LTC 327-2017 Fire Department Recives perfect score on State of Florida Department of Health Emergency Medical Services inspectionMIAMI BEACH
OFFICE OF THE CITY MANAGER
NO. LTC #
327-2017
LETTER TO COMMISSION
TO: Mayor Philip Levine and Members oi the City Com ssion
FROM: Jimmy L. Morales, City Manager
DATE: June 22, 2017
SUBJECT: Fire Department receives perfect sco eon State of Florida Department of
Health Emergency Medical Services inspection
The purpose of this Letter to Commission (LTC) is to update you of the Fire
Department's most recent results of their Florida Department of Health Emergency
Medical Services (EMS) inspection.
On June 21, 2017, the Florida Department of Health conducted their bi-annual
inspection and as indicated in the attached inspection report, our Fire Department
received zero deficiencies in all areas and as a result a "perfect score." These results
reflect the highest level of compliance and readiness in delivering emergency medical
services to our community.
The Fire Department delivers emergency medical services as part of its service delivery
model and holds an Advanced Life Support Service License in compliance with Florida
Administrative Code 64J. Periodic inspections conducted by the Florida Department of
Health are a requirement of Florida Statute 401.31 and are performed at minimum every
two years and at random. These inspections ensure compliance with State regulations
and test crew knowledge of equipment and medical protocols. They evaluate the
effectiveness of the Fire Department's quality assurance program, adherence to federal
and state regulations regarding the storage and dispensing of controlled substances,
and standing orders for medical treatment. They inspect the administrative EMS
personnel files to ensure adequate medical training is taking place and individual
certifications are valid. Also, emergency response vehicles are inspected to ensure they
meet regulated safety standards and all emergency equipment is in good working order.
I would like to thank Division Chief of Rescue Frank Betancourt, Captain Michael
Alvarez, and EMS Coordinator Salvatore Frosceno for their leadership and especially
thank the dedicated men and women of our Fire Department who strive and deliver
excellence in all areas.
Should you have any questions, please contact Fire Chief Virgil Fernandez.
Thank you.
JM/VF/YS-G
STATE OF FLORIDA
DEPARTMENT OF HEALTH • EMERGENCY MEDICAL SERVICES r a
Inspection Narrative (Section 401.31, F.S.) HEALTH
Service Name: Miami Beach Fire Rescue Date: June 21, 2017 Phone: 305-673-7130 X 2850
County: Miami Dade
Type of Inspection: Announced
Type of Service: ALS Unit(s) #: Rescue 2, Engine 4
Page 1_ of 1_
Comments (Use additional sheet if necessary)
Personnel Records Inspection---- No deficiencies
Service Records and Facilities Inspection---- No deficiencies
BLS Vehicle Inspection---- Rescue 2 No deficiencies; Engine 4 No deficiencies
ALS Vehicle Inspection---- Rescue 3 No deficiencies; Engine 4 No deficiencies
Well organized Personal Records, Outstanding Service Records, Rescue 2 and Engine 4 were both were clean
and well stocked. Crew members were polite, professional, and very familiar with their supplies and equipment.
Chief Frank Betancourt and EMS Coordinator, Sal Forsceno thank you and your staff for your help and
Cooperation during the inspection. Thank you for your continued service to the citizens and visitors of
Miami Beach.
If there is anything the Department can do to assist you in the future please, feel free to call anytime.
Compliance Officer: Rickey Stone
STATE OF FLORIDA
DEPARTMENT OF HEALTH
t EMERGENCY MEDICAL SERVICES
SERVICE RECORDS AND FACILITIES INSPECTION REPORT SECTION 401.31, F.S.
Service Name: Miami Beach Fire Rescue
Inspection Date: June 21, 2017
County: Miami Dade Type of Inspection: Announced F&IM
HALTM
License Type: ALS Transport Date of Last Inspection: 4/14/2015 License Expiration Date: 4/4/2019
Inspection Codes:
Rating Categories:
I = Item meets inspection criteria.
1 = Lifesaving equipment, medical supplies, drugs, records or procedures
1 a = Item corrected during inspection to meet criteria.
2 = Intermediate support equipment, medical supplies, drugs, records or procedures
2 = Items not in compliance With inspection criteria.
3 = Minimal support equipment, medical supplies, records or procedures
1, ADMINISTRATIVE AND RECORDS STORAGE (Chapter 64,1-1, F.A.C.)
1. Records storage and security.
1
2. Records storage for 5 years.
1 4. Items are stored in a climate controlled (i.e. - heated and air conditioned) location.
1
11. RECORDS (Section 401, F.S., Chapter 64J-1, F.A.C)
5. The area is clean and sanitary.
1
1. Current service license on display. (Chapter 64J-1, F.A.C)
1 B. Observe ifthe following requirements for controlled substances are being met:
2. Vehicle/Aircraft Records (Chapter 64J-1, F.A.C.) To Include:
1. The requirements listed in items 1-5 above are being met.
7
A. Registration.
1 2. Medical director has registered storage areas with DEA (Chapter 64J-1, F.A.C.)
1
B. Verification ofvehicle permit.
I C. Written operating procedures for the storage and handling of fluids and medications specify the
following:
3. Previous Inspection Forms, (Chapter 64J-1, F.A.C.)
1 1. Security procedures.
1
4. Personnel Records for each EMT, paramedic (Chapter 6EJ-1, F.A.C.)
2. Items stored in a climate controlled location (i.e. - Heated and air conditioned)
I
To Include:
A. Date of employment.
1 3. Deteriorated or expired items stored in a quarantine area, separate from usable items.
1
B. Record oftraining.
1 4. Inventory procedures.
1
C. Current professional certification.
I D. Written operating procedures for the storage and handling of controlled substances specify the
following:
D. Documentation of completion of the 1988 D.O.T. Air Medical Crew
1. Storage procedures.
National Standard Curriculum -Advanced, for Paramedic Crew members
N/A
1
(Chapter 64,14, F.A.C.)
5. Ambulance driver record (for each per Section 401.281(l), F.S.)
2. The positions that have access to controlled substances.
I
To include: Statements attesting to A.B.C.
A. 18 years old.
1 3. Shift change inventory procedures for vehicles.
1
B. Not addicted to alcohol or controlled substances.
4. Procedures to be used for the documentation of use, disposal of excess and resupply of
I
1
vehicles with controlled substances.
C. Free from physical or mental defect or disease that would impair
5. Procedures used for inventory discrepancies.
I
ability to drive.
1
D. Driving record verification.
1 F. Verify that the following occurs with regard in controlled substances:
E. Possess valid class "D" or chauffeur license.
1 1. Storage records are maintained on file at the location where he controlled substances are
1
stored.
F. Is trained in safe operation of emergency vehicle - 16 hours E.V.O.C.
1 2. All required inventories and records are maintained at least two years.
1
G. Possesses a valid American Red Cross First Aid and Personal
N/A 3. Records are maintained separately from other records.
I
Safety card or its equivalent.
H. Possesses a valid American Red Cross or American Heart1
8. Equipment substitutions when authorization by medical director (Chapter 64J-1, F.A.C.)
Association CPR or ACLS card.
1
NOTE: Current EMT or paramedic certification is evidence ofcompliance with
9. Biomedical Waste operating procedures (Section 381.80, F.S. and Chapters 64J-1, F.A.C.) to
items A, B, C and G above. Section 401.27 4 , F.S.)
include:
6. Medical Director (Section 64J-1, F.A.C.)
A. Proper handling
1
A. Qualifications: Current ACLS certification or board certification (Chapter
N/A B. Proper storage
I
64J-1, F.A.C.
B. Duties and responsibilities (Chapter 643-1, F.A.C.)
C. Proper disposal
I
1. Write/review operating procedures for patient care.
10. EMS provider's disaster plan integrates both local and regional disaster plan (Chapter 64J-1,
I
I
F.A.C.
2. Written quality assurance program operating procedures that require the
1 11. Adult and pediatric CID approval in writing by medical director (Chapter 64J-1, F.A.C.)
I
following:
a. Prompt review of run reports.
Ifan EMS provider maintains an air ambulance license or has permitted aircraft, the following
I
record requirements that apply Section 401.251 F.S. and Chapter 64J-1 F.A.C.
b. Direct observation of personnel.
A. Emergency protocol for overdue aircraft, when radio communications cannot be established,
N/A
I
or when aircraft cannot be located.
3. Documentation of implementation of#2 above.
I B. Rotary Wing air ambulances shall document every 15 minutes of the flight while enroute to
N/A
and frompatient's location. 64J-1.005(3)
4. Documented of participation in direct contract time with EMS Field Level
I C. Safety committee to include:
Providers for a minimum of 10 hours per year.
I. Membership of one pilot, on flight medical crew member, medical director, EQ
N/A
representative and one hospital administrator ifhos ital based).
7. Inventory, storage and security procedures for medications, fluids and controlled
2. Written safety procedures.
N/`*
substances (Sections 499, 893, F.S., and Chapters 64J-1, F.A.C.)
A. Observe if the following requirements for medications and fluids are being met:
3. Meetings held quarterly to review safety policies, procedures, unusual occurrences, safety
N/A
issues, and audit compliance with safety policies and procedures.
1. Storage area is secured by a locking mechanism.
1 4. Safety audit results communicated to all program personnel.
N/A
2. All items are inventoried at least monthly.
1 5. Minutes of meetings recorded and retained on file for 2 years.
N/A
3. Deteriorated or expired items are stored in a quarantine area, separate from
I
usable items.
Comments:
Compliance Officer: Rickey Stone Agency participate: Chief Frank Betancourt,
EMS Coordinator, Sal Frosceno
STATE OF FLORIDA
DEPARTMENT OF HEALTH • EMERGENCY MEDICAL SERVICES
Personnel Records (Section 401.31, F.S.) F
EAITH
Service Name: Miami Beach Fire Rescue Inspection Date: June 21, 2017 Total Number of Personnel: 200 Number of Files Reviewed: 20
Inspector Name: Rickey Stone
Name of Personnel
Date of
Employment
Record of
Training
Yes/No
Para. Cert
Type and
Exp. Date
12/1/2016
ACLS
Cert. Type
and Exp.
Date
Driving
Record
Verified
Yes/No
Date
Valid D.L.
Yes/No Exp.
Date
EVOC Training
Yes/No Date
Alcohol
Or Drug
Yes/No
Statement for Driver Only
Phys. or 18 First Aid or
Mental YOA Personal Safety
Yes/No Yes/No Card Yes/No
Exp. Date
1.
Edward Ryan
10/18/1993
YES
13880
1/2018
N/A
6/1/2020
7/6/1994
YES
YES
YES
N/A
2.
Saavedra Michael
3/12/12
YES
517765
5/2019
N/A
11/30/2024
4/24/2012
YES
YES
YES
N/A
3.
Sanchez Roland
9/7/1999
YES
14805
10/2017
N/A
10/4/2017
10/19/99
YES
YES
YES
N/A
4.
SamperThomas
3/5/90
YES
16448
1/2018
N/A
12/7/2025
4/1/1991
YES
YES
YES
N/A
5,
Sanchez Raul
12/6/02
YES
206191
10/2018
N/A
10/18/2017
1/8/99
YES
YES
YES
N/A
6.
Sanchez, Emilio
1/23/2017
YES
5330004
2/19
N/A
2/8/2022
3/9/2017
YES
YES
YES
N/A
7.
Sanford Mazon
12/17/2007
YES
522631
9/17
N/A
9/16/17
1/8/08
YES
YES
YES
N/A
8.
Santis Johnathan
4/6/15
YES
515926
6/2017
N/A
4/15/19
5/19/2015
YES
YES
YES
N/A
9.
Santos Angel
10/24/05
YES
510399
3/19
N/A
6/30/19
12/13/05
YES
YES
YES
N/A
10.
Schaefer Kirs
12/17/07
YES
514944
4/1/08
N/A
4/2/18
10/122008
YES
YES
YES
N/A
11.
Schwartz Mark
9/3/02
YES
509748
3/19
N/A
12/7/22
10/8/02
YES
YES
YES
N/A
12.
Seidner Casey
2/22/11
YES
519799
8/17
N/A
1/13/22
10/17/07
YES
YES
YES
N/A
13.
Sica Michael
2/6/06
YES
513566
8/18
N/A
3/21/20
4/24/12
YES
YES
YES
N/A
14.
Smith Michael
1/23/2017
YES
829117
2/19
N/A
6/18/22
3/9/17
YES
YES
YES
N/A
15.
Soards, Damian
10/24/05
YES
520636
8/18
N/A
11/27/20
4/4/04
YES
YES
YES
N/A
16.
Sola David
3/12/12
YES
517094
2/19
N/A
12/11/24
4/24/12
YES
YES
YES
N/A
17.
Sorger Steven
2/22/11
YES
520770
9/17
N/A
3/2/23
4/1/11
YES
YES
YES
N/A
18.
Speers Kern
9/3/13
YES
527927
4/19
N/A
11/2/19
10/15/13
YES
YES
YES
N/A
19.
Stephens Kennedy
2/22/10
YES
516697
3/19
N/A
4/20/21
4/6/10
YES
YES
YES
N/A
20.
Virgilio Fernandez
2/24/14
YES
6454
6/18
N/A
1/28/18
6/10/15
YES
YES
YES
N/A
21.
YES
N/A
YES
YES
YES
N/A
22.
YES
N/A
YES
YES
YES
N/A
STATE OF FLORIDA
DEPARTMENT
OF HEALTH
• EMERGENCY MEDICAL SERVICES
NON-TRANSPORT BASIC LIFE SUPPORT VEHICLE INSPECTION REPORT (SECTION 401.31, F.S.)
Service Name: Miami Beach Fire Rescue
Inspection Date: June 22, 2017
County: Miami Dade
Type of Inspection:
Announced
Unit# Engine
Year/Make: 2011 Pierce Permit# 17331
Vehicle Information: 2376
Tag# XC9140
Inspection Codes:
Rating Categories:
1 = Item meets inspection criteria.
1 =Lifesaving equipment, medical supplies, drugs, records or procedures
I a = Item corrected during inspection to meet criteria.
2 = Intermediate support equipment, medical supplies, drugs, records or procedures
2 = Items not in compliance with inspection criteria
3 = Minimal support equipment, medical supplies, records or procedures
ame MT/PARA/DRIVERRTIFICATENUMBER
Crewcredentials: Section 401.27(1)
1 Jason Bugay PMD
nd 401.281, F.S. EEMick
[30055
Sicu PMD 66
inimum = One EMT and One Driver
Michael Smith PMD 9117
1. VEHICLE REQUIREMENTS (Sections 316 and 401, F.S., Chapter 64J-1, F.A.C. and
. Roller gauze
I
-A-1822
1. Exhaust System
--1
. ABD (minimum 5x9 inch) pads
1
2. Exterior Lights:
1
. One pair of Bandage Shears
1
A- Head lights (high and low beam)
1
. One set each, patient restraints -wrist and ankle
1
B. Tum signals
1
. One each blood pressure cuffs: infant, pediatric, and adult.
1
C. Brake Lights
1
. One stethoscope: pediatric and adult
1
D. Tail Lights
t
. Blankets
n/n
E. Back-up lights and audible warning device
1
. Sheets. (not required on non-transport vehicles)
n/a
3. Horn
I
. Pillows with waterproof covers and pillowcases or disposable single use pillows. (Not required on non-
I
ars ort vehicles.
4. Windshield wipers
9. One disposable blanket or patient rain cover.
I
5. Tires
1
10. One long spine board and three straps or equivalent.
1
6. Vehicle free of rust and dents
1
11. One short spine board and two straps or equivalent.
1
7. Two-way radio communication -radio test
12. One each adult and pediatric cervical immobilization device (CID), approved by the medical director
1
f the service. This approval must be in writing and made available by the provider for the department to
eview.
1
A. Hospital (cab and patient compartment)
1
13. Set of padding for lateral lower spine immobilization of pediatric patients or equivalent
1
B. Dispatch Center
I
4. Two portable oxygen tanks, "D" or "E" cylinders, with one regulator and gauge. Each tank must have
I
minimum ressure of 1000 si.
C. Other EMS units
1
15. Each transparent oxygen masks; adult, child and infant sizes, with tubing
1
8. Emergency Lights
1
16. Set of pediatric and adult nasal cannulae with tubing.
1
9. Siren
7. One each hand operated bag-valve mask resuscitators, adult and pediatric accumulator, including
I
I
adult, child and infant transparent masks capable of use with supplemental oxygen.
10. Two ABC fire extinguishers fully charged and inspected in brackets. Minimum
I
8. One portable suction, electric or gas powered, with wide bore tubing and tips, which meet the
I
lbs each.
inimum standards as published by the GSA in KKK-A-1822 specifications.
11. Doors open properly, close securely.
1
'.9. Assorted sizes of extremity immobilization devices.
1
12. Rear and side view mirrors.
1
0. One lower extremity traction splint. (Pediatric and Adult)
1
13. Windows and windshield
I. One sterile obstetrical kit to include, at minimum, bulb syringe, sterile scissors or scalpel and cord
I
1
Lmsorcord -ties .
. TRANSPORT VEHICLE REQUIREMENTS (Section 401, F.S., and Chapter 64J-1, N/A
2. Bum sheets.
I
F.A.C. and IUCK-A-1822).
1. Primary stretcher and three straps.
N/A
3. One flashlight with batteries.
1
2. Auxiliary stretcher and two straps.
N/A -
Z4. Occlusive dressings.
1
3. Two ceiling mounted IV holders.
N/A
25. Assorted sizes of oropharyngeal airways. Pediatric and Adult
1
4. Two no-smoking signs.
Z6. One installed oxygen with regulator gauge and wrench, minimum "M" size cylinder. (Other installed
N/A
xygen delivery systems, such as liquid oxygen, as allowed by medical director. This approval must be in
n/a
�iting and available to the department for review.
5. Overhead grab rail.
N/A;
_ 7. Sufficient quantity of gloves - suitable to provide barrier protection from biohazards for all crew
6. Squad bench and three sets of seat belts.
N/A
embers.
1
_
7. Interior lights.
N/A
8. Sufficient quantity of each for all crewmembers - Face Masks - both surgical and respiratory
8. Exterior floodlights.
N/,4
rotective.
1
9. Loading lights.
N/A
10. Heat and air conditioning with fan.
-
N/A
- 9. Assorted pediatric and adult sizes rigid cervical collars as approved in writing by the medical director
1
_ d available for review by the department.
11. Word= `Ambulance" - sides, back and mirror image front.
N/A
0. Nasopharyngeal airways, French or mm equivalents (infant, pediatric, and adult
1
. MEDICAL EQUIPMENT FOR TESTING (Chapter 64J-1, F.A.C., and KKK-A-1822
3 1. One approved biohazardous waste plastic bag or impervious container per Chapter 64J-1, F.A.C.
I
1. Installed suction. (Transport only)
N/A
Items 14, 18 and 26 in section IV must be tested.
N/A
32. One per crewmember, safety goggles or equivalent meeting A.N. 5.1287.1 standard.
1
. MEDICAL SUPPLIES AND EQUIPMENT (Chapter 64J-1, F.A.C., GSA KKK-A-
33. One bulb syringe separate from obstetrical kit.
n/a
1822
1. Bandaging, dressing and taping supplies:
1
34. One thermal absorbent reflective blanket.
1
. Rolls adhesive, silk or plastic tape.
1
5. Two multi-trauma dressings.
1
. Sterile gauze pads, any size
1
6. Pediatric length based measurement device for equipment selection and drug dosage.
Triangular bandages
1
ENERAL SANITATION (Section 401.26(2)(e), F.S.
_
Vehicle and Contents %X Satisfactory ❑Unsatisfactory
Comments:
STATE OF FLORIDA
DEPARTMENT OF HEALTH • EMERGENCYMEDICAL SERVICES
ADVANCED LIFE SUPPORT VEHICLE INSPECTION REPORT SECTION 401.31 F.S.
Service Name: Miami Beach Fire Rescue Inspection Date: June 21, 2017 Unit No. Engine 4
Inspection Codes: Rating Categories:
1 = Item meets inspection criteria. I = Lifesaving equipment, medical supplies, drugs, records or procedures WWWj
Ia= Item corrected during inspection to meet criteria. 2 = Intermediate support equipment, medical supplies, drugs, records or procedures
2 = Items not in compliance with inspection criteria 3 =Minimal support equipment, medical supplies, records or procedures
ALS EQUIPMENT AND MEDICATIONS
(Reference Chapter 64J-1, F.A.C.)
MEDICATIONS
WT/VOL
QTY
MEDICAL EQUIPMENT Cont
1. Atropine Sulfate
n. Intraosseous needles 15 or 16 gauge and three way stop-
cocks. As allowed by medical director.
1
2. Dextrose, 50 percent
1
0. Syringes from 1 ml. To 20 ml.
1
3. Epinephrine HCL
1:1,000
p. DC battery powered portable monitor defibrillator capable of
1
delivering energy below 25 watts/sec with adult and pediatric
1
paddles (or pediatric paddle adapters) and EKG printout and
spare battery,
4. Epinephrine HCL
1: 10,000
1
q. Adult and pediatric monitoring electrodes.
1
5. Ventricular
1
r. Pacing electrodes, if monitor or defibrillator requires.
1
dysrhythmic
6. Benzodiazepine
s. Glucometer approved by the Medical Director
sedative/anticonvulsant
1
7. Naloxone (Narcan)
t. Approved sharps container per Chapter 64J-E, F.A.0
1
1
8. Nitroglycerin
0.4 mg
Spray or tablet
1
u. Flexible suction catheters
1
9. Inhalant beta
Nebulizer
v. Electronic waveform capnography capable of real-time
adrenergic agent
apparatus
monitoring and printing record of the intubated patient
approved by the
1
1
Medical
Director
w. Pediatric length based measurement tape for equipment
1
selection and drug dosage
IV SOLUTIONS MINIMUM AMOUNTS
MINIMUM QTY
1. Lactated Ringers or
In any combination
I
Other ALS Requirements Narcotics not carried on Engine
Normal Saline
Medical Equipment
1. Standing orders — authorized by current medical director within last 24 months
n/a
a. Laryngoscope handle with batteries
1
2. Controlled substances stored in a locked drug compartment.
n/a
b. Laryngoscope blades, adult, child and
1
3. Controlled substance written vehicle log:
n/a
infant sizes
c. Pediatric IV arm board or splint
1
A. Inventory conducted at beginning and end of shift.
n/a
appropriate for IV stabilization
d. Disposable endotracheal tubes; adult,
B. Log consecutively, permanently numbered pages.
child and infant sizes (Two each within the
ranges 2.5mm — S.Omm shall be uncuffed;
range 5. mm — 7.Omm; 7.5mm — 9.Omm
e. Pediatric and adult endotracheal tube
1
C. Log on each vehicle specifies:
/a
stylets.
f. Pediatric and adult Magill forceps.
1
1. Vehicle unit or number,
n/a
g. Device for intratracheal meconium
1
2. Name of employee conducting inventory;
n/a
suctioning in newborns
h. Tourniquets
1
3. Date and time of inventory;
n/a
i. IV cannulae between 14 and 24 gauge
1
4. Name, weight, volume or quantity and expiration date of each controlled
n/a
substance;
'. Micro drip sets
1
5. Run report no. (if administered);
n/a
k. Macro drip sets
1
6. Each amount administered or disposed;
n/a
I. IV pressure infuser
1
7. Printed name and signature of administering Paramedic or other authorized
n/a
licensed professional.
m. Needles between 18 and 25 gauge
1
8. Printed name and signature of person witnessing the disposal of each unused
n/a
ortion.
Comments:
Compliance Officer: Rickey Stone
Agency Officer: Captain Christian Guzman
STATE OF FLORIDA
DEPARTMENT OF HEALTH • EMERGENCY MEDICAL SERVICES
BASIC LIFE SUPPORT VEHICLE INSPECTION REPORT (SECTION 401.31, F.S.)
Service Name: Miami Beach Fire Rescue
Inspection Date: June 21, 2017
County: Miami Dade
Type of Inspection: Random Announced
Unit# Rescue 23 Year/Make: 2016 Freightliner Permit# 20291
Vehicle Information: 9925
Tag# XE 7732
Inspection Codes: Rating Categories:
1 = Item meets inspection criteria 1 =Lifesaving equipment, medical supplies, drugs, records or procedures
1 a = Item corrected during inspection to meet criteria. 2 = Intermediate support equipment, medical supplies, drugs, records or procedures
2 = Items not in compliance with inspection criteria 3 =Minimal support equipment, medical supplies, records or procedures
ame MT/PARA/DRIVER RTIFICATENUMBER
Crew credentials: Section 401.27(1)
1 Osualdo Tores MD 21355
And 401.281, F.S.
Tdalberto Santo Sardury MD 12319
Minimum =One EMT and One Driver
. Anthony Hernandez MD 524480
. VEHICLE REQUIREMENTS (Sections 316 and 401, F.S., Chapter 64J-1, F.A.C. and
d. Roller gauze
-A-1822
1
1. Exhaust System
1 . ABD (minimum 5x9 inch) pads
1
2. Exterior Lights:
1 2. One pair of Bandage Shears
1
A. Head lights (high and low beam)
1 3. One set each, patient restraints - wrist and ankle
1
B. Tum signals
1 One each blood pressure cuffs: infant, pediatric, and adult.
1
C. Brake Lights
1 . One stethoscope: pediatric and adult
1
D. Tail Lights
1 Blankets
1
E. Back-up lights and audible warning device
1 . Sheets. (not required on non -transport vehicles)
1
3. Horn
. Pillows with waterproof covers and pillowcases or disposable single use pillows. (Not required on non-
1
ars ort vehicles.)
1
4. Windshield wipers
1 . One disposable blanket or patient rain cover.
1
5. Tires
1 10. One long spine board and three straps or equivalent.
1
6. Vehicle free of rust and dents
I 11. One short spine board and two straps or equivalent.
1
7. Two-way radio communication - radio test
12. One each adult and pediatric cervical immobilization device (CID), approved by the medical director
1 Df the service. This approval must be in writing and made available by the provider for the department to
review.
1
A. Hospital (cab and patient compartment)
1 13. Set of padding for lateral lower spine immobilization of pediatric patients or equivalent.
1
B. Dispatch Center
14. Two portable oxygen tanks, "D" or "E" cylinders, with one regulator and gauge. Each tank must have
1a
minimum pressure of 1000 psi.
1
C. Other EMS units
1 15. Each transparent oxygen masks; adult, child and infant sizes, with tubing
1
8. Emergency Lights
1 16. Set of pediatric and adult nasal cannulae with tubing.
1
9. Siren
17. One each hand operated bag -valve mask resuscitators, adult and pediatric accumulator, including
1
adult, child and infant transparent masks capable of use with supplemental oxygen.
1
10. Two ABC fire extinguishers fully charged and inspected in brackets. Minimum
1 18. One portable suction, electric or gas powered, with wide bore tubing and tips, which meet the
1
lbs each.
minimum standards as published by the GSA in KKK -A-1822 specifications.
11. Doors open properly, close securely.
1 19. Assorted sizes of extremity immobilization devices.
1
12. Rear and side view mirrors.
20. One lower extremity traction splint. (Pediatric and Adult)
1
13. Windows and windshield
1. One sterile obstetrical kit to include, at minimum, bulb syringe, sterile scissors or scalpel and cord
1
clamps or cord -ties.
1
. TRANSPORT VEHICLE REQUIREMENTS (Section 401, F.S., and Chapter 64J-1,
22. Bum sheets.
1
F.A.C. and KKK -A-1822).
1. Primary stretcher and three straps.
1 3. One flashlight with batteries.
1
2. Auxiliary stretcher and two straps.
1 4. Occlusive dressings.
1
3. Two ceiling mounted N holders.
1 5. Assorted sizes of oropharyngeal airways. Pediatric and Adult
1
4. Two no -smoking signs.
6. One installed oxygen with regulator gauge and wrench, minimum "M" size cylinder. (Other installed
I xygen delivery systems, such as liquid oxygen, as allowed by medical director. This approval must be in
1
'tin and available to the department for review.
5. Overhead grab rail.
7. Sufficient quantity of gloves - suitable to provide barrier protection from biohazards for all crew
6. Squad bench and three sets of seat belts.
---I- embers
1
7. Interior lights.
- 8. Sufficient quantity of each for all crewmembers -Face Masks -both surgical and respiratory
8. Exterior floodlights.--
rotective.
1
9. Loading lights.
_:1. _
10. Heat and air conditioning with fan.
9. Assorted pediatric and adult sizes rigid cervical collars as approved in writing by the medical director
1
-I - d available for review by the department.
11. Word= `Ambulance" - sides, back and mirror image front.
z"0. Nasopharyngeal airways, French or mm equivalents (infant, pediatric, and adult
1
. MEDICAL EQUIPMENT FOR TESTING (Chapter 64J-1, F.A.C., and KKK -A-1822
1. One approved biohazardous waste plastic bag or impervious container per Chapter 60-1, F.A.C.
t
1. Installed suction. (Transport only)
Items 14, 18 and 26 in section N must be tested.
"1"'_' 2. One per crewmember, safety goggles or equivalent meeting A.N.S.LZ87.1 standard.
1
V. MEDICAL SUPPLIES AND EQUIPMENT (Chapter 64J-1, F.A.C., GSA KKK -A-
3 3. One bulb syringe separate from obstetrical kit.
1
822
I. Bandaging, dressing and taping supplies:
1 34. One thermal absorbent reflective blanket.
1
. Rolls adhesive, silk or plastic tape.
'-i- 5. Two multi-trauma dressings.
1
. Sterile gauze pads, any size
Pediatric length based measurement device for equipment selection and drug dosage.
1
. Triangular bandages
�T'[6.
NERAL SANITATION (Section 401.26(2)(e), F.S.
Vehicle and Contents X X Satisfactory ❑ Unsatisfactory
Comments: Rickey Stone
STATE OF FLORIDA
DEPARTMENT OF HEALTH • EMERGENCY MEDICAL SERVICES
ADVANCED LIFE SUPPORT VEHICLE INSPECTION REPORT SECTION 401.31 F.S.
Service Name: Miami Beach Fire Rescue Inspection Date: June 21, 2017 Unit No. Rescue 23
Inspection Codes: Razing Categories:
1 =Item meets inspection criteria. 1 =Lifesaving equipment, medical supplies, drugs, records or procedures
la = Item corrected during inspection to meet criteria 2 = Intermediate support equipment, medical supplies, drugs, records or procedures
2 = Items not in compliance with inspection criteria. 3 =Minimal support equipment, medical supplies, records or procedures
ALS EQUIPMENT AND MEDICATIONS
7
(Reference Chapter 64J-1, F.A.C.)
MEDICATIONS
WTNOL
QTY
MEDICAL EQUIPMENT Cont
1. Atropine Sulfate
1
n. Intraosseous needles 15 or 16 gauge and three way stop-
1
cocks. As allowed by medical director.
2. Dextrose, 50 percent
1
o. Syringes from 1 ml. To 20 ml.
1
3. Epinephrine HCL
1:1,000
p. DC battery powered portable monitor defibrillator capable of
1
delivering energy below 25 watts/sec with adult and pediatric
1
paddles (or pediatric paddle adapters) and EKG printout and
spare battery.
4. Epinephrine HCL
1: 10,000
1
q. Adult and pediatric monitoring electrodes.
1
5. Ventricular
1
r. Pacing electrodes, if monitor or defibrillator requires.
1
dysrhythmic
6. Benzodiazepine
s. Glucometer approved by the Medical Director
1
sedative/anticonvulsant
7. Naloxone (Narcan)
1
t. Approved sharps container per Chapter 64J-E, F.A.0
1
8. Nitroglycerin
0.4 mg
Spray or tablet
1
I u. Flexible suction catheters
1
9. Inhalant beta
Nebulizer
v. Electronic waveform capnography capable of real-time
adrenergic agent
apparatus
monitoring and printing record of the intubated patient
approved by the
1
1
Medical
Director
w. Pediatric length based measurement tape for equipment
1
selection and drug dosage
IV SOLUTIONS MINIMUM AMOUNTS
MINIMUM QTY
1. Lactated Ringers or
In any combination
1
Other ALS Requirements
Normal Saline
Medical Equipment
1. Standing orders — authorized by current medical director within last 24 months
1
a. Laryngoscope handle with batteries
1
2. Controlled substances stored in a locked drug compartment.
1
b. Laryngoscope blades, adult, child and
1
3. Controlled substance written vehicle log:
1
infant sizes
c. Pediatric IV arm board or splint
1
A. Inventory conducted at beginning and end of shift.
1
appropriate for IV stabilization
d. Disposable endotracheal tubes; adult,
B. Log consecutively, permanently numbered pages.
child and infant sizes (Two each within the
1
1
ranges 2.5mm — S.Omm shall be uncuffed;
range 5. mm — 7.Omm; 7.5mm — 9.Omm
e. Pediatric and adult endotracheal tube
1
C. Log on each vehicle specifies:
1
stylets.
f. Pediatric and adult Magill forceps.
1
1. Vehicle unit or number
1
g. Device for intratracheal meconium
1
2. Name of employee conducting inventory;
1
suctioning in newborns
h. Tourniquets
1
3. Date and time of inventory;
1
i. IV cannulae between 14 and 24 gauge
1
4. Name, weight, volume or quantity and expiration date of each controlled
1
substance;
'. Micro drip sets
1
5. Run report no. (if administered);
1
k. Macro drip sets
1
6. Each amount administered or disposed;
1
1. IV pressure infuser
7. Printed name and signature of administering Paramedic or other authorized
1
1
licensed professional.
m. Needles between 18 and 25 gauge
1
8. Printed name and signature of person witnessing the disposal of each unused
1
portion.
Comments:
Compliance Officer: Rickey Stone
Agency Officer: Captain Christian Guzman