EMERGENCY MEDICAL SERVICE

(EMT‑A, EMT‑P, INTENSIVE CARE)

 

  EQUIPMENT:

     STANDARD SET BY

OHIO DEPARTMENT OF HEALTH

 

 

MOTORIZED EQUIPMENT

 

Class Entered ______________________ Department Name____________________ Make_________________ Year ________ Entry Number________________________

 

Lights and Warning Devices                                      Engine Compartment

 

Head lights                              ____    2                      Fuel delivery system   ____    2

Tail lights                                ____    2                       Excessive lubrication/leaks ____4

Turn signal                              ____    2                      Exhaust system             ____    4

Horn                                        ____    2                      Belts                           ____    4

Brake lights                             ____    2                      Hoses                          ____    4

Marker lights                           ____    2                      Wiring                          ____    4

Backup lights                          ____    2                      Firewall                         ____    4

Compt lights                           ____    2         Batteries and compartment        ______ 4

Spotlights                                ____    2

Emergency lights                     ____    4                      Exterior Condition

Siren                                        ____    4                                 

Paint condition               ____    6

Cab and Interior Condition                                        Running boards condition    ____    6

Glass condition               ____    4

Seats                                        ____    2                      Rust                               ____    4

Seat belts                                 ____    2

Cleanliness                              ____    4                      Underside

Dash/top and bottom              ____    2

Wiring                                     ____    4                      Wheel wells                   ____    4

Mounting of equipment          ____    4                      Under carriage                 ____    4

Reference material                  ____    4                      Rust                                ____    4

Condition overall                    ____    8                      Excessive lubrication/leaks____    6

 

Compartments                                                             Tires

 

Condition of equipment          ____    8                      Front match                             ____    2

Mounting/placement               ____    8                      Rear match                              ____    2

Latches and hinges                 ____    4                      Condition of rubber                ____    4

Cleanliness                              ____    8

 

 

Patient Care Area

 

1. Overall Cleanliness

a) Floor Area                                                              ____    5

b) Walls                                                                       ____    5

c) Doors                                                                       ____    5

d) Cot                                                                          ____    5

e) Compartments and Equipment Condition                  ____    20

 

2. Cot Fasteners and Condition                                              ____    5

3. Interior Condition                                                                ____    5

4.  Oxygen System                                                                  ____    5

5.  Suction Aspiration                                                             ____    5

6.  Patient Area Lighting                                                          ____    5

7.  Medical Supplies Properly Packed                                     ____    5

8.  First‑out Box                                                                      ____    5         

9. Switches Properly Marked                                                  ____    5

10. Air Conditioner                                                                 ____    5

11. Heating System                                                                  ____    5

12. Back Boards                                                                     ____    5

13. Squad Bench Condition                                                    ____    5

 

Tie Breaker

 

Operators Knowledge of and Location of Equipment           ____    10

 

Perfect Score:  ______________

 

Total Deductions  _____________

 

FINAL SCORE   _____________

 

Tie Breaker (if needed)___________

 

 

 

Updated Feb, 2000