Ambulance Services Act General Regulations

c t AMBULANCE SERVICES ACT GENERAL REGULATIONS PLEASE NOTE This document, prepared by the Legislative Counsel Office, is an office consolidation of this regulation, current to August 9, 2025. It is intended for information and reference purposes only. This document is not the official version of these regulations. The regulations and the amendments printed in the Royal Gazette should be consulted on the Prince Edward Island Government web site to determine the authoritative text of these regulations. For more information concerning the history of these regulations, please see the Table of Regulations on the Prince Edward Island Government web site (www.princeedwardisland.ca). If you find any errors or omissions in this consolidation, please contact: Legislative Counsel Office Tel: (902) 368-4292 Email: legislation@gov.pe.ca Ambulance Services Act General Regulations Section 1 c AMBULANCE SERVICES ACT Chapter A-10.01 GENERAL REGULATIONS Pursuant to section 23 of the Ambulance Services Act R.S.P.E.I. 1988, Cap. A-10.01, Council made the following regulations: Application 1. Application of regulations The requirements and standards in these regulations apply in respect of every ambulance that is used or intended to be used to provide ambulance services in the province, except an ambulance based outside the province that is used to provide for the inter-provincial transportation of patients. (EC530/13) Classes of Ambulance 1.1 Classes of ambulance (1) There are hereby established two classes of ambulance, namely, class 1 and class 2. Use of class 1 ambulance (2) A class 1 ambulance may be used to provide any and all ambulance services to any and all patients. Use of class 2 ambulance (3) A class 2 ambulance may be used to provide ambulance services in the form of transportation, to or from a health facility, of a patient who has been judged by a medical practitioner to require, while being transported, (a) the care or supervision of a medical practitioner, a registered nurse or an emergency medical technician; or (b) the use of a stretcher. (EC785/22) c t Current to: August 9, 2025 Page 3 Section 2 Ambulance Services Act General Regulations Staffing of an Ambulance 2. Staff, class 1 ambulance (1) A class 1 ambulance shall be staffed by at least two emergency medical technicians. Staff, class 2 ambulance (1.1) A class 2 ambulance shall be staffed by at least two persons, one of whom shall be an emergency medical technician. Staff attending patient (2) When transporting a patient by ambulance, at least one emergency medical technician shall ride in the patient section of the ambulance to attend to the patient, except where (a) medical or nursing personnel are in the patient section attending to the patient; and (b) space limitations prevent an emergency medical technician from riding in the patient section with the medical or nursing personnel. (EC530/13; 785/22) Vehicle Safety and Design 3. Safety of vehicle (1) An ambulance shall be (a) registered and inspected in accordance with the Highway Traffic Act R.S.P.E.I. 1988, Cap. H-5, as evidenced by the motor vehicle registration and the inspection certificate carried in the ambulance; (b) maintained in good mechanical condition and repair; and (c) cleaned, disinfected and decontaminated to prevent the spread of communicable diseases. Design requirements (2) The vehicle design requirements for an ambulance are set out in Schedule A. (EC530/13) Equipment and Supplies 4. Vehicle equipment (1) The following vehicle equipment shall be carried in an ambulance: (a) a vehicle-mounted two-way radio; (b) two handheld two-way radios; (c) two battery-operated flashlights; (d) a dry chemical fire extinguisher; (e) two high-visibility safety vests; and (f) two emergency services or rescue helmets. Patient care equipment and supplies (2) The patient care equipment and supplies set out in Schedule B for a class 1 ambulance or a class 2 ambulance, respectively, shall be carried in an ambulance of the applicable class. (EC530/13; 785/22; 708/25) Page 4 Current to: August 9, 2025 t c Ambulance Services Act General Regulations Section 5 5. Uncontrolled movement (1) All equipment and supplies carried in an ambulance shall be properly stored and secured to prevent uncontrolled movement. Safety of equipment (2) All equipment carried in an ambulance shall (a) meet any standards established by the Canadian Standards Association (CSA) for such equipment, as indicated by a mark or stamp of CSA approval; (b) be maintained and calibrated in accordance with any recommendations of the manufacturer; and (c) be cleaned, disinfected and decontaminated to prevent the spread of communicable diseases. Approved uses (3) No person shall use equipment carried in an ambulance for purposes, or under conditions, other than those approved by the manufacturer for that equipment. (EC530/13) Use of Ambulance 6. Transportation of human remains An ambulance shall not be used for the transportation of human remains unless prior approval has been obtained from a coroner appointed under the Coroners Act R.S.P.E.I. 1988, Cap. C- 25.1. (EC530/13) Patient Call Reports 7. Retention of patient call reports For the purposes of clause 15(3)(b) of the Act, an operator shall retain a patient call report for 7 years. (EC530/13) c t Current to: August 9, 2025 Page 5 Ambulance Services Act General Regulations SCHEDULE A SCHEDULE A AMBULANCE DESIGN REQUIREMENTS CLASS 1 AMBULANCE 1. A class 1 ambulance shall provide for (a) ready access between the driver and patient sections; (b) entry by rear doors to permit ready loading of a stretcher patient; and (c) entry by a curbside door to permit ready loading of an ambulatory patient, with anti- slip covering on any steps. 2. The rear doors of a class 1 ambulance shall not contain windows that open. 3. The patient section of a class 1 ambulance shall accommodate (a) at least one stretcher patient; and (b) at least two seated persons who are attending to the patient, with headroom sufficient for the provision of care from a seated position. 4. (1) A class 1 ambulance shall be equipped with a floor-mounted or wall-mounted assembly to secure a wheeled, adjustable-height stretcher. (2) The stretcher assembly shall be reinforced so as to transmit stresses to the main body of the vehicle. (3) The stretcher assembly shall be positioned to allow free working space at the foot and head of the stretcher. 5. A class 1 ambulance shall be equipped with (a) fasteners or holders designed to securely fasten and transport an incubator; (b) at least two attendant seats with headrests, including (i) one seat positioned by the head of the stretcher, facing toward the rear of the vehicle, and (ii) one seat positioned beside the stretcher; (c) a restraint belt for each patient and attendant; (d) overhead hooks for use with intravenous treatment; (d.1) an exhaust fan or air filtration device capable of evacuating or filtering any contaminated air from the patient compartment; (e) readily accessible storage for all required patient care supplies and equipment; and (f) a siren, with controls readily accessible to the driver. 6. The interior surfaces of a class 1 ambulance shall be easily washable and free from sharp edges. 7. A class 1 ambulance shall be insulated and have a system of heating and cooling or ventilation that allows for keeping the patient section approximately at ordinary room temperature. 8. A class 1 ambulance shall be equipped with the following lighting: (a) a map light in the driver section; c t Current to: August 9, 2025 Page 7 AMBULANCE DESIGN REQUIREMENTS Ambulance Services Act General Regulations (b) at least two interior lights, located on each side of the patient section, controlled by independent switches to permit dimming of individual lights; (c) lighting to illuminate the rear entry when the doors are opened or the transmission is in reverse gear; (d) lighting to illuminate the side step entry when the door is opened; (e) rotating or strobe lights, mounted on or about the roof of the vehicle, that (i) contain at least two of the colours red, white and blue, (ii) are visible within a 150-meter radius of the vehicle, and (iii) remain visible when the rear doors of the vehicle are open; (f) two red or blue flashing lights on the grill or front face of the vehicle; (g) an intersection light mounted on the side of each front fender; (h) a clear ditch light, mounted on the vehicle, capable of illuminating a work site or house number within 15 metres of the vehicle. 9. (1) The interior of a class 1 ambulance shall be painted and furnished in soft colours. (2) The exterior of a class 1 ambulance shall be painted predominantly white, cream or yellow. 10. The exterior of a class 1 ambulance shall display the word “AMBULANCE” on reflective decals, written in block letters at least 12.5 cm in height, on the rear and both sides of the vehicle, and on the front in reverse printing so as to be readable in a mirror. CLASS 2 AMBULANCE 1. A class 2 ambulance shall provide for (a) ready access between the driver and patient sections; (b) entry by rear doors or a curbside door to permit ready loading of a stretcher patient; and (c) entry by a curbside door to permit ready loading of an ambulatory patient, with anti- slip covering on any steps. 2. The rear doors, if any, of a class 2 ambulance shall not contain windows that open. 3. A class 2 ambulance shall accommodate (a) at least one stretcher patient and at least one seated patient; and (b) at least one seated person who is caring for or supervising the patients, with headroom sufficient to do so from a seated position. 4. (1) A class 2 ambulance shall be equipped with floor-mounted or wall-mounted assemblies to secure at least one wheeled, adjustable-height stretcher, at least one wheelchair and other mobility devices. (2) The assemblies shall be reinforced so as to transmit stresses to the main body of the vehicle. (3) The stretcher assembly shall be positioned to allow free working space at the foot and head of the stretcher. 5. A class 2 ambulance shall be equipped with (a) at least one attendant seat with a headrest; (b) a restraint belt for each patient and attendant; (c) overhead hooks for use with intravenous treatment; and (d) readily accessible storage for all required patient care supplies and equipment. Page 8 Current to: August 9, 2025 t c Ambulance Services Act General Regulations AMBULANCE DESIGN REQUIREMENTS 6. The interior surfaces of a class 2 ambulance shall be easily washable and free from sharp edges. 7. A class 2 ambulance shall be insulated and have a system of heating and cooling or ventilation that allows for keeping the patient section approximately at ordinary room temperature. 8. A class 2 ambulance shall be equipped with the following lighting: (a) a map light in the driver section; (b) at least two interior lights, located on each side of the patient section, controlled by independent switches to permit dimming of individual lights; (c) lighting to illuminate the rear entry, if any, when the doors are opened; (d) lighting to illuminate the curbside entry when the door is opened; (e) a clear ditch light, either mounted on the vehicle or hand-held, sufficient to illuminate a work site or house number at a distance of 15 metres. 9. (1) The interior of a class 2 ambulance shall be painted and furnished in soft colours. (2) The exterior of a class 2 ambulance shall be painted predominantly white, cream or yellow. 10. The exterior of a class 2 ambulance shall display the word “AMBULANCE” on reflective decals, written in block letters at least 12.5 cm in height, on the rear and both sides of the vehicle, and on the front in reverse printing so as to be readable in a mirror. (530/13; 78522; 708/25) c t Current to: August 9, 2025 Page 9 SCHEDULE B Ambulance Services Act General Regulations SCHEDULE B PATIENT CARE EQUIPMENT AND SUPPLIES Patient Care Equipment and Supplies Class 1 Ambulance Class 2 Ambulance Minimum Number or Minimum Number or Amount Amount 1. Standard, adjustable-height stretcher with 1 1 impermeable mattress 2. Paediatric transport device 1 1 3. Infant transport device 1 1 4. Stair chair 1 1 5. Scoop stretcher 1 6. Standard-sized backboard 1 7. Backboard quick adjustable clips (body immobilization 1 set of 4 straps) 8. Semi-rigid, adjustable cervical collars 1 adult size 1 paediatric size 9. Bedding and linen, as follows: (a) blankets or flannels 2 2 (b) pillows 2 1 (c) pillowcases 2 2 10. Assorted bandages and sterile dressings, including: (a) 4 x 4 sterile gauze pads 12 6 (b) abdominal pads 6 4 (c) sterile conforming bandages, 4-inch 2 2 (d) non-adherent dressing 3 3 11. Roll of adhesive tape 1 1 12. Trauma shears 1 1 13. Triangular slings 3 1 14. Trauma tourniquet 2 15. Pelvic stabilization device 1 16. Femur traction splint device 1 17. Sterile burn kit 1 18. Oxygen tanks, with minimum 25 litres per minute either (a) or (b) regulator, as follows: (a) large tank (M size or equivalent), maintained at 1 1 not less than 500 PSI (b) small (D or E size) portable tanks, maintained at 2 1 x patient capacity not less than 500 PSI 19. Nebulizer masks 1 adult size 1 adult size 1 paediatric size 1 paediatric size 20. Nasal cannulas 1 adult size 1 adult size 1 paediatric size 1 paediatric size 21. Non-rebreather masks 1 adult size 1 adult size 1 paediatric size 1 paediatric size 22. Bag-valve-mask devices, as follows: (a) adult-sized with 1 adult large-sized mask and 1 1 1 adult medium-sized mask (b) child-sized with 1 child-sized mask 1 1 (c) infant-sized with 1 infant-sized mask 1 1 (d) Positive End Expiratory Pressure valve 1 1 23. Adult Continuous Positive Airway Pressure delivery 1 Page 10 Current to: August 9, 2025 t c Ambulance Services Act General Regulations SCHEDULE B device 24. Suction apparatus, as follows: (a) electrically operated and stationary 1 (b) electrically operated and portable 1 1 25. Suction tips 1 1 26. Suction catheters (sizes 12, 14, 16 French) 1 per size 1 per size 27. Suction tubing 4 2 28. Oropharyngeal airways (sizes 40mm to 110mm) 1 per size 1 per size 29. Nasopharyngeal airways (sizes 12 to 30 French) 1 per size 1 per size 30. Stethoscope 1 1 31. Sphygmomanometer, with infant-sized, paediatric- 1 1 sized, adult-sized, and large adult-sized cuffs 32. Medications, as follows: (a) Acetaminophen 3000 mg 3000 mg (b) Acetylsalicylic Acid (ASA) 800 mg 8 00 mg (c) Adenosine 30 mg (d) Amiodarone 450 mg (e) Atropine 2 mg (f) Dextrose 5% water (100ml) 1 bag (g) Dextrose 10% 500 ml 2 50 ml (h) Diazepam 20 mg (i) Dimenhydrinate 100 mg 50 mg (j) Diphenhydramine 100 mg 5 0 mg (k) Epinephrine (1 mg/10 ml) 6 mg (l) Epinephrine (1 mg/ml) 6 mg 6 mg (m) Fentanyl 200 mcg (n) Furosemide 80 mg (o) Glucagon 2 mg for intramuscular use 2 mg for intramuscular use or or 6 mg for intranasal use 6 mg for intranasal use (p) Haloperidol 10 mg (q) Ipratropium 1000 mcg for nebulization 1000 mcg for nebulization 1 metered-dose inhaler 1 metered-dose inhaler (r) Ketorolac 30 mg (s) Lidocaine spray 1 bottle (t) Magnesium Sulphate 4 g (u) Metoclopramide 20 mg (v) Midazolam 20 mg (w) Morphine 20 mg (x) Naloxone 0.8 mg 0.8 mg (y) Nitroglycerin (0.4 mg/metered dose) 2 bottles 1 bottle (z) Norepinephrine 8 mg (aa) Oral glucose 30 g (bb) Oxytocin 40 units (cc) Salbutamol 10 mg for nebulization 10 mg for nebulization 1 metered-dose inhaler 1 metered-dose inhaler (dd) Sodium Bicarbonate 100 mEq (ee) Tetracaine Eye Drops 2-unit doses (ff) Tranexamic Acid 1,000 mg 33. Intravenous supplies, as follows: (a) syringe - 60cc 1 1 (b) syringe - 20cc 1 1 (c) syringe - 10cc 2 2 (d) syringe - 5cc 2 2 (e) syringe - 3cc 2 2 (f) syringe - 1cc 2 2 (g) NaCl 0.9% solution, 10ml syringes 2 2 (h) NaCl 0.9% solution, for intravenous infusion 2000 ml 2000 ml c t Current to: August 9, 2025 Page 11 SCHEDULE B Ambulance Services Act General Regulations (i) peripheral intravenous lock 2 2 (j) IV Tubing - Macro solution set 2 2 (k) micro solution set 1 1 (l) IV tourniquets 2 2 (m) IV transparent film dressing 6 6 (n) blunt fill needle 2 2 (o) needles, for intramuscular use 2 2 (p) needles, for subcutaneous use 2 2 (q) IV catheter - 16 gauge 2 2 (r) IV catheter - 18 gauge 2 2 (s) IV catheter - 20 gauge 2 2 (t) IV catheter - 22 gauge 2 2 (u) intraosseous (IO) vascular access device, battery 1 operated (v) intraosseous (IO) catheter 2 adult size 2 paediatric size (w) nasal atomizer 1 (x) alcohol swabs 5 5 34. Intravenous infusion pump device 1 1 35. Penlight 1 1 36. Malleable splints 2 1 37. Urinal 1 1 x patient capacity 38. Bedpan 1 1 x patient capacity 39. Toilet Paper 1 1 40. Emesis bag 2 2 41. Hot compresses 2 42. Cold compresses 4 4 43. Disposable gloves (sizes small, medium, and large) 1 box/size 1 box/size 44. Disposable impermeable gowns 4 4 45. Safety glasses with side shields 2 pairs 2 pairs 46. Surgical masks 4 2 x patient capacity 47. Sharps disposal container, portable 1 1 48. Sharps disposal container, vehicle mounted 1 1 49. Biohazard bag 1 1 50. Germicidal disinfecting wipes 1 package 1 package 51. Facial tissues 1 box 1 box 52. Cardiac monitor kit, portable, including: (a) cardiac monitor/defibrillator 1 1 (b) multi-function defibrillator electrode pads 2 adult size 2 adult size 2 paediatric size 2 paediatric size (c) cardiac electrodes (adult) 30 30 (d) cardiac electrodes (paediatric) 8 8 (e) recorder paper 2 2 (f) disposable razor 2 2 (g) 4 or 5-lead attachment 1 1 (h) 12-lead attachment 1 1 (i) end-tidal carbon dioxide capnography sensor 1 1 (adult) (j) SpO2 monitoring probe 1 adult size 1 adult size 1 paediatric size 1 paediatric size (k) cardiac monitor battery 2 1 53. Advanced airway management supplies, including: (a) wire cutter 1 (b) Magill forceps 1 adult size 1 paediatric size (c) Laryngoscope handle with batteries 1 (d) spare laryngoscope bulb 1 (e) MacIntosh #3 blade 1 Page 12 Current to: August 9, 2025 t c Ambulance Services Act General Regulations SCHEDULE B (f) MacIntosh #4 blade 1 (g) Miller #0 blade 1 (h) Miller #1 blade 1 (i) Miller #4 blade 1 (j) commercial airway restraint device 1 adult size 1 adult size 1 paediatric size 1 paediatric size (k) lubricating jelly 3 3 (l) stylets 1 adult size 1 paediatric size (m) bacterial/viral filter 1 1 (n) povidone-iodine swabs 5 (o) supraglottic airways (sizes infant to large adult) 1 per size 1 per size (p) endotracheal tubes (sizes 3 to 8.5) 1 per size (q) stylet 1 adult size 1 paediatric size (r) bougie 1 (s) scalpel 1 (t) 14ga needle (for needle thoracostomy) 2 54. Glucometer 1 1 55. Glucometer test strips 10 10 56. Glucometer lancets 5 5 57. Thermometer, battery-operated 1 1 58. Paediatric supplies, including: (a) length-based paediatric resuscitation tape 1 1 (b) obstetrical kit, which includes 1 bulb suction, 1 1 1 scalpel or scissors, 1 blanket, 1 head cap, and 2 umbilical clamps (c) meconium aspirator 1 1 (d) paediatric cricothyrotomy kit 1 (EC530/13; 785/22; 708/25) c t Current to: August 9, 2025 Page 13