1988-089-RES WHEREAS, the City Council of the City of Paris has been requested to provide the emergency medical

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2S ~lS7.66. TEXAS DEPARTMENT OF HEALTH Pt! (I) (g) (4) specialized emergency medical services vchides. A permit is not tT3nsferable from one vehicle to another. A reserve vehicle which is not routinely used as an EMS vehicle shall apply for a permit uncler this section. The application shall include a request for a variance in ~157,72 of this title (relating to Reques\'fW. Variances from Minimum Standards), Source: The provisions of this ~tS7.66 adopted to be effective June S. 1984,9 TexReg 2823. Cross References: This section cited in 25 TAC ~157.75 (relating to Specialized Vehicle Requirements for a Permit). fiIS7.67. Basic Life Support Vehicle Requirements for a Pennit. (a) Staffing requirements. The requirements for staffing a BI.S vehicle, when in service. shall be: (I) from January I, 1984, through December 31.1984, with at least two individuals, one of whom shall be trained to the emergency care allendantlevel and the other shal be the vehicle driver; and (2) on and after January I. 1985, with at least two emergency care attendants. (b) Provision of advanced care. Advance life support level of care may be provided on a BLS vehicle when the vehicle: (I) is staffed by an SS-EMT or P-EMT acting under medical supervision; and (2) has proper advanced life support equipment. (c) Vehicle type specifications. (I) Vehicles shall have: (A) 40 inches of head room in the patient compartment; (B) air conditioning and heating in proper working order in the patient compartment; and (C) a multilevel stretcher capable of being secured to the vehicle. (2) The patient compartment size should be 100 inches long by 62 inches wide without cabinets or 100 inches long by 48 inches wide with cabinets. (3) A vehicle holding permit prior to January I, 1984, issued under the authority of Texas Civil Statutes article 4590b, shall not be required to meet the vehicle type specifications of this subsection. Any vehicle applying for an initiaol permit shall meet the vehicle type specifications of this subsection. (d) Required equipment. The following BLS required equipment must be clean, in working order, and in sufficient quantity to provide safe transport for patients in the individual service areas: (I) one small, one medium, and one large size extrication cervical collar (soft foam rubber cervical collars are not acceptable); (2) one portable suction apparatus with wide tubing and suction tip (bulb syringe not acceptable); (3) one bag mask unit with ,adult and child sized masks which can be used with an external oxygen supply; (4) one infant bag mask unit which can be used with an external oxygen supply; (5) oropbartngeal airways (nonmetallic) in adult, child, and infant sizes; (6) one portable oxygen unit with adequate tubing and semi-open valveless, transparent masks in adult and child sizes; (7) two clean, padded bite sticks; (8) two multi-trauma dressings approximately to-inch by; 3D-inch in size; (9) a minimum of 5 dozen sterile gauze pads; (10) one dozen soft roller, adhering bandages; (11) one-half dozen sterile petroleum jelly impregnated gauze or suitable occlusive dressing; (12) four rolls of adhesive tape; (13) four sterile bum sheets; (14) one traction splint with all attachments suitable for an adult and child; or one adult and one child traction splint; (IS) padded board, cardboard. or aluminum splints as follows: (A) two at least IS inches long by at least three inches wide; (B) one at least 48 inches long by at least three inches wide; or (C) may be, but not limited to, any of the following types of splints: (i) inflatable splints; (ii) foam-type rapid splints; (iii) wire ladder splints; (iv) commercial fracture pack; (16) long and short spine board to include: (A) one long six-foot board or commercial device; and (B) one short spine board or commerical device; or (C) commerical device which serves the purpose of both as provided in subsection d( 16)(A) and (B); Revision Nos. 2. 3 & 4 350 Copyript C J9S6 StGt~ ofT~xtn and HiUll'l/onMJiOtl S)l#~"." Inc. EXHIBIT A