Ordin 1092 1500 2006

ORDIN Nr.
1092/1500 din 7 septembrie 2006

privind stabilirea competenelor i atribuiilor echipajelor publice de intervenie de diferite niveluri n faza
prespitaliceasc
EMITENT:
MINISTERUL SNTII PUBLICE
Nr. 1.092 din 7 septembrie 2006
MINISTERUL ADMINISTRAIEI I INTERNELOR
Nr. 1.500 din 13 noiembrie 2006
PUBLICAT N: MONITORUL OFICIAL NR. 982 din 8 decembrie 2006
Avnd n vedere prevederile art. 98 alin. (3) i ale art. 101 alin. (7) din Legea nr. 95/2006 privind
reforma n domeniul sntii, cu modificrile i completrile ulterioare,
n temeiul prevederilor Hotrrii Guvernului nr. 862/2006 privind organizarea i funcionarea
Ministerului Sntii Publice i ale Ordonanei de urgen a Guvernului nr. 63/2003 privind organizarea
i funcionarea Ministerului Administraiei i Internelor, aprobat cu modificri i completri prin Legea
nr. 604/2003, cu modificrile i completrile ulterioare,
ministrul sntii publice i ministrul administraiei i internelor emit urmtorul ordin:
ART. 1
Echipajele publice de intervenie sunt clasificate dup competenele membrilor echipajului sau, dup
caz, ale efului echipajului.
ART. 2
n vederea obinerii autorizaiei de funcionare a serviciilor de urgen prespitaliceti de la autoritatea
de sntate public, directorul medical al serviciului de ambulan sau medicul ef al unui serviciu mobil
de urgen, reanimare i descarcerare (SMURD) va nainta actele solicitate, care vor include i o list cu
personalul, echipajele i clasificarea acestora n conformitate cu prevederile prezentului ordin.
ART. 3
Obinerea autorizaiei de funcionare pe baza clasificrii iniiale a competenelor nu mpiedic
reclasificarea unor echipaje sau persoane de la un nivel superior la un nivel inferior, pn la urmtoarea
autorizaie de funcionare sau pn la rezolvarea problemei care a dus la reclasificare, de acest lucru
rspunznd directorul medical al serviciului de ambulan sau medicul ef al SMURD.
ART. 4
Reclasificarea unui echipaj sau a unei persoane la un nivel superior celui autorizat iniial necesit
obinerea aprobrii autoritii de sntate public ce a emis autorizaia, pe baza unei cereri la care sunt
anexate documentele necesare i a unei vizite de evaluare la faa locului, dac se consider necesar.
ART. 5
Echipajele publice de intervenie sunt clasificate dup competenele efului echipajului, respectiv dac
sunt conduse de un medic sau un asistent medical, membrii echipajului putnd avea diferite nivele de
competen.
ART. 6
Competenele stabilite pentru un echipaj sunt respectate de toi membrii echipajului respectiv, dac au
acelai nivel de competen, responsabilitatea respectrii regulamentului revenind efului/comandantului
de echipaj desemnat, n subordinea cruia se afl restul membrilor echipajului.
ART. 7
Competenele stabilite pentru un echipaj cu diferite nivele de competen sunt respectate de eful
echipajului, restul membrilor echipajului fiind subordonai acestuia, participnd la ngrijirea i transportul
pacientului, administrnd medicamentele i efectund manevrele de asisten medical de urgen
mpreun cu i sub directa coordonare i supraveghere a efului echipajului care deine competena cea
mai mare.
ART. 8
Depirea neautorizat a competenelor de ctre membrii unui echipaj cu competene egale sau de ctre
eful unui echipaj cu competene de diferite nivele va duce la aplicarea unor sanciuni administrative,
civile ori penale persoanei sau, dup caz, persoanelor vinovate.
ART. 9
Directorul medical al unui serviciu de ambulan sau medicul ef al unui SMURD monitorizeaz modul
de lucru al echipajelor, avnd responsabilitatea stabilirii situaiilor n care s-a depit competena unui
echipaj, prin autosesizare sau la sesizarea unor tere pri, cum ar fi medicii de la unitile de primire a
urgenelor.
ART. 10
Medicii din cadrul unitilor i compartimentelor de primire a urgenelor sau din alte secii ale spitalelor
sau clinicilor la care sunt transportai pacienii au obligaia, prin medicul ef al unitii, compartimentului
sau seciei, de a sesiza, n scris, directorul medical al serviciului de ambulan sau medicul ef al unui
SMURD asupra situaiilor n care pacientul este adus n condiii incorecte, fr aplicarea msurilor de
prim ajutor calificat ori de asisten medical de urgen, precum i asupra situaiilor n care un echipaj a
depit competenele sau a aplicat un tratament duntor pacientului.
ART. 11
n cazul primirii sesizrilor n privina unor abateri de la prevederile prezentului ordin, directorul
medical al serviciului de ambulan sau medicul ef al unui SMURD care a primit sesizarea are obligaia
de a investiga cazul i de a rspunde, n termen de cel mult 15 zile lucrtoare de la primirea sesizrii, n
scris, medicului ef al unitii care semneaz sesizarea, prezentnd rezultatele investigaiei i msurile
luate.
ART. 12
Depirea competenelor poate fi autorizat pentru un caz individual de un medic care deine
competenele respective, dac situaia o impune, cu condiia justificrii deciziei i atarii unui raport n
acest sens la fia de intervenie a echipajului respectiv sau a trecerii datelor necesare direct n fia de
intervenie a cazului respectiv de ctre medicul care a autorizat aciunea.
ART. 13
(1) Echipajele clasificate la un anumit nivel au obligaia i responsabilitatea s aplice competenele
prevzute pentru nivelul respectiv dac situaia o impune.
(2) Echipajele care nu pot asigura asistena de urgen adecvat unui pacient aflat n stare critic au
obligaia de a solicita imediat sprijinul unui alt echipaj avansat la locul interveniei sau la ntlnire.
ART. 14
Neaplicarea, fr justificare, a msurilor terapeutice de ctre un echipaj medical de urgen sau de
terapie intensiv mobil ori de ctre un ef de echipaj, dac membrii echipajului au diferite competene, n
conformitate cu competenele prevzute pentru nivelul la care este clasificat acesta, duce la reclasificarea
echipajului la un nivel inferior, pn la organizarea unor cursuri de pregtire a echipajului sau a efului
echipajului, dup caz.
ART. 15
Neaplicarea, fr justificare, a msurilor de prim ajutor de ctre un echipaj de prim ajutor calificat
impune investigarea cazului i organizarea, dac se consider necesar, a unui curs de reciclare a
echipajului n termen de cel mult 15 zile lucrtoare i punerea sub monitorizare a acestuia de ctre
medicul ef al serviciului.
ART. 16
Responsabilitatea monitorizrii modului de aplicare a msurilor terapeutice de ctre echipajele unui
serviciu de ambulan revine directorului medical al acestuia, iar n cazul SMURD, aceasta revine
medicului ef al serviciului.
ART. 17
n lipsa unui echipaj avansat care s acorde sprijinul, echipajul care nu poate asigura asistena de
urgen la nivelul necesar procedeaz la evacuarea de urgen a pacientului, fr ntrziere, la cel mai
apropiat spital, acordnd primul ajutor pe durata transportului.
ART. 18
Competenele unui echipaj vor fi corelate i cu tipul vehiculului utilizat, precum i cu dotarea cu
materiale, medicamente i aparatur, n conformitate cu anexele nr. I i II.
ART. 19
Lipsa dotrii necesare unui nivel de competen face ca echipajul s nu fie clasificat ca atare sau s fie
reclasificat la un nivel inferior, temporar sau permanent, dup caz.
ART. 20
Serviciile de urgen prespitaliceasc raporteaz sau deconteaz costurile n conformitate cu
clasificarea real a echipajului, lund n considerare tipul vehiculului, precum i competenele echipajului
sau ale efului acestuia, dup caz. Decontarea include costul/kilometru sau costul/or de zbor i
costul/solicitare. Costul/solicitare include i costul real al medicamentelor i materialelor sanitare.
ART. 21
Directorul medical al unui serviciu de ambulan sau medicul ef al unui SMURD rspunde de
clasificarea corect a echipajelor i reclasificarea acestora n cadrul serviciului pe care l coordoneaz,
aceasta fiind o operaiune continu i flexibil care depinde de resursele umane disponibile ntr-o tur i
de tehnica de lucru aflat n stare operativ n tura respectiv, situaia putnd fi schimbat chiar n cursul
unei ture.
ART. 22
Dispeceratul medical sau dispeceratul integrat de urgen va fi informat n scris, prin fax ori prin sistem
de transmisie a datelor, n cazul n care nu se afl n incinta serviciului de ambulan, n legtur cu
nivelul de clasificare al fiecrui echipaj de gard i cu modificrile survenite asupra clasificrii, dac este
cazul.
ART. 23
Clasificarea unor echipaje la un nivel mai nalt dect competenele reale ale membrilor echipajului sau
la un nivel mai nalt dect permite dotarea echipajului va duce la sancionarea de ctre autoritatea de
sntate public a directorului medical al serviciului de ambulan sau a medicului ef al SMURD din
care face parte echipajul, precum i a persoanelor care au emis autorizaia iniial, dac aceasta a stat la
baza clasificrii eronate. n cazul unor consecine grave asupra pacientului, persoanele implicate rspund,
n conformitate cu prevederile legale n vigoare, fiind posibil desfacerea contractului de munc ori
eliberarea din funcia de conducere a persoanei sau persoanelor responsabile, n urma unei anchete
efectuate de organele abilitate din judeul respectiv ori de la un nivel regional sau central.
ART. 24
Echipajele publice de intervenie de urgen, transport i consultaii n faza prespitaliceasc sunt
clasificate dup cum urmeaz:
1. echipaj de prim ajutor fr capacitate de evacuare a victimei (PA):
- mijlocul utilizat: poate include orice tip de vehicul dotat cu echipamentele necesare acordrii primului
ajutor calificat;
- astfel de echipaj poate aciona i fr vehicul, cu condiia deinerii echipamentului necesar;
- minimum dou persoane:
2 salvatori cu instruire paramedical;
- dup caz, un conductor auto cu instruire paramedical;
- n cazul echipajelor de pompieri care intervin la incendii cu autospeciale de intervenie dotate cu
echipament de prim ajutor calificat i defibrilator semiautomat, cel puin 3 persoane din cadrul echipajului
vor fi formate ca personal paramedical;
2. echipaj de prim ajutor cu capacitate de evacuare a victimei (PA-T):
- mijlocul utilizat: ambulane tip B2 sau nave;
- minimum 3 persoane:
a) 2 salvatori cu instruire paramedical;

b) un conductor al mijlocului de intervenie cu instruire paramedical;
3. echipaj medical de urgen cu asistent (EMU-A):
- mijlocul utilizat: ambulane tip B2 sau nave;
- minimum dou persoane:
a) un asistent medical cu pregtire n acordarea asistenei medicale de urgen;
b) un conductor al mijlocului de intervenie ambulanier sau cu instruire paramedical;
4. echipaj medical de urgen cu medic (EMU-M):
- mijlocul utilizat: ambulane tip B1, C2 sau nave;
a) un medic care a absolvit cursuri n acordarea asistenei medicale de urgen sau cu
competen/atestat n domeniu;
b) un asistent medical cu pregtire n acordarea asistenei medicale de urgen;
c) un conductor al mijlocului de intervenie ambulanier sau cu instruire paramedical;
5. echipaj de terapie intensiv mobil (TIM):
- mijlocul utilizat: ambulane tip C1;
a) un medic de urgen sau un medic de anestezie terapie intensiv (specialist sau rezident cel puin n
semestrul II al anului III de rezideniat, cu acordul directorului programului de rezideniat ori al
ndrumtorului, n cazul rezidenilor n anestezie terapie intensiv, cu experien spitaliceasc continu,
instruit n utilizarea medicaiei anestezice);
b) un asistent medical cu pregtire n acordarea asistenei medicale de urgen cu experien
spitaliceasc n manevrele de urgen i terapie intensiv i utilizarea medicaiei anestezice;
c) o persoan cu pregtire paramedical care a absolvit cursul de prim ajutor calificat i de lucru n
cadrul unui echipaj medical de urgen;
d) un conductor auto pompier care a absolvit cursul de prim ajutor calificat sau un conductor auto
ambulanier;
6. echipaj de terapie intensiv mobil nou-nscui (TIM-NN);
- mijlocul utilizat: ambulane tip C1 cu dotare specific transportului neonatal;
a) un medic neonatolog, anestezist reanimator sau de urgen cu pregtire specific n acordarea
asistenei medicale de urgen i terapia intensiv a nou-nscutului aflat n stare critic, n condiii de
prespital i transport (specialist sau rezident cel puin n semestrul II al anului III de rezideniat, cu
acordul directorului programului de rezideniat ori al ndrumtorului, n cazul rezidenilor n anestezie
terapie intensiv sau n neonatologie);
b) un asistent medical cu pregtire specific n ngrijirea nou-nscutului;
c) un conductor auto ambulanier sau un conductor auto care a absolvit un curs de prim ajutor
calificat;
7. echipaj de salvare aerian (ESA):
- mijlocul utilizat: aeronave de diferite categorii n conformitate cu prevederile legale n vigoare;
a) un medic de urgen sau un medic de anestezie terapie intensiv (specialist sau rezident cel puin n
semestrul II al anului III de rezideniat, cu acordul directorului programului de rezideniat ori al
ndrumtorului, n cazul rezidenilor n anestezie terapie intensiv sau n neonatologie);
c) un pilot i un copilot;
8. echipaj de ambulan aerian (EAA):
- mijlocul utilizat: avion sanitar sau alte aeronave n conformitate cu prevederile legale n vigoare;
a) un medic care a absolvit cursuri n acordarea asistenei medicale de urgen sau cu

competen/atestat n domeniu;
c) un pilot i un copilot;
9. echipaj de consultaii de urgen la domiciliu (ECU):
- mijlocul utilizat: un vehicul neclasificat cu dotare specific, fr capacitate de transport al pacientului;
- minimum o persoan:
- un medic de medicin general/medicin de familie, cu carnet de conducere i cu pregtire n
acordarea primului ajutor avansat n cazurile de urgen;
- dup caz, un conductor auto ambulanier;
10. echipaj de transport sanitar neasistat (ET):
- minimum o persoan:
- un ambulanier;
- dup caz, echipajul poate fi format din 2 ambulanieri sau un ambulanier i un asistent medical.
ART. 25
Competenele fiecrui tip de echipaj sunt prevzute n anexa nr. I.
ART. 26
Anumite competene sunt facultative pentru unele tipuri de echipaje i sunt marcate n tabel cu semnul
(-/+). Restul competenelor sunt obligatorii pentru un anumit nivel de clasificare, dac sunt marcate cu
semnul (+), sau incompatibile cu nivelul respectiv de clasificare, dac sunt marcate cu semnul (-).
ART. 27
Dotarea minim obligatorie pentru fiecare tip de echipaj este prevzut n anexa nr. II.
ART. 28
Echipajele de prim ajutor i de urgen cu asistent pot fi autorizate de ctre un medic abilitat care face
parte din structura serviciilor de urgen prespitaliceasc sau a unitilor de primiri urgene, pentru cazuri
individuale, s efectueze manevre ori s administreze medicaie care nu face parte din competenele
prevzute n anexa nr. I. n aceste situaii, rspunderea este integral a medicului care autorizeaz
depirea competenei, dup caz, pe baza informaiilor obinute de la echipaj i/sau a datelor obinute prin
sistemul de transmisie telemedical, dac acesta exist. Medicul are obligaia s documenteze dispoziiile
n scris, cu menionarea orei la care a ordonat echipajului s efectueze o anumit manevr sau s
administreze un anumit medicament i a motivului. Manevrele care pot fi autorizate, dup caz, sunt
marcate n anexa nr. I cu litera "R" n dreptul lor.
ART. 29
Echipajele care primesc autorizaie s depeasc anumite competene n timpul interveniei la un caz
documenteaz n fiele lor acest lucru, cu menionarea coninutului autorizaiei primite telefonic,
radiotelefonic sau personal la locul interveniei, a orei la care s-a emis i a persoanei care a emis-o,
precum i a rezultatului aplicrii asupra pacientului a msurilor prevzute n autorizaie.
ART. 30
Dac medicul care autorizeaz un echipaj de prim ajutor s efectueze anumite manevre care nu sunt n
conformitate cu protocoalele aplicate de echipaj nu face parte din structurile sistemului medical de
urgen, echipajul are obligaia s confirme ordinul cu dispeceratul medical sub coordonarea cruia se
afl. n asemenea situaii, medicul care a intervenit din afara sistemului este legitimat i nregistrat cu
datele de contact n fia cazului.
ART. 31
Medicii din afara sistemului medical de urgen care intervin n sprijinul echipajelor de prim ajutor,
cum sunt medicii de familie n zonele rurale, au obligaia s respecte protocoalele de lucru ale echipajelor
i faptul c echipajul este subordonat direct dispeceratului medical n zona cruia funcioneaz. Echipajul
de prim ajutor va aplica prevederile art. 29.
ART. 32
La data intrrii n vigoare a prezentului ordin se abrog art. 1 - 8, precum i anexele nr. 2 i 3 din
Ordinul ministrului sntii nr. 270/2004 privind asistena medical de urgen prespitaliceasc, publicat
n Monitorul Oficial al Romniei, Partea I, nr. 382 din 30 aprilie 2004.
ART. 33
Anexele nr. I i II fac parte integrant din prezentul ordin.
ART. 34
Direcia general de politici, strategii i managementul calitii n sntate din Ministerul Sntii
Publice, autoritile de sntate public judeene i a municipiului Bucureti, Inspectoratul General pentru
Situaii de Urgen, inspectoratele pentru situaii de urgen judeene i al municipiului Bucureti, precum
i toate serviciile medicale de urgen prespitaliceasc, prim ajutor calificat i de transport sanitar vor
duce la ndeplinire prevederile prezentului ordin.
ART. 35
Prezentul ordin se public n Monitorul Oficial al Romniei, Partea I.
Ministrul sntii publice,
Gheorghe Eugen Nicolescu
p. Ministrul administraiei i internelor,
Anghel Andreescu,
secretar de stat
ANEXA 1*)
*) Anexa nr. I este reprodus n facsimil.
Competenele echipajelor publice de urgen, transport i consultaii la domiciliu
____________________________________________________________________________
__
| 1. Prim ajutor de baz fr echipamente
|
|______________________________________________________________________________|
|
PA
|
PA-T
|
EMU-A
| EMU-M |TIM |ESA|
EAA
|
ECU
|ET |
|
|
|
|
|TIM-|
|
|
|
|
|
|
|
|
|NN |
|
|
|
|
|__________|__________|___________|_________|____|___|_________|___________|___|
|
A-B-C
|
|______________________________________________________________________________|
| Evaluarea primar a pacientului (ABC)
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Recunoaterea stopului cardiac
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Deschiderea manual a cilor aeriene la adult, copil i nou nscut
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Meninerea libertii cilor aeriene fr echipament la adult, copil i
|
| nou-nscut
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Poziia de siguran
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Ventilaia gur la gur la adult, copil i nou-nscut

|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Ventilaia gur la masc
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Manevra Heimlich
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Masaj cardiac extern
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Hemostaza prin pansament compresiv
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| 2. Prim ajutor cu echipamente
|
|______________________________________________________________________________|
|
PA
|
PA-T
|
EMU-A
| EMU-M |TIM |ESA|
EAA
|
ECU
|ET |
|
|
|
|
|TIM-|
|
|
|
|
|
|
|
|
|NN |
|
|
|
|
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Management ci respiratorii
|
|______________________________________________________________________________|
| Eliberarea cilor respiratorii superioare utiliznd aspiratorul de secreii |
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Eliberarea cilor respiratorii inferioare utiliznd aspiratorul de secreii |
| prin intermediul tubului de traheostomie
|
|______________________________________________________________________________|
|La
|La
|La
|La
| + | + |La
|La
| - |
|pacienii |pacienii |pacienii |pacienii|
|
|pacienii|pacienii |
|
|care au
|care au
|care au
|care au |
|
|care au |care au
|
|
|deja
|deja
|deja
|deja
|
|
|deja
|deja
|
|
|
|
+
|
|
|
|
|
|
|
|
|__________|__________|___________|_________|____|___|_________|___________|___|
| Utilizarea cilor orofaringiene
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
|-/+|
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Ventilaie
|
|______________________________________________________________________________|
| Ventilaia cu balonul i masca la adult, copil i nou-nscut
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
|-/+|
|__________|__________|___________|_________|____|___|_________|___________|___|
| Utilizarea adjuvanilor de ventilaie: Combitube/easytube/obturator
|
| faringian sau dispozitive similare
|
|______________________________________________________________________________|
|
-/+
|
-/+
|
-/+
|
+
| + | + |
+
|
-/+
| - |
|Doar n
|Doar n
|Doar n
|
|
|
|
|Doar n
|
|
|caz de
|caz de
|caz de
|
|
|
|
|caz de
|
|
|Stop C-R |Stop C-R |Stop C-R
|
|
|
|
|Stop C-R
|
|
|__________|__________|___________|_________|____|___|_________|___________|___|
| Masca laringian
|
|______________________________________________________________________________|
|
-/+
|
-/+
|
-/+
|
+
| + | + |
+
|
-/+
| - |
|Doar n
|Doar n
|Doar n
|
|
|
|
|Doar n
|
|
|caz de
|caz de
|caz de
|
|
|
|
|caz de
|
|
|Stop C-R |Stop C-R |Stop C-R
|
|
|
|
|Stop C-R
|
|
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Administrare medicaie
|
|______________________________________________________________________________|
| Oxigen
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Protoxid de azot pentru analgezie
|
|______________________________________________________________________________|
|
-/+
|
-/+
|
-/+
|
+
| + | + |
-/+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Adrenalina n caz de Stop C-R
|
|______________________________________________________________________________|
|
R
|
R
|
+
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Atropina n stop C-R
|
|______________________________________________________________________________|
|
R
|
R
|
R
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Adrenalina n caz de oc anafilactic
|
|______________________________________________________________________________|
|
R
|
R
|
R
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Nitroglicerina spray sau tablete sublingual n caz de dureri precordiale |
| angina pectoral
|
|______________________________________________________________________________|
|
R
|
R
|
+
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Aspirina la pacieni cu dureri precordiale - suspiciune IMA
|
|______________________________________________________________________________|
|
R
|
R
|
+
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Glucoza 33%
|
|______________________________________________________________________________|
|
R
|
R
|
+
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Defibrilare/electroversie/stimulare cardiac
|
|______________________________________________________________________________|
| Defibrilare semi-automat
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
|-/+|
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Imobilizare/manevrare/evacuare - transport pacient
|
|______________________________________________________________________________|
| Imobilizare coloan
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| + |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Aplicare guler cervical
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Utilizare echipamente de imobilizare coloan
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Utilizare echipamente de extracie (KED)
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
-/+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Utilizare atele pentru membre
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Utilizare atel traciune
|
|______________________________________________________________________________|
|
-+/
|
-/+
|
-/+
|
+
| + | + |
-/+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Evaluare/Monitorizare
|
|______________________________________________________________________________|
| Msurarea TA ne-invaziv
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Pulsoximetrie
|
|______________________________________________________________________________|
|
-/+
|
+
|
+
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Capnometrie calitativ
|______________________________________________________________________________|
|
-/+
|
-/+
|
-/+
|
-/+ | + | + |
-/+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| 3. Asistena medical de urgen
|
|______________________________________________________________________________|
|
PA
|
PA-T
|
EMU-A
| EMU-M |TIM |ESA|
EAA
|
ECU
|ET |
|
|
|
|
|TIM-|
|
|
|
|
|
|
|
|
|NN |
|
|
|
|
|__________|__________|___________|_________|____|___|_________|___________|___|
|
|
|______________________________________________________________________________|
| Eliberarea cilor respiratorii inferioare utiliznd aspiratorul de secreii |
| prin intermediul tubului de intubaie endotraheal
|
|______________________________________________________________________________|
|
|
|n cazul
|
+
| + | + |
+
|n cazul
| - |
|
|
|pacienilor|
|
|
|
|pacienilor|
|
|
|
|n stop
|
|
|
|
|n stop
|
|
|
|
|cardio|
|
|
|
|cardio|
|
|
|
|respirator |
|
|
|
|respirator |
|
|__________|__________|___________|_________|____|___|_________|___________|___|
| Minitraheostomie de urgen
|
|______________________________________________________________________________|
|
|
|
|
+
| + | + |
+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Intubaia endotraheal
|
|______________________________________________________________________________|
|
|
|
-/+
|
+
| + | + |
+
|
-/+
| - |
|
|
|n cazul
|
|
|
|
|n cazul
|
|
|
|
|pacienilor|
|
|
|
|pacienilor|
|
|
|
|n stop
|
|
|
|
|n stop
|
|
|
|
|cardio|
|
|
|
|cardio|
|
|
|
|respirator |
|
|
|
|respirator |
|
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Ventilaie/respiraie
|
|______________________________________________________________________________|
| Ventilaia mecanic controlat a adultului cu ventilatorul prin intermediul |
| tubului endotraheal sau de traheostomie
|
|______________________________________________________________________________|
|
|
|
|
+
| + | + |
+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Decomprimare toracic cu ac
|
|______________________________________________________________________________|
|
|
|
-/+
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Acces intra-venos
|
|______________________________________________________________________________|
| Acces intravenos periferic i vena jugular extern
|
|______________________________________________________________________________|
|
-/+
|
-/+
|
+
|
+
| + | + |
+
|
+
| - |
|Doar n
|Doar n
|
|
|
|
|
|
|
|
|cazul
|cazul
|
|
|
|
|
|
|
|
|stopului |stopului |
|
|
|
|
|
|
|
|C-R i
|C-R i
|
|
|
|
|
|
|
|
|doar linie|doar linie|
|
|
|
|
|
|
|
|periferic|periferic|
|
|
|
|
|
|
|
|cu
|cu
|
|
|
|
|
|
|
|
|condiia |condiia |
|
|
|
|
|
|
|
|absolvirii|absolvirii|
|
|
|
|
|
|
|
|unui
|unui
|
|
|
|
|
|
|
|
|instructaj|instructaj|
|
|
|
|
|
|
|
|__________|__________|___________|_________|____|___|_________|___________|___|
|
|
|______________________________________________________________________________|
| Administrare aerosoli
|______________________________________________________________________________|
|
R
|
R
|
-/+
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare Heliox (amestec Heliu i Oxigen)
|
|______________________________________________________________________________|
|
|
|
|
-/+ | -/+|-/+|
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare sedative/anticonvulsivante - IV
|
|______________________________________________________________________________|
|
|
|
R
|
-/+ | + | + |
-/+
|
-/+
| - |
|
|
|Doar n caz|
|
|
|
|
|
|
|
|
|de
|
|
|
|
|
|
|
|
|
|convulsii |
|
|
|
|
|
|
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare analgetice ne-opioide
|
|______________________________________________________________________________|
|
|
|
R
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare analgetice opioide
|______________________________________________________________________________|
|
|
|
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare anti-aritmice IV
|______________________________________________________________________________|
|
|
|
|
+
| + | + |
+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare medicaie inotrop IV prin sering automat
|
| - Nitroglicerin
|
| - Dopamin
|
|______________________________________________________________________________|
|
|
|
|
-/+ | + | + |
-/+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare antihipertensive orale
|
|______________________________________________________________________________|
|
|
|
R
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare antihipertensive IV
|
|______________________________________________________________________________|
|
|
|
|
-/+ | + | + |
+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare antispastice IV
|
|______________________________________________________________________________|
|
|
|
R
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare diuretice IV
|
|______________________________________________________________________________|
|
|
|
R
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare antibiotice IV
|
|______________________________________________________________________________|
|
|
|
|
-/+ | + | + |
-/+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare antidoturi
|
|______________________________________________________________________________|
|
|
R
|
R
|
+
| + | + |
+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare Calciu IV
|
|______________________________________________________________________________|
|
|
|
|
+
| + | + |
+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Defibrilare/electroversie/stimulare cardiac
|
|______________________________________________________________________________|
| Defibrilare manual
|______________________________________________________________________________|
|
|
|
|
+
| + | + |
-/+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Pacemaker extern
|______________________________________________________________________________|
|
|
|
|
-/+ | + | + |
-/+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Electroversie sincron
|______________________________________________________________________________|
|
|
|
|
-/+ | + | + |
-/+
|
-/+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| 4. Terapie Intensiv mobil
|
|______________________________________________________________________________|
|
PA
|
PA-T
|
EMU-A
| EMU-M |TIM |ESA|
EAA
|
ECU
|ET |
|
|
|
|
|TIM-|
|
|
|
|
|
|
|
|
|NN |
|
|
|
|
|__________|__________|___________|_________|____|___|_________|___________|___|
|
|
|______________________________________________________________________________|
| Traheostomie
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Tehnici alternative pentru intubaie dificil
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Ventilaie/respiraie
|
|______________________________________________________________________________|
| Ventilaia mecanic asistat a adultului prin intermediul ventilatorului i |
| a tubului endotraheal sau de traheostomie
|
|______________________________________________________________________________|
|
|
|
|
-/+ | + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Alte modaliti de ventilaie specializate - aduli/copii
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Drenaj toracic
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Acces Intravenos
|
|______________________________________________________________________________|
| Acces intravenos central
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Acces intraosos
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
|
|
|______________________________________________________________________________|
| Administrare hipnotice IV
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare Anestezice IV
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare succinilcolina
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare paralizante musculare de lung durat
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare medicaie inotrop cu seringa automat IV
|
| - Dobutamin
|
| - Adrenalin
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Administrare antihipertensive IV
|
| - Nitroprusiat de sodiu
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
|
Evaluare/Monitorizare
|
|______________________________________________________________________________|
| Msurarea TA/PVC invaziv
|
|______________________________________________________________________________|
|
|
|
|
| + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Capnometrie cantitativ
|
|______________________________________________________________________________|
|
|
|
|
-/+ | + | + |
-/+
|
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| 5. Consultaii de urgen la domiciliu
|
|______________________________________________________________________________|
|
PA
|
PA-T
|
EMU-A
| EMU-M |TIM |ESA|
EAA
|
ECU
|ET |
|
|
|
|
|TIM-|
|
|
|
|
|
|
|
|
|NN |
|
|
|
|
|__________|__________|___________|_________|____|___|_________|___________|___|
| Prescriere reete
|
|______________________________________________________________________________|
|
|
|
|
-/+ | - | - |
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Decizia de a lsa pacientul la domiciliu
|
|______________________________________________________________________________|
|
|
|
R
|
+
| + | + |
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Lsarea pacientului la domiciliu sau la locul interveniei contra
|
| semnturii acestuia sau a aparintorilor n fia de solicitare (refuz de
|
| transport sau de asisten de urgen)
|
|______________________________________________________________________________|
|
R
|
R
|
+
|
+
| + | + |
+
|
+
| R |
|__________|__________|___________|_________|____|___|_________|___________|___|
| EKG 12 derivaii i interpretarea
|
|______________________________________________________________________________|
|
|
|
|
+
| + | + |
+
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
| Transmisia de date la distan pentru interpretare (Ritm cardiac 3 derivaii,|
| EKG 12 derivaii i ali parametri)
|
|______________________________________________________________________________|
|
+
|
+
|
+
|
| - | - |
|
+
| - |
|__________|__________|___________|_________|____|___|_________|___________|___|
ANEXA 2*)
*) Anexa nr. II este reprodus n facsimil.
LISTA ECHIPAMENTELOR, A MATERIALELOR I A MEDICAMENTELOR
MINIME OBLIGATORII PENTRU DOTAREA MIJLOACELOR DE INTERVENIE
PENTRU ASISTENA MEDICAL DE URGEN PRESPITALICEASC, PRIMUL
AJUTOR I TRANSPORT SANITAR
Lista mijloacelor de intervenie i transport:
1. Ambulan tip C
a. Echipaje Terapie Intensiv Mobil
(C1)
b. Echipaj Medical de Urgen cu Medic
(C2)
c. Echipaj Terapie Intensiv Mobil Nou-Nscui
(C-NN)
2. Ambulan tip B1 cu medic
a. Echipaj Medical de Urgen cu Medic
(B1)
3. Ambulan B2 cu alt personal acreditat fr medic
a. Echipaj Medical de Urgen cu Asistent
(B2/A)
b. Echipaj de Prim Ajutor
(B2/P)
4. Ambulan tip A 1
a. Echipaj Transport Sanitar Ne-Asistat
(A1)
5. Autosanitar tip A 2
a. Echipaj Transport Sanitar Ne-Asistat
(A2)
6. Autospecial de intervenie al medicului de urgen
(MU)
a. Transport Echipaj Medical de Urgen cu Medic/Terapie
Intensiv Mobil, cu baza la spital
7. Autospeciala de consultaii la domiciliu
(AMD)
a. Transport Echipaj Consultaii la Domiciliu
8. Elicopter intervenie/transport sanitar
a. Echipaj Terapie Intensiv Mobil
(Eli/TI)
b. Echipaj Terapie Intensiv Mobil - Nou Nscui
(Eli/TI-NN)
9. Avion de transport sanitar
a. Echipaj Asisten Medical de Urgen/Asistent
(AV/A)
b. Echipaj Asisten Medical de Urgen/Medic
(AV/M)
c. Echipaj Terapie Intensiv Mobil
(AV/TI)
d. Echipaj Terapie Intensiv Mobil Nou Nscui
(AV/TI-NN)
10. Nava de intervenie/transport sanitar
a. Echipaj Prim Ajutor
(NAV/P)
b. Echipaj Asistena Medical de Urgen/Asistent
(NAV/A)
c. Echipaj Asistena Medical de Urgen/Medic
(NAV/M)
d. Echipaje Terapie Intensiv Mobil
(NAV/TI)
e. Echipaj Terapie Intensiv Nou-Nscui
(NAV/TI-NN)
f. Echipaj Consultaii de Urgen la Domiciliu
(NAV/AMD)
g. Echipaj Transport Sanitar Ne-Asistat
(NAV/TS)
I. Echipament pentru manevrarea, imobilizarea i transportul pacientului (Cerine
minime)
______________________________________________________________________________
|Nr. |
Echipament
|
|crt.|
|
|____|_________________________________________________________________________|
|
1
|
2
|
3 |
4 |
5 |
6 |
7 |
8
|
9
| 10 |
|
C1
| B1/C2 | B2 | A1 | A2 | MU | AMD |
Eli. |
Avion | Nava |
|________|_______|______|______|______|______|______|_________|_________|______|
| 1 | Suport targ/sistem prindere-asigurare targ n timpul transportului,
|
|
| sistem independent de amortizare, targa putnd fi amplasabil n
|
|
| mijloc, lateral stng i lateral drept permind acces la pacient din
|
|
| toate prile respectnd regulamentele din standardul CEN 1789.
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
- |
- |
|
|
- |
|
| C2
|
|
|
|
|
|
|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 2 | Suport targ/sistem prindere-asigurare targa n timpul transportului
|
|
| amplasat lateral sau n mijloc.
|
|____|_________________________________________________________________________|
|
|
+
|
+ |
+ |
- |
- |
- |
+
|
+
|
+ |
|
| B1
|
|
|
|
|
|
|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 3 | Targa principal (cu roi n cazul autosanitarelor), cu sistem fixare
|
|
| pacient
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
- |
- |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 4 | Targa Lopat (Scoop Stretcher)
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
- |
- |
-/+
|
| -/+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 5 | Saltea vacuum
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
- |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 6 | Scaun cu rotile (n afara cazului cnd targa principal are i aceast |
|
| funcie), cu sistem fixare pacient
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
- |
- |
|
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 7 | Cearaf de transport sau saltea de transfer
| |____|
_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
- |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 8 | Targ rigid complet pentru coloana (cu imobilizare/fixare pentru
|
|
| cap dac nu este inclus fixarea capului n targa lopat)
|
|____|_________________________________________________________________________|
|
+/- | +/- | +/- |
- |
- |
- |
- |
+/|
+/- | +/- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 9 | Sistem de nclzire cabin medical
| |____|
_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
- |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 10 | Bimotor n conformitate cu reglementrile Europene n vigoare pentru
|
|
| elicopterele de salvare aerian.
|
|____|_________________________________________________________________________|
|
|
|
- |
- |
- |
- |
- |
+
|
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 11 | Dispozitiv de traciune pentru fracturile de femur
|
|____|_________________________________________________________________________|
|
+
|
+
| -/+ |
- |
- |
- |
- |
-/+
|
| -/+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 12 | Set atele vacuum sau gonflabile. |____|
_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 13 | Atele cervicale aduli/copii set complet sau un numr minim de 3
|
|
| gulere cervicale reglabile la care se vor aduga mrimile pediatrice.
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 14 | KED (extractor pentru imobilizarea n ax a extremitii cefalice/
|
|
| gtului i trunchiului n vederea extragerii accidentailor din
|
|
| autovehicule)
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
-/+
|
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 15 | Suport agare perfuzii
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ | -/+ |
- |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
II. Aparatura/echipamente pentru resuscitare - respiraie (cerine minime)
______________________________________________________________________________
|Nr. |
Echipament
|
|crt.|
|
|____|_________________________________________________________________________|
|
1
|
2
|
3 |
4 |
5 |
6 |
7 |
8
|
9
| 10 |
|
C1
| B1/C2 | B2 |
A1 |
A2 | MU | AMD |
Eli. |
Avion | Nava |
|________|_______|______|______|______|______|______|_________|_________|______|
| 1 | Oxigen staionar - minim 2 x 10 l, NTP, contor debit/ventil debit cu
|
|
| capacitate maxim de cel puin 15 l/min. i robinet de reglare Conexiune|
|
| rapid
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
- |
- |
+
|
+
|
+ |
|
|
|
|
|
|
|
|(5 litri)|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 2 | Oxigen portabil - minim 5 l, NTP, contor debit/ventil debit cu
|
|
| capacitate maxim de cel puin 15 l/min. i robinet de reglare Conexiune|
|
| rapid
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 3 | Balon ventilaie adult/copil cu mti de diferite mrimi i rezervor
|
|
| suplimentar pentru oxigen.
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|(2 buc.)|
|
|
|
|
|
|(2 buc.) |(2 buc.) |
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 4 | Set ci orofaringiene adult/copil
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|(2 buc.)|
|
|
|
|
|
|(2 buc.) |(2 buc.) |
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 5 | Laringoscop cu lame de diferite mrimi (adult/copil) i cu mandren.
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|(2 buc.)|
|
|
|
|
|
|(2 buc.) |(2 buc.) |
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 6 | Pensa Mcgill diferite mrimi
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
+ |
|(2 buc.)|
|
|
|
|
|
|(2 buc.) |(2 buc.) |
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 7 | Ventilator volumetric adult/copil portabil cu PEEP i cu posibilitatea |
|
| de conectare la sursa fix de oxigen
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|
|
C2 |
|
|
|
|
|
|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 8 | Piesa intermediar de ventilaie artificial cu gura
|
|
| (masca de insuflaie)
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 9 | Aspirator staionar electric cu capacitate min. a rezervorului de 1 l
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
- |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 10 | Aspirator portabil electric rencrcabil cu rezervor minim de 1 l
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
III. Aparatura monitorizare - defibrilare - evaluare - administrare medicamente/soluii (cerine
minime)
______________________________________________________________________________
|Nr. |
Echipament
|
|crt.|
|
|____|_________________________________________________________________________|
|
1
|
2
|
3 |
4 |
5 |
6 |
7 |
8
|
9
| 10 |
|
C1
| B1/C2 | B2 |
A1 |
A2 | MU | AMD |
Eli. |
Avion | Nava |
|________|_______|______|______|______|______|______|_________|_________|______|
| 1 | Defibrilator/monitor EKG manual cu stimulator cardiac extern
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|
|
C2 |
|
|
|
|
|
|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 2 | Defibrilator semiautomat
|
|____|_________________________________________________________________________|
|
|
+
|
+ |
- |
- |
- |
+ |
|
|
+ |
|
|
B1 |
|
|
|
|
|
|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 3 | Tensiometru automat (poate fi integrat n defibrilator cu excepia
|
|
| elicopterului i a avionului)
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|
|
C2 |
|
|
|
|
|
|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 4 | Pulsoximetru (poate fi integrat n defibrilator cu excepia
|
|
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 5 | Capnometru (poate fi integrat n defibrilator cu excepia elicopterului |
|
| i a avionului)
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|
|
C2 |
|
|
|
|
|
|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 6 | Termometru central (poate fi integrat n defibrilator cu excepia
|
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|
|
C2 |
|
|
|
|
|
|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 7 | Monitor EKG cu pulsoximetru, capnometru, TA invaziv, TA neinvaziv,
|
|
| Termometru central.
|
|____|_________________________________________________________________________|
|
|
|
- |
- |
- |
- |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 8 | Injectomat (Sering automat)
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|
|
|
|
|
|
|
|(2 buc.) |(2 buc.) |
|
|________|_______|______|______|______|______|______|_________|_________|______|
| 9 | Sistem nclzire soluii perfuzabile
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 10 | Glucometru
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 11 | Stetoscop
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 12 | Tensiometru manual
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 13 | Lampa pentru examinarea pupilelor
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 14 | Ciocan reflexe
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 15 | Dispozitiv pentru perfuzie sub presiune
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
IV. Materiale sanitare (cerine minime)
______________________________________________________________________________
|Nr. |
Echipament
|
|crt.|
|
|____|_________________________________________________________________________|
|
1
|
2
|
3 |
4 |
5 |
6 |
7 |
8
|
9
| 10 |
|
C
| B1/C2 | B2 |
A1 |
A2 | MU | AMD |
Eli. |
Avion | Nava |
|________|_______|______|______|______|______|______|_________|_________|______|
| 1 | Sonde de aspiraie tip Yankauer
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 2 | Sonde de aspiraie flexibile endotraheale/incl. pediatrice
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 3 | Seringi 5 i 10 ml
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 4 | Truse perfuzie
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 5 | Seringi i truse pentru injectomat
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 6 | Sonde de intubaie traheal
|
|
| (2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10)
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 7 | Sonde de intubaie traheal (6, 7, 8, 9)
|
|____|_________________________________________________________________________|
|
|
|
+ |
- |
- |
- |
+ |
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 8 | Combitube/easytube (2 mrimi)
|
|____|_________________________________________________________________________|
|
|
|
+ |
- |
- |
- |
+ |
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 9 | Masca laringian (aduli/copii)
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 10 | Trusa minitraheostomie
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 11 | Paturi minimum 2
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 12 | Cearceaf
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
- |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 13 | Fei i pansamente sterile i nesterile
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 14 | Truse pentru drenaj thoracic (2 aduli/2 copii)
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 15 | Pansamente speciale pentru arsuri i folie izolant
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 16 | Container "pentru replantare" cu meninerea temperaturii interne la
|
|
| 4 +/- 2 grade C, pentru cel puin 2 ore
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 17 | Tvi renal
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
- |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 18 | Saci pt. vom
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
- |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 19 | Trusa sondaj urinar/pungi colectoare urin
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
- |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 20 | Plosc urinar
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
- |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 21 | Container materiale ascuite

|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 22 | Sondaj gastric
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 23 | Mnui chirurgicale sterile
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 24 | Mnui nesterile/de consult/de unic folosin
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 25 | Canule intravenoase periferice diferite mrimi aduli/copii
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 26 | Catetere acces IV central
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 27 | Ac pentru acces intraosos pediatric
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 28 | Valiz/rucsac pentru materialele de intervenie portabile
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
V. Medicamente i soluii - Cerine minime la care se pot aduga i alte medicamente conform
categoriei mijlocului de intervenie i lund n considerare pregtirea personalului medico-sanitar
______________________________________________________________________________
|Nr. |
Echipament
|
|crt.|
|
|____|_________________________________________________________________________|
|
1
|
2
|
3 |
4 |
5 |
6 |
7 |
8
|
9
| 10 |
|
C1
| B1/C2 | B2 |
A1 |
A2 | MU | AMD |
Eli. |
Avion | Nava |
|________|_______|______|______|______|______|______|_________|_________|______|
| 1 | Soluii cristaloide (ser fiziologic, Ringer i Gluc. 5%, Gluc. 10%)
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 2 | Soluii coloide (Altele dect Dextran!)
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 3 | Manitol
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 4 | Analgetice majore (morfinice/opioide)
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 5 | Analgetice minore nemorfinice
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 6 | Aspirina
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 7 | Beta_2 mimetice inhalatorii
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 8 | Adrenalin
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 9 | Atropin
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 10 | ATP
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 11 | Glucoz 33%
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 12 | Calciu gluconat sau calciu clorurat
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 13 | Sulfat de magneziu
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 14 | Diazepam
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 15 | Midazolam
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 16 | Ketamina
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 17 | Tiopental/Etomidat
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 18 | Propofol
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 19 | Succinilcolin
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 20 | Paralizante musculare de lung durat
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 21 | HCHS
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 22 | Dexametazon/solumedrol sau echivalent
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 23 | Nitroglicerin spray sau tablete sublingual
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 24 | Nitroglicerin IV
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 25 | Dopamin
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 26 | Dobutamin
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 27 | Metoprolol injectabil
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 28 | Cordarone injectabil
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 29 | Diltiazem injectabil
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 30 | Xilina
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 31 | Trombolitic
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
- |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 32 | Heparin sau alte derivate
|
|____|_________________________________________________________________________|
|
+
|
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 33 | Antiemetic injectabil
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 34 | Furosemid
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 35 | Vitamina B1, B6
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 36 | Bicarbonat de sodiu IV
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 37 | Miofilina IV
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 38 | Isoprenalin
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 39 | Glucagon
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 40 | Toxogonin sau echivalent
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 41 | Antihipertensive injectabile
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 42 | Antispastice injectabile
|
|____|_________________________________________________________________________|
|
+
|
+
|
- |
- |
- |
+ |
+ |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 43 | Medicaie oral antihipertensiv, antispastic, antiemetic ... ETC.
|
|____|_________________________________________________________________________|
|
|
+
|
- |
- |
- |
- |
+ |
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
|
|
|
|____|_________________________________________________________________________|
|
|
|
|
|
|
|
|
|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
|
|
|
|____|_________________________________________________________________________|
|
|
|
|
|
|
|
|
|
|
|
|________|_______|______|______|______|______|______|_________|_________|______|
VI. Echipament protecie personal (pentru fiecare membru al echipajului - protecie i identificare
personal, rang i pregtire profesional)
______________________________________________________________________________
|Nr. |
Echipament
|
|crt.|
|
|____|_________________________________________________________________________|
|
1
|
2
|
3 |
4 |
5 |
6 |
7 |
8
|
9
| 10 |
|
C1
| B1/C2 | B2 |
A1 |
A2 | MU | AMD |
Eli. |
Avion | Nava |
|________|_______|______|______|______|______|______|_________|_________|______|
| 1 | mbrcminte protecie de baz de culoare vizibil la distan i
|
|
| reflectorizante (bluz/pantalon sau salopet)
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 2 | mbrcminte protecie avansat (hain de protecie/salopet ignifug cu|
|
| reflectorizante)
|
|____|_________________________________________________________________________|
|
|
|
- |
- |
- |
+ |
- |
+
|
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 3 | Mnui protecie din material gros (pentru accidente)
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 4 | Bocanci de protecie/pantofi de protecie
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 5 | Casc de protecie (n mijlocul de intervenie pentru fiecare membru al |
|
| echipajului)
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 6 | Ochelari de protecie (n mijlocul de intervenie pentru fiecare
|
|
| membru al echipajului)
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
VII. Materiale i dispozitive auxiliare
______________________________________________________________________________
|Nr. |
Echipament
|
|crt.|
|
|____|_________________________________________________________________________|
|
1
|
2
|
3 |
4 |
5 |
6 |
7 |
8
|
9
| 10 |
|
C1
| B1/C2 | B2 |
A1 |
A2 | MU | AMD |
Eli. |
Avion | Nava |
|________|_______|______|______|______|______|______|_________|_________|______|
| 1 | Material pentru curenie i dezinfecie (n cantitate suficient)
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 2 | Trusa de prim ajutor auto
|
|____|_________________________________________________________________________|
|
|
|
- |
- |
- |
- |
+ |
|
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 3 | Cuit tiere pentru centura de siguran
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 4 | Foarfec medical pentru tiat haine
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 5 | Triunghi/lmpi de avertizare
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 6 | Proiector mobil sau pe mijlocul de intervenie
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 7 | Lantern (cu acumulatori)
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 8 | Stingtor de incendiu
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
VIII. Aparate pentru comunicaii/avertizare
______________________________________________________________________________
|Nr. |
Echipament
|
|crt.|
|
|____|_________________________________________________________________________|
|
1
|
2
|
3 |
4 |
5 |
6 |
7 |
8
|
9
| 10 |
|
C1
| B1/C2 | B2 |
A1 |
A2 | MU | AMD |
Eli. |
Avion | Nava |
|________|_______|______|______|______|______|______|_________|_________|______|
| 1 | Staie radio emisie-recepie mobil
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
+ |
+ |
+ |
+ |
+
|
+
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 2 | Staie radio emisie-recepie portabil
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 3 | Acces la reeaua telefonic prin emitorul radio sau cu telefon mobil |
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 4 | Comunicaie intern ntre compartimentul ofer/pilot i cabina medical |
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
- |
- |
+
|
+
|
- |
|________|_______|______|______|______|______|______|_________|_________|______|
| 5 | Semnale luminoase de avertizare conform legislaiei rutiere/navale
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 6 | Sistem de avertizare sonor
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
| 7 | Sistem de adresare public
|
|____|_________________________________________________________________________|
|
+
|
+
|
+ |
- |
- |
+ |
- |
+
|
|
+ |
|________|_______|______|______|______|______|______|_________|_________|______|
Comentarii:
1. O ambulan tip C care nu respect cerinele minime pentru ambulan tip C1 sau C2
se va clasifica ca ambulan tip B1 cu condiia s aib toate cerinele minime ale unei
ambulane tip B1.
2. n ambulan tip C1, elicopter i avion echipamentele de resuscitare i management al
cilor respiratorii vor trebui s existe n dublur, un set n valiz i unul n main n
sertare sau dulap, imediat accesibil fr s fie necesar deschiderea valizei.
3. Ambulanele care vor efectua transferul nou-nscuilor vor trebui s aib n dotare
incubator nclzit i echipamentele necesare asigurrii asistenei de urgen a nounscutului.
4. Ambulanele care vor efectua transfer sau intervenie a nou-nscuilor aflai n stare
critic, vor avea dotarea necesar i personalul special instruit n ngrijirea nou-nscuilor
aflai n stare critic. Dotarea va fi similar unei ambulane tip C, din care se exclude
materialele necesare interveniei la cazurile de traum, i se adaug incubatorul,
ventilatorul, echipamentele de resuscitare adaptate i medicaia necesar.
5. Medicaia i echipamentele din liste sunt doar cele minime obligatorii pentru fiecare
mijloc de intervenie/transport. La aceste liste se pot aduga i restul materialelor i
medicamentelor considerate necesare, potrivit tipului mijlocului de intervenie i categoria
personalului care l deservete.
6. Ambulanele tip B2 i autospecialele destinate consultaiilor la domiciliu pot avea
sisteme de transmisie de date n vederea efecturii transmisiilor EKG i a altor parametri la
centrele de expertiz.
---------------

Ordin 1092 1500 2006

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Copyright:

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Ordin 1092 1500 2006

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ORDIN Nr.

1092/1500 din 7 septembrie 2006

a) 2 salvatori cu instruire paramedical;

a) un medic care a absolvit cursuri n acordarea asistenei medicale de urgen sau cu

| Ventilaia gur la gur la adult, copil i nou-nscut

| 21 | Container materiale ascuite

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