1. A. Service requirements: An ambulance service shall meet the following requirements before it provides any advanced level treatments or procedures, including special skills:

   1. (1) If an ambulance service represents itself or labels its vehicles as a provider of service at any level above EMT basic, that advanced level of care and treatment shall be provided 24 hours a day, every day of the year, except in those unusual situations where there are overlapping calls, disasters, or similar unforeseen circumstances.
   2. (2) At least one trained and licensed advanced provider must respond to a call and accompany the patient in the patient compartment of the ambulance.

2. B. Additional supplies and equipment requirements: The following additional items are required for advanced level ambulance services:

   1. (1) one semi-automatic monitor-defibrillator for EMT intermediate or manual/semi automatic monitor - defibrillator for EMT paramedic, as specified in the EMS scopes of practice and local medical protocol; (note: these devices require specific training and medical director approval prior to use);
   2. (2) assorted arm boards in infant, child and adult sizes;
   3. (3) assorted intravenous catheters in sizes 14-24 gauge;
   4. (4) assorted macro-drip IV devices to infuse intravenous fluids into adults (15 drops per cc or better);
   5. (5) assorted micro-drip IV devices to manage IV administration to infants and children; thesemay be burettes, micro-drip tubing or in-line volume controllers;
   6. (6) two intra-osseous access devices;
   7. (7) one pediatric drug dosage chart or tape; this may include charts listing the drug dosages in milliliters or milligrams per kilogram, pre-calculated doses based on weight, or a tape that generates appropriate equipment sizes and drug doses based on the patient's height or weight;
   8. (8) assorted intravenous (IV) fluids that comply with the EMS scopes of practice; these fluids shall be stored within the manufacturers recommended temperature range at all times until use;
   9. (9) one laryngoscope with straight or curved blades in infant, child and adult sizes; spare bulbs and batteries shall be readily available;
   10. (10) two adult stylets for endotracheal tubes; if service has special skill approval for pediatric (under age 12) intubation, two pediatric stylets must be in stock;
   11. (11) one each pediatric and adult magill forceps;
   12. (12) assorted endotracheal tubes in sizes: uncuffed 2.5-6.0 if service has special skill approval for pediatric (under age 12) intubation and cuffed 6.0-8.0;
   13. (13) assorted medications and resuscitation medications that are allowed in the EMS scopes of practice and local medical protocol; these medications shall be stored within the manufacturer's recommended temperature range at all times;
   14. (14) adult and pediatric sized supraglottic/laryngeal airways, and multi-lumen airways as approved by the service’s medical director.

[18.3.14.18 NMAC - Rp, 18.3.14.19 NMAC, 7/1/2024]