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ASTM F1517-14

(Guide)

Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operators (Withdrawn 2023)

Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operators (Withdrawn 2023)

SIGNIFICANCE AND USE
4.1 This guide provides minimum guidelines for safe and efficient ambulance operation.  
4.2 All ambulance operations and operators should follow this guide for the development of educational and training programs.  
4.3 This guide is intended to promote safe and efficient ambulance operations and to reduce morbidity, mortality, and property loss associated with ambulance operations.  
4.4 This guide is intended to assist those who are responsible for the development and implementation of policies and procedures for 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 inch-pound units are to be regarded as standard. The values given in parentheses are mathematical conversions to SI units that are provided for information only and are not considered standard.  
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.
WITHDRAWN RATIONALE
This guide covered minimum standards for the performance of emergency medical services (EMS) ambulance operators, including: operator qualifications, pre-run operation, and post-run aspects.
Formerly under the jurisdiction of Committee F30 on Emergency Medical Services, this guide was withdrawn in January 2023 in accordance with section 10.6.3 of the Regulations Governing ASTM Technical Committees, which requires that standards shall be updated by the end of the eighth year since the last approval date.

General Information

Status
Withdrawn
Publication Date
31-May-2014
Withdrawal Date
05-Jan-2023
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.02 - Personnel, Training and Education
Current Stage
Ref Project

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ASTM F1517-14 - Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operators (Withdrawn 2023)ASTM F1517-14 - Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operators (Withdrawn 2023)
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ASTM F1517-14 - Standard Guide for Scope of Performance of Emergency Medical Services Ambulance Operators (Withdrawn 2023)
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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 − 14
Standard Guide for
Scope of Performance of Emergency Medical Services
1
Ambulance Operators
This standard is issued under the fixed designation F1517; 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 (´) indicates an editorial change since the last revision or reapproval.
1. Scope 3.1.1 The definitions given in Terminology F1177 are ap-
plicable to this guide.
1.1 This guide covers minimum standards for the perfor-
3.1.2 ambulance, n—See Terminology F1177.
mance of emergency medical services (EMS) ambulance
operators, including: operator qualifications, pre-run operation, 3.2 Definitions of Terms Specific to This Standard:
and post-run aspects. 3.2.1 ambulance operations, n—the efficient delivery of the
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, n—as outlined in this
for the safety of the public. This guide may be applied to other
guide, a person, company, corporation or political entity
EMS vehicles that do not necessarily provide patient transport.
responsible for operation, maintenance, or policy making, or
1.3 This guide shall be used as the basis for training guides
combination thereof, regarding emergency medical vehicle
of the emergency medical services ambulance operator.
operations.
1.4 The values stated in inch-pound units are to be regarded
3.2.3 bona fide occupational qualification (BFOQ), n—the
as standard. The values given in parentheses are mathematical
skills and knowledge relevant to the performance of a specific
conversions to SI units that are provided for information only
task.
and are not considered standard.
3.2.4 departure check, n—the visual check of the vehicle
1.5 This standard does not purport to address all of the
and surrounding area ensuring that equipment and supplies
safety concerns, if any, associated with its use. It is the
have been retrieved and properly stored and that all compart-
responsibility of the user of this standard to establish appro-
ment doors are secured.
priate safety and health practices and determine the applica-
3.2.5 emergency mode, n—as defined by individual state
bility of regulatory limitations prior to use.
statutes that refer to emergency vehicles, equipment, and
operations.
2. Referenced Documents
2
3.2.6 full check, n—a comprehensive and systematic evalu-
2.1 ASTM Standards:
ation of the ambulance at specified intervals, including docu-
F1177 Terminology Relating to Emergency Medical Ser-
mentation of the inspection, any deficiencies found and cor-
vices
rective actions.
F1258 Practice for Emergency Medical Dispatch
3.2.7 operator, n—a person who operates or assists with the
3. Terminology
operation of an ambulance.
3.1 Definitions:
3.2.8 post-run, n—the managed return of the ambulance and
operators to optimal pre-run readiness.
3.2.9 pre-run, n—all aspects of assuring response readiness.
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
3.2.10 quick check, n—an abbreviated version of the full
Personnel, Training and Education.
check, focusing on the major operational functions of the
CurrenteditionapprovedJune1,2014.PublishedJuly2014.Originallyapproved
vehicle.
in 1994. Last previous edition approved in 2007 as F1517 – 94 (2007). DOI:
10.1520/F1517-14.
2
For referenced ASTM standards, visit the ASTM website, www.astm.org, or 4. Significance and Use
contact ASTM Customer Service at service@astm.org. For Annual Book of ASTM
4.1 This guide provides minimum guidelines for safe and
Standards volume information, refer to the standard’s Document Summary page on
the ASTM website. efficient ambulance operation.
Copyright © ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States
1

---------------------- Page: 1 ----------------------
F1517 − 14
4.2 All ambulance operations and operators should follow precautions, turning, backing, and parking techniques during
this guide for the development of educational and training emergency and non-emergency modes.
programs.
6.3 A review of the state motor vehicle record for the
4.3 This guide is intended to promote safe and efficient previous three years with specific attention to traffic convic-
ambu
...

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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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1.2.2 The orientation of new emergency medical dispatchers;  
1.2.3 Development of QA/QI mechanisms, management strategies, and organizational structures for use within a comprehensive emergency medical dispatch system;  
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SIGNIFICANCE AND USE
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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Standard Guide for Training the Emergency Medical Technician to Perform Patient Examination Techniques

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SCOPE
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1.9 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.
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ASTM F1653-95(2020)(Guide)
Standard Guide for Scope of Performance of Triage in a Prehospital Environment

SIGNIFICANCE AND USE
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.  
4.3 Individuals responsible for performing triage must be proficient in triage methods and related life-saving techniques.  
4.4 A basic concept of triage is to do the greatest good for the greatest number of casualties.  
4.5 The assessment process must be focused so as to identify those most at risk of early death who are likely to be salvaged by rapid medical intervention.  
4.6 Triage allows the most efficient use of available resources.  
4.7 This guide acknowledges many types of individuals with varying levels of emergency medical training. It also establishes a minimum scope of performance and encourages the addition of optional knowledge, skills, and attitudinal objectives.  
4.8 A vital role in the development of 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.  
4.9 This guide is intended to assist those who are responsible for defining the scope of performance of individuals who perform triage.  
4.10 For the purpose of this guide the word “injured” includes both sick or injured patients, or both.
SCOPE
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.  
1.3 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, F1287, F1288, F1489 and F1651.  
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1.5 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 It is essential to have the public's understanding and support for the EMS system to ensure its proper development and utilization.  
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SCOPE
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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.  
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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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