TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER f: EMERGENCY SERVICES AND HIGHWAY SAFETY
PART 515 EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE
SECTION 515.825 ALTERNATE RESPONSE VEHICLE
Section 515.825 Alternate Response Vehicle
a) Ambulance Assistance Vehicles
Ambulance assistance vehicles are dispatched simultaneously with an ambulance and assist with patient care prior to the arrival of the ambulance. Ambulance assistance vehicles include fire engines, trucks, squad cars or chief's cars that contain the staff and equipment required by this Section. Ambulance assistance vehicles shall not function as assist vehicles if staff and equipment required by this Section are not available. The agency shall identify ambulance assistance vehicles as a program plan amendment outlining the type and level of response that is planned. The ambulance assistance vehicle shall not transport or be a primary response vehicle but a supplementary vehicle to support EMS services. The ambulance assistance vehicle shall be dispatched only if needed. Ambulance assistance vehicles shall be classified as either:
1) Advanced ambulance assistance vehicles shall be staffed with a minimum of one Paramedic, PHRN or physician and shall have all of the required equipment;
2) Intermediate ambulance assistance vehicles shall be staffed with a minimum of one EMT, EMT-I, A-EMT, Paramedic, PHRN or physician and shall have all of the required equipment;
3) Basic ambulance assistance vehicles shall be staffed with a minimum of one EMT, EMT-I, A-EMT, Paramedic, PHRN or physician and shall have all of the required equipment; or
4) First Responder assistance vehicles shall be staffed with a minimum of one EMR, EMT, EMT-I, A-EMT, Paramedic, PHRN or physician and shall have all of the required equipment.
b) Non-Transport Vehicles
Non-Transport Vehicles are dispatched prior to dispatch of a transporting ambulance and include ambulances and fire engines that contain the staff and equipment required by this Section. The vehicle service provider shall identify non-transport vehicles as a program plan amendment outlining the type and level of response that is planned. Non-transport vehicles shall be staffed 24 hours per day, every day of the year.
1) ALS Non-Transport Vehicles shall have a minimum of either one System authorized Paramedic or one PHRN and one additional System authorized A-EMT, EMT-I, EMT or physician, and shall have all of the required equipment.
2) ILS Non-Transport Vehicles shall have a minimum of either one System authorized A-EMT, EMT-I, Paramedic or PHRN and one additional System authorized EMT, A-EMT, EMT-I, Paramedic, PHRN or physician and shall have the required equipment.
3) BLS Non-Transport vehicles shall be staffed by one System authorized EMT, A-EMT, EMT-I, Paramedic or physician on all responses and shall have all of the required equipment.
c) Equipment Requirements
Each vehicle used as an alternate response vehicle shall meet the following equipment requirements, as determined by the Department by an inspection.
1) Functional portable oxygen cylinder, with a capacity of not less than 350 liters
2) Dial flowmeter/regulator for 15 liters per minute
3) Delivery tubes
4) Adult, child and infant masks
5) Adult squeeze bag and valve, with adult and child masks
6) Child squeeze bag and valve, with child, infant and newborn size masks
7) Airways, oropharyngeal − adult, child and infant (sizes 00-5)
8) Airways, nasopharyngeal with lubrication (sizes 12-30F)
9) Manually operated suction device
10) Triangular bandages or slings
11) Roller bandages, self-adhering (4" by 5 yds)
12) Trauma dressings
13) Sterile gauze pads (4" by 4")
14) Vaseline gauze (3" by 8")
15) Bandage shears
16) Adhesive tape rolls
18) Long backboard (if required by the EMS System protocols)
19) Cervical collars − adult, child and infant
20) Extremity splints − adult/child, long/short
21) Adult/child/infant blood pressure cuffs and gauge
23) Burn sheet, individually wrapped
24) Sterile saline or water solution (1,000ml), plastic bottles or bags
25) Obstetrical kit, sterile − minimum one, pre-packaged with instruments, bulb syringe and cord clamps
26) Thermal absorbent blanket and head cover, aluminum foil roll or appropriate heat reflective material – minimum one
27) Cold packs
28) EMS run reports
29) Nonporous disposable gloves
30) Personal protective equipment (PPE), including gowns, eye/nose/mouth protection or face shields
32) Equipment to allow reliable communications with hospital
33) ILS/ALS System-approved equipment
A) Drug box
B) Airway equipment, including laryngoscope and assorted blades
C) Monitor/defibrillator, equipped with pediatric size defibrillation pads or paddles
34) Opioid antagonist, including, but not limited to, Naloxone, with administration equipment appropriate for the licensed level of care
35) Automated external defibrillator (AED) that includes pediatric capabilities
e) Registration of Non-transport Provider Agencies
Each non-transport provider shall complete and submit to the Department either the EMS non-transport provider application or EMS non-transport application for an existing transport provider, available on the Department's website: http://dph.illinois.gov/topics-services/emergency-preparedness-response/ems/prov-vehLic.
f) Inspection of Non-transport EMS Providers
The Department will schedule initial inspections. Thereafter, non-transport ambulance assist providers shall perform annual self-inspections, using forms provided by the Department, and shall submit the form to the EMS System for submission to the Department upon completion of the inspection. The Department will perform inspections randomly or as the result of a complaint.
g) Issuance and Renewal of License
Upon payment of the appropriate fee, qualifying non-transport providers shall be issued a provider license that lists a number for each level of care approved. Licenses will not be issued for individual Non-Transport Vehicles. Providers shall inform the EMS System and the Department of any modifications to the application, using the System Modification forms (sys-mod). Licenses will be issued for one year and will be renewed upon completion of the self-inspection.
(Source: Amended at 42 Ill. Reg. 17632, effective September 20, 2018)