air ambulance provider to function at the advanced level:

    (A) advanced airway management equipment appropriate to the patient's needs;

    (B) sterile crystalloid solutions in plastic containers, IV catheters, and administration tubing sets;

    (C) hanger for IV solutions;

    (D) pressure bag;

    (E) tourniquets, tape, dressings;

    (F) container appropriate to contain used sharp devices, needles, scalpels which meets OSHA requirements;

    (G) a list signed by medical director defining quantities and types of drugs to be carried; and

    (H) any specialized equipment required in medical treatment protocols/standing orders.

  (13) cardiac monitor defibrillator-DC battery powered portable monitor/defibrillator with paper printout, accessories and supplies, with sufficient power supply to meet demands of the mission; and

  (14) survival kit which shall include, but not be limited to, the following items which are appropriate to the terrain and environments the provider operates over:

    (A) instruction manual;

    (B) water;

    (C) shelter-space blanket;

    (D) knife;

    (E) signaling devices;

    (F) compass; and

    (G) fire starting items.

(i) A system for security of medications, fluids, and controlled substances shall be maintained by each air ambulance licensee in compliance with local, state, and federal drug laws.

(j) The air ambulance provider shall own the following equipment or shall have a written lease agreement explaining the availability of the equipment for use when the patient's condition indicates the need:

  (1) external cardiac pacing device;

  (2) IV infusion pump capable of strict mechanical control of an IV infusion drip rate. Passive devices such as dial-a-flow are not acceptable; and

  (3) a mechanical ventilator that can deliver up to 100% oxygen concentration at pressures, rates and volumes appropriate for the size of the patient.

Source Note: The provisions of this §157.13 adopted to be effective September 1, 2000, 25 TexReg 3749; amended to be effective February 12, 2017, 42 TexReg 430

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