Figure 6-1

AMBULANCE – MINIMAL VEHICLE SPECIFICATIONS

SN REQUIRED ITEMS MINIMUM SPECIFICATIONS REMARKS (√)
1. Engine 6 cylinder minimum
2. Transmission Automatic
3. Steering Power steering with tilt column
4. Brakes Power Assisted
Safety
(a) Air bags Driver and front passenger
(b) Fire Fire extinguisher – type ABC small.
(c) Triangles Holders/Brackets for portable equipment
(oxygen/suction)
5.
(d) Equipment Overhead IV holder/hook
(e) Warning i. Lights - Beacon & dome light * With available network and the
ii. Siren system, amplifier & microphone. appropriate frequency.
iii. Communication device (Radio/cell phone/
satellite)*
Factory installed. Driver & patient’s cabin.
6. Air Conditioning
Roof type ventilation fan.
Front bench seats.
Patient’s cabin. Attendant’s seat with storage
7. Seating
compartment underneath. Final height
must not be higher than 36 cms.
Tires Radial sand tires with speed rating of 120 KPH
8.
minimum.
9. Spare tire Full size spare tire.
Floor High grade embossed vinyl flooring.
Partition Half or full wall partition behind driver. If full with
sliding window.
Storage Cabinet with sliding door on the left side of the
ambulance.
10. Tow hooks Front, attached to chassis.
Glass Tinted. 70% transparent heat film (V-cool or 3M).
11. Color White, single color.
a. Complete light system in driver’s and patient’s
14. Lights cabin
b. Scene/spot light mounted at rear top of vehicle.
Oxygen system Individual cylinder** secured with brackets or ** size ”E” or 680L (volume)
15.
centralized system.
16. Suction system Portable machine or centralized system.
External. Reflective with “AMBULANCE” *** in *** Inverted
17. Signage
English & Arabic & Red Crescent insignia.
**** E.g. Suburban, GMC Yukon,
Ford Expedition,
In case of a carryall vehicle****, the roof must be
Toyota, etc. Conversion shall be by
18. Roof conversion raised 10 inches (minimum) above regular height.
manufacturer or the vehicle is
The raised area shall be reinforced fiberglass.
imported and registered as an
ambulance.

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 Figure 6-2
Daily Ambulance Checklist (Van Type)

Month & Year:__________________________ Ambulance # ____________________ Clinic:__________________________

Equipment Qty 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

LEFT REAR SIDE

Oxygen Tank 1

E
Short backboard with 3 straps 1
Hare Traction 1

L
LEFT TOP 1 COMPARTMENT
st

Ambu-bag 1

P
Non-rebreather mask & nasal cannula 2 ea
O2 Tubing 2
Minilator with connector & Tube 1

M
(2 meters)
O2 Nipples 10 Liters 5

A
Oxygen Flow meter D&E 1 ea
LEFT TOP 2 nd
COMPARTMENT

S
Ambu-bag 1
Non-rebreather mask & nasal cannula 2 ea
Suction Catheters size 10 & 14 2 ea
Suction connecting tubing 1
Yankeur Sucker 1
LEFT MIDDLE SHELF-TOP
Arm Sling & Swath 1
Arm-boards (Adult & Pediatric) 2 ea
Cold Pack 2
Kerlix Bandages 4
Non Sterile Gauze (100 / pack) 2
Sterile Abdominal Pads 4
Sterile saline (1000ml) 1
Multi-Trauma Pack 4
Burn Pack 2

124
 Daily Ambulance Checklist (Van Type)
Month & Year:__________________________ Ambulance # ____________________ Clinic:__________________________

Equipment Qty 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

LEFT MIDDLE SHELF-BOTTOM

E
C-Collar (Hard)Fits all size 2
Tissues(Box) 1

L
Gloves (large, medium & small) 1 ea
Face shield (Goggles) 3

P
Plastic Gown 3
Yellow Infectious Waste Bags(Roll) 1
UNDER BENCH SEAT

M
Scoop Stretcher 1
Urinal / Bedpan 1 ea

A
ON BENCH SEAT
Long Backboard with 4 Straps 1
DRIVER CABINET

S
Helmet 3
Reflective Vest (Nurse x 2, Driver x 1) 3
BACK SIDED NURSE SEAT
Igloo Water Cooler 1
Ferno Collapsible Stretcher 1
Portable Air Compressor 1
Missing Item Replaced: Yes or No Y/N
Any missing items should be replaced immediately or explain below and report.
Problems/ Action Date

Initials of Checker

125
Figure 6-3
Vehicle (Ambulance) Condition Report – Daily Checks
Medical Facility: ____________________ Vehicle No.: ____________________
Day Checked and Initials Remarks if Deficient
Item Code Items Checked
1 2 3 4 5 6 7
A.1 General cleaning inside and outside.
A.2 Air conditioning.
A.3 Directional lights.
A.4 Fuel gauge.

E
A.5 Horn.
A.6 Siren.

L
A.7 Mirrors.
A.8 Steering wheel.

P
A.9 Seat belts.
A.10 Hand brake.
A.11 Foot brake.
A.12 Radio communication.

M
A.13 Engine oil/Transmission oil.
A.14 Fan belts.

A
A.15 Radiator.
A.16 Wiper water reservoir level.

S
A.17 Battery.
A.18 Flashers.
A.19 Head lights, low and high beam.
A.20 Tail lights.
A.21 Stop lights and parking lights.
A.22 Muffler.
A.23 Tire condition and pressure.
A.24 Spare tire and tire changing tools.
A.25 Triangle.
A.26 Fire extinguisher.
Daily Test Run Mileage Record (km)
1 2 3 4 5 6 7
Mileage - Out
Mileage - In
Vehicle (Ambulance) Condition Report – Daily Checks 126
Figure 6-4
AMBULANCE MOVEMENT LOG Location:
Ambulance
110 or Patient’s Name & Signature &
Date Time Nature of Incident Incident Location Mileage Outcome
Regular call Badge # Badge #

E
Time out Time in Mileage in
out

P L
A M
S
Note: 1. Enter all calls, to include False Alarms, Ambulance runs, and MEDEVACs; 2. Enter patient’s condition at the time of turnover under OUTCOME,
i.e., Stable, Unstable, or Expired; 3. Enter N/A for items that are not applicable.

127
Figure 6-5
Monthly Ambulance Statistics
Month & Year__________________________ Clinic_______________________________

Vehicle # Next Aramco ∆ Curent Month Last month Mileage done # of Runs
PM Service Sticker Mileage reading Mileage reading this month this month
# of Garage visits REMARKS
Due Date Exp. Date (A) Kms (B) Kms (A-B) Kms
Date B PM RP Lost PT O
hours

B-Breakdown, P.M - Preventive Maintenace, RP - Repair,

PT - Patient related trips (Real emergencies, Fire Alarms, Fire & Disaster drills) O - Other trips (Orientation, Garage visits & Gasoline refill, Standby)

Prepared by & Badge #_____________________________________________ Tel #__________________ Date_______________________
128