- Recommended medical PPE ensemble for ambulances – provide enough for 6 personnel per ambulance
- FASTeam Position statements
- Currently: We are eleven different organizations (ten squads plus the Department ) making independent decisions and purchases, as guided by protocol, hospital purchasing decisions, and some Department-level mandates; and we are trying to develop ways to standardize.
- By about 2037: (TBD)
- Forms & letters
- Tips / tricks / pitfalls to avoid
- King Airways: Always buy the LTS-D variant (The S stands for Suctionable.) Buy only from BoundTree. They have the exclusive agreement to sell the kits that are built by King itself, which has the most stringent (and supported) quality control in place.
- Medical supply vendors will probably give a volunteer rescue squad free shipping if you ask for it — but to keep this benefit, don’t place a lot of small orders.
- Purchasing arrangements
- Direct contracts
- Group Purchasing Organization memberships:
- SourceWell (for access to McKesson)
- State minimums checklists
- Local additional requirements
- Nasopharyngeal Airways (NPAs)
- The only approved NPAs for our system are the Curaplex 2021-146* series:
- An excellent NPA and OPA organizer bag is available here:
- About the old Oxy-PEEPs
- You should not remove any of the older Oxy-PEEP devices from the ambulances. The Oxy-PEEPs must stay on the ambulances *at least* long enough for all ALS providers to get trained up on the new devices.
- Even when everyone gets trained on the new devices, you may still stock the ambulances with Oxy-PEEPs until you run out. The Oxy-PEEPs are still perfectly good for patients who don’t need to be nebulized.
- From this point on, however, DO NOT order any more Oxy-PEEPs. We want to phase them out. No new providers will be trained to use Oxy-PEEPs.
- Part numbers
The only CPAP supplies you should be ordering from now on are:
This is a box of 5 whole systems.
Each system contains a Flow-Safe II EZ CPAP breathing circuits with a LARGE MASK
This is a box of 5 MEDIUM/SMALL MASKS only
This is a box of 5 Flow-Safe II EZ breathing circuits with NO MASK.
You can match these up with unused LARGE MASKS.
- The ratio to order
Most patients will need the LARGE MASK. A minority of patients will need the MEDIUM/SMALL MASK. We recommend you buy one box of part # 1057104 for every *two* boxes of part # 1057318.
- What NOT to order
CAUTION! When ordering a box of whole systems (part # 1057318), you must be careful to only order “Flow Safe II EZ” systems, exactly as written here. DO NOT order any of the following:
- Flow Safe (without the “II” or the “EZ”)
- Flow Safe II (without the “EZ”)
- Flow Safe II+ BiLevel (bi-level is NOT approved for our system)
- EZflow (this is just a nebulizer without the CPAP)
Remember: “Mercury Medical Flow Safe II EZ” is the only approved system.
- What to put on the ambulances
When we are completely phased in, you should carry a “2&1 kit” on each ambulance: Two of the whole systems (with large masks), and one medium/small mask on the side.
- Restock rules
If a Fire unit puts their Flow Safe II EZ CPAP on a patient, they *are* authorized to restock from the ambulance. They are just applying these devices earlier, but like now, all CPAP inventory will be kept by the volunteer rescue squads.
- How to place orders