64J-1.002. Basic Life Support Service License - Ground

(1) To obtain a license or renewal each applicant shall submit an application to the department on DH Form 631, 04/09, Ground Ambulance Service Provider License Application. This form is incorporated by reference and is available from the department, as defined by subsection 64J-1.001(9), F.A.C., or at http://www.fl-ems.com.

(2) The department shall issue a license to any applicant who:

(a) Furnished evidence of insurance coverage for claims arising out of injury or death of persons and damage to the property of others resulting from any cause for which the owner of said business or service would be liable. Each motor vehicle shall be insured for the sum of at least $100,000 for injuries to or death of any one person arising out of any one accident; the sum of at least $300,000 for injuries to or death of more than one person in any one accident; and, for the sum of at least $50,000 for damage to property arising from any one accident. Government operated service vehicles shall be insured for the sum of at least $100,000 for any claim or judgment and the sum of $200,000 total for all claims or judgments arising out of the same occurrence. Every insurance policy or contract for such insurance shall provide for the payment and satisfaction of any financial judgment entered against the operator and present insured, or any person driving the insured vehicle. All such insurance policies shall provide for 30-day cancellation notice to the department.

(b) Obtained a Certificate of Public Convenience and Necessity (COPCN).

(3) Each BLS provider shall ensure and document in its employee records that each of its EMTs and paramedics hold a current certification from the department.

(4) Every provider, except those exempted in paragraph 64J-1.006(1)(a), F.A.C., shall ensure that each EMS vehicle permitted by the department, when available for call, shall be equipped and maintained as approved by the medical director of the service in the vehicle minimum equipment list. The vehicle minimum equipment list shall include, at a minimum, one each of the items listed in Table I and shall be provided to the department upon request.

TABLE I GROUND VEHICLE BLS MEDICAL EQUIPMENT AND SUPPLIES
ITEM	QTY.
1. Bandaging, dressing, and taping supplies:
a. Adhesive, silk, or plastic tape – assorted sizes.
b. Sterile 4 × 4 inch gauze pads.
c. Triangular bandages.
d. Roller gauze.
e. ABD (minimum 5 × 9 inch) pads.
2. Bandage shears.
3. Patient restraints, wrist and ankle.
4. Blood pressure cuffs: infant, pediatric,
and adult.
5. Stethoscopes: pediatric and adult.
6. Blankets.
7. Sheets (not required for non-transport
vehicle.)
8. Pillows with waterproof covers and
pillow cases or disposable single use
pillows (not required for non-transport
vehicle).
9. Disposable blanket or patient rain cover.
10. Long spine board and three straps or
equivalent.
11. Short spine board and two straps or
equivalent.
12. Adult and Pediatric cervical
immobilization devices (CID), approved by
the medical director of the service.
13. Padding for lateral lower spine
immobilization of pediatric patients or
equivalent.
14. Portable oxygen tanks, “D” or “E”
cylinders, with one regulator and gauge.
Each tank must have a minimum pressure
of 1000 psi, and liter flow at 15 liters per minute.
15. Transparent oxygen masks; adult,
child and infant sizes, with tubing.
16. Sets of pediatric and adult nasal
cannulae with tubing.
17. Hand operated bag-valve mask
resuscitators, adult and pediatric
accumulator, including adult, child and
infant transparent masks capable of use
with supplemental oxygen.
18. Portable suction, electric or gas
powered, with wide bore tubing and tips
which meet the minimum standards as
published by the GSA in KKK-A 1822E
specifications.
19. Extremity immobilization devices. Pediatric and Adult.
20. Lower extremity traction splint. Pediatric and Adult.
21. Sterile obstetrical kit to include, at
minimum, bulb syringe, sterile scissors or
scalpel, and cord clamps or cord-ties.
22. Burn sheets.
23. Flashlight with batteries.
24. Occlusive dressings.
25. Oropharyngeal airways. Pediatric and Adult.
26. Installed oxygen with regulator gauge
and wrench, minimum “M” size cylinder
(minimum 500 PSI) with oxygen
flowmeter to include a 151pm setting,
(not required for non-transport vehicles.)
(Other installed oxygen delivery systems,
such as liquid oxygen, as allowed by medical
director.)
27. Gloves – suitable to provide barrier	Sufficient quantity, sizes, and material for
protection for biohazards.	all crew members.
28. Face Masks – both surgical and	Sufficient quantity, sizes and material
respiratory protective.	for all crew members.
29. Rigid cervical collars as approved in
writing by the medical director and
available for review by the department.
30. Nasopharyngeal airways, pediatric and
adult.
31. Approved biohazardous waste plastic
bag or impervious container per Chapter
64E-16, F.A.C.
32. Safety goggles or equivalent meeting	One per crew member.
A.N.S.I. Z87.1 standard.
33. Bulb syringe separate from obstetrical
kit.
34. Thermal absorbent reflective blanket.
35. Multitrauma dressings.
36. Pediatric length based measurement
device for equipment selection and drug
dosage.

Rulemaking Authority 381.0011, 395.405, 401.121, 401.25, 401.35 FS. Law Implemented 381.0011, 395.401, 395.4015, 395.402, 395.4025, 395.403, 395.404, 395.4045, 401.23, 401.24, 401.25, 401.252, 401.26, 401.27, 401.281, 401.30, 401.31, 401.321, 401.34, 401.35, 401.41, 401.411, 401.414, 401.421 FS. History–New 11-29-82, Amended 4-26-84, 3-11-85, Formerly 10D-66.49, Amended 4-12-88, 8-3-88, 12-10-92, 10-2-94, 1-26-97, Formerly 10D-66.049, Amended 8-4-98, 1-3-99, 11-19-01, 12-18-06, Formerly 64E-2.002, Amended 9-2-09.