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ASTM F1517-94(2002)

(Guide)

Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operations

Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operations

SCOPE
1.1 This guide covers minimum standards for the performance of emergency medical services (EMS) ambulance operators, including: operator qualifications, pre-run operation, and post-run aspects.
1.2 This guide shall promote the safe and efficient delivery of the ambulance, equipment, crew, passengers and patients, during all phases of the delivery of EMS involving the ambulance; at all times exercising the highest degree of care for the safety of the public. This guide may be applied to other EMS vehicles that do not necessarily provide patient transport.
1.3 This guide shall be used as the basis for training guides of the emergency medical services ambulance operator.
1.4 The values stated in SI units are to be regarded as the standard. The SI units given in parentheses are for information only.
1.5 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

General Information

Status
Historical
Publication Date
14-May-1994
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.02 - Personnel, Training and Education
Current Stage
Ref Project

Relations

Replaces
ASTM F1517-94 - Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operations
Effective Date
15-May-1994
Replaced By
ASTM F1517-94(2007) - Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operations
Effective Date
01-Feb-2007
Referred By
ASTM F1220-95(2022) - Standard Guide for Emergency Medical Services System (EMSS) Telecommunications
Effective Date
15-May-1994
Referred By
ASTM F1705-96(2020) - Standard Guide for Training Emergency Medical Services Ambulance Operations
Effective Date
15-May-1994

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ASTM F1517-94(2002) - Standard Guide for Scope of Performance of Emergency Medical Services Ambulance OperationsASTM F1517-94(2002) - Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operations
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ASTM F1517-94(2002) - Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operations
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NOTICE: This standard has either been superseded and replaced by a new version or withdrawn.
Contact ASTM International (www.astm.org) for the latest information
Designation:F1517–94 (Reapproved2002)
Standard Guide for
Scope of Performance of Emergency Medical Services
1
Ambulance Operations
This standard is issued under the fixed designation F 1517; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (e) indicates an editorial change since the last revision or reapproval.
1. Scope 3.1.1 The definitions given in Terminology F 1177 are
applicable to this guide.
1.1 This guide covers minimum standards for the perfor-
3.1.2 ambulance—See Terminology F 1177.
mance of emergency medical services (EMS) ambulance
3.2 Definitions of Terms Specific to This Standard:
operators, including: operator qualifications, pre-run operation,
3.2.1 ambulance operations—the efficient delivery of the
and post-run aspects.
ambulance, equipment, crew, passengers and patients, during
1.2 This guide shall promote the safe and efficient delivery
all phases of the delivery of EMS involving the ambulance at
of the ambulance, equipment, crew, passengers and patients,
all times exercising the highest degree of care for the safety of
during all phases of the delivery of EMS involving the
the public.
ambulance; at all times exercising the highest degree of care
3.2.2 ambulance service provider—asoutlinedinthisguide,
for the safety of the public. This guide may be applied to other
a person, company, corporation or political entity responsible
EMS vehicles that do not necessarily provide patient transport.
for operation, maintenance, or policy making, or combination
1.3 This guide shall be used as the basis for training guides
thereof, regarding emergency medical vehicle operations.
of the emergency medical services ambulance operator.
3.2.3 bona fide occupational qualification (BFOQ)—the
1.4 The values stated in SI units are to be regarded as the
skills and knowledge relevant to the performance of a specific
standard. The SI units given in parentheses are for information
task.
only.
3.2.4 departure check—the visual check of the vehicle and
1.5 This standard does not purport to address all of the
surrounding area ensuring that equipment and supplies have
safety concerns, if any, associated with its use. It is the
been retrieved and properly stored and that all compartment
responsibility of the user of this standard to establish appro-
doors are secured.
priate safety and health practices and determine the applica-
3.2.5 egress check—the visual check of the vehicle and
bility of regulatory limitations prior to use.
surrounding area prior to operating the ambulance.
2. Referenced Documents 3.2.6 emergency mode—as defined by individual state stat-
ues that refer to emergency vehicles, equipment, and opera-
2.1 ASTM Standards:
tions.
F 1031 Practice for Training the Emergency Medical Tech-
2
3.2.7 full check—a comprehensive and systematic evalua-
nician (Basic)
tion of the ambulance at specified intervals, including docu-
F 1177 Terminology Relating to Emergency Medical Ser-
2
mentation of the inspection, any deficiencies found and their
vices
corrective actions.
F 1230 Specification for Minimum Performance Require-
3.2.8 operator—a person who operates or assists with the
ments for Emergency Medical Service (EMS) Ground
3
operation of an ambulance.
Vehicles
2
3.2.9 post-run—the managed return of the ambulance and
F 1258 Practice for Emergency Medical Dispatch
operators to optimal pre-run readiness.
3. Terminology
3.2.10 pre-run—all aspects of assuring response readiness.
3.2.11 quick check—an abbreviated version of the full
3.1 Definitions:
check, focusing on the major operational functions of the
vehicle.
1
This guide is under the jurisdiction of ASTM Committee F30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.02 on
4. Significance and Use
Personnel, Training, and Education.
4.1 This guide provides minimum guidelines for safe and
Current edition approved May 15, 1994. Published July 1994.
2
efficient ambulance operation.
Annual Book of ASTM Standards, Vol 13.02.
3
Discontinued; see 1996 Annual Book of ASTM Standards, Vol 13.01.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.
1

---------------------- Page: 1 ----------------------
F1517–94 (2002)
4.2 All ambulance operations and operators should follow 6.3 A review of the state motor vehicle record for the
this guide for the development of educational and training previous three years with specific attention to traffic convic-
programs. tions concerning:
4.3 This guide is intended to promote safe and efficient 6.3.1 Speed,
ambulance operations and to reduce morbidity, mortality, and 6.3.2 Careless and imprudent driving,
property
...

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5.1 This practice is intended to promote the use of trained telecommunicators in the role of emergency medical dispatcher. It defines the basic skills and medical knowledge to permit understanding and resolution of the problems that constitute their daily routine. To use trained telecommunicators fully as functioning members of the emergency medical team, it is deemed necessary to upgrade the telecommunicators' training by the addition of the concept of emergency medical dispatch priorities.  
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5.1 The emergency medical dispatcher should be a specially trained telecommunicator with specific emergency medical knowledge. Many of these personnel still perform in this role without the benefits of dispatch specific medical training and medically sound protocols. The majority perform their duties without appropriate medical management provided through a structured quality assurance/improvement environment. Training only prepares a new EMD for correct use of the EMDPRS. It cannot ensure that the EMDPRS is used as intended. Since the EMD is clearly defined as a prehospital medical professional, it is necessary to establish sound medical management processes through a multi-component QA/QI program administered by the EMD's agency in conjunction with the physician medical director. Prompt, correct, and appropriate patient care can be enhanced through the use of a standardized approach to quality assurance, especially the component of EMD performance assessment. This practice is intended for use by agencies, organizations, and jurisdictions having the responsibility for providing such services and assurances to the public through the correct management of the nation's emergency medical dispatchers.
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1.1 This practice covers the function of the emergency medical dispatcher (EMD). This function is the prompt and accurate processing of calls for emergency medical assistance. The training and practice through the use of a written or automated medical dispatch protocol is not sufficient in itself to ensure continued medically correct functioning of the EMD. Their dispatch-specific medical training and focal role in EMS has developed to such a complexity that only through a correctly structured and appropriately managed quality assurance environment can the benefits of their practice be fully realized. The philosophies of emergency medical dispatch have established new duties to which the emergency medical dispatch agency must respond. It is important that their quality assurance/quality improvement (QA/QI) activities, including initial hiring, orientation, training and certification, continuing dispatch education, recertification, and performance evaluation be given appropriate managerial attention to help ensure the ongoing safety in the performance of the EMD. This practice establishes functional guidelines for these managerial, administrative, and supervisory functions.  
1.2 The scope of this practice includes:  
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Standard Guide for Training and Evaluation of Individuals Who Are Responsible for or Perform Triage in a Prehospital Environment

SIGNIFICANCE AND USE
4.1 This guide is intended for use by those responsible for the development and implementation of training programs, that include competency evaluation, for triage in the prehospital environment.  
4.2 This guide is not intended to be used by itself, but as a component of Guide F1288.  
4.3 This guide acknowledges many types of individuals with varying levels of emergency medical training. It also establishes a minimum training standard and encourages the addition of optional knowledge, skill, and attitudinal objectives.  
4.4 A vital role in the development and operational application of triage is that of medical control. This guide should be used by medical directors in the determination of operational and medical protocols for use during MCIs and coordinated with those who are responsible for training.  
4.5 At the beginning of the program, students shall be informed of the course objectives and requirements for successful completion.
SCOPE
1.1 This guide covers minimum requirements for the training and evaluation of individuals who perform triage at an emergency medical incident involving multiple casualties in a prehospital environment.  
1.2 All training will be in accordance with Guide F1653.  
1.3 Included in this guide is a standard for knowledge and skill evaluation.  
1.4 Operating within the framework of this guide may expose personnel to hazardous materials, procedures, and equipment. For additional information see Practice F1031 and Guides F1219, F1253, F1285, F1288, F1453, and F1489.  
1.5 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use. For specific precautionary statements, see the document cited in Footnote 3.  
1.6 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

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4.1 This guide is not intended to be used by itself, but as a component of Guide F1288. Merely conforming to the guidelines described herein will not ensure that adequate triage is carried out in a multiple casualty incident.  
4.2 The purpose of this guide is to establish a methodology for performing triage.  
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1.1 This guide covers minimum requirements for the scope of performance for individuals who perform triage at an emergency medical incident involving multiple casualties in a pre-hospital environment.  
1.2 This guide acknowledges objectives based on an individual's required knowledge of signs and symptoms, patient assessment, and basic life support.  
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Standard Guide for Scope of Performance of First Responders Who Provide Emergency Medical Care

SIGNIFICANCE AND USE
4.1 The purpose of this guide is to improve the quality of initial emergency medical care provided to the sick and injured. As the first trained person at an emergency medical scene, it is critical that the first responder be proficient in providing patient care and minimizing further complications until more highly trained emergency medical service personnel intervene.  
4.2 In identifying these minima, the guide acknowledges many types of first responder emergency medical care courses of study. This guide allows and encourages the addition of optional knowledge, skill, and attitudinal objectives. Programs such as those for law enforcement, firefighters, and ski patrol are examples of this diversity meeting specific local community needs.  
4.3 This guide is intended to assist those who are responsible for defining the scope of performance for first responders.  
4.4 This guide is not  intended to be used as a scope of performance for emergency ambulance personnel (see Practice F1031).
SCOPE
1.1 This guide covers minimum requirements for the scope of performance of first responders who may be responsible for the initial care of sick and injured persons of all ages in the prehospital environment.  
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