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Competency

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Competency

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COMPETENCY – BASED LEARNING MATERIAL

HEALTH, SOCIAL, AND OTHER

SECTOR COMMUNITY SERVICE
DEVELOPMENT SERVICE SECTOR
EMERGENCY MEDICAL SERVICE
QUALIFICATION TITLE
NC II
CONTRIBUTE IN ON- ROAD
UNIT OF COMPETENCY
OPERATIONS
CONTRIBUTE IN ON- ROAD
MODULE TITLE
OPERATIONS
Prompt Care Ems training academy Incorporated.
Emergency Medical Services
Angeles City

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical
Skills
Academy Services NC Developed by:
Incorporated Michael C. Development
II
Esteban Authority
EMERGENCY
MEDICAL
SERVICES II

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
PLAN
TRAINING
SESSION

Prompt Care Date Developed: Technical

References/Further Reading

Performance Criteria Checklist

Operation/Task/Job Sheet

Self-Check Answer Key

Self-Check

Information Sheet

Learning Experiences

Learning Outcome Summary

Competency Summary

List of Competencies

Front Page

In our efforts to standardize CBLM, the

above parts are recommended for use
in Competency Based Training (CBT) in
Technical Education and Skills
Development Authority (TESDA)
Technology Institutions. The next
sections will show you the components
and features of each part.

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
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Skills
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Incorporated Michael C. Development
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HOW TO USE THIS COMPETENCY – BASED LEARING MATERIALS

Welcome to the Module

DRIVING AMBULANCE UNDER OPERATIONAL CONDITIONS
The unit of competency,” Drive Ambulance Under Operational
Conditions” is one of the competencies of EMERGENCY MEDICAL SERVICES
NC II AMENDED, a course which compresses the knowledge, skills and
attitudes required for a TVET trainee to possess.

The module, Driving Ambulance Under Operational Conditions,

contains training materials and activities related to performing inspection,
preparation and driving the ambulance under operational conditions.

In this module, you are required to go through a series of learning

activities to complete each learning outcome. In each learning outcome are
Information Sheet, Self-Checks, Operation Sheets and Task/Job Sheets.
Follow and perform the activities on your own. If you have questions, do not
hesitate to ask for assistance from your facilitator.

Remember to:
 Work through all the information and complete the activities in each
section.
 Read information sheets and complete the self-check. Suggested
references are included to supplement the materials provided in this
module.
 Most probably, your trainer will also be your supervisor or manager. He
is there to support you and show you the correct way to do things.
 You will be given plenty of opportunities to ask questions and practice
on the task. Make sure you practice your new skills during regular work
shifts. This way, you will improve your speed, memory and your
confidence.
 Use the Self-Checks, Operation Sheets or Task or Job Sheets at the end
of each section to test your own progress. Use the Performance Criteria
Checklist or Procedural Checklist located after the sheet of check your
own performance.
 When you feel confidence that you have had sufficient practice, ask
your Trainer to evaluate you. The results of your assessment will be
recorded in your Progress Chart ad Accomplishment Chart.

You need to complete this module before you can perform the next
module, Facilitating Learning Session.

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
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Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
NAME: ____________________________ DATE: ___________________

Qualification: Emergency Medical Services NC2 Amended

Data Gathering Instrument for Trainee’s Characteristics

Please answer the following instrument according to the characteristics
described below. Encircle the letter of your choice that best describes you as
a learner. Blank spaces are provided for some data that need your response.
Characteristics of learners

Language, Average grade in: Average grade in:

literacy and English Math
numeracy (LL&N)
a. 95 and above a. 95 and above
b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
75 to 79 e. 75 to 79

Cultural and Ethnicity/culture:

language a. Ifugao
background
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others (please specify) _____________

Education & Highest Educational Attainment:

general a. Junior High School Level
knowledge
b. Senior High School Graduate
c. College Level
d. College Graduate
e. Alternative Learning Graduate (ALS)
f. Technical and Vocational Education and
Training (TVET)
g. Masteral Graduate

Prompt Care Date Developed: Technical

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EMS Training January 11, 2023 Education and
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Characteristics of learners
h. With units in Doctoral Level
i. Doctoral Graduate
Sex a. Male
b. Female
Age a. 15-21 years old
b. 22-30 years old
c. 31-40 years old
d. 41-50 years old
e. 51-60 years old
Physical ability 1. Disabilities (if any)_____________________
2. Existing Health Conditions (Existing illness if
any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others (please specify) ___________________

Previous Training Certificates

experience with a.
the topic b.
c.
d.
Number of years as a competency trainer
______

Previous List down trainings related to Housekeeping NC

learning II
experience ___________________________
___________________________
___________________________
National Certificates acquired and NC level
Training Level
completed ___________________________
___________________________

Special courses Other special training regarding Housekeeping

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
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Characteristics of learners
a. Units in education
b. Master’s degree units in education
c. Others (please specify)
_________________________

Learning styles a. Visual - The visual learner takes mental

pictures of information given, so in order for
this kind of learner to retain information,
oral or written, presentations of new
information must contain diagrams and
drawings, preferably in color. The visual
learner can't concentrate with a lot of
activity around him and will focus better
and learn faster in a quiet study
environment.
b. Kinesthetic - described as the students in
the classroom, who have problems sitting
still and who often bounce their legs while
tapping their fingers on the desks. They are
often referred to as hyperactive students
with concentration issues.
c. Auditory- a learner who has the ability to
remember speeches and lectures in detail
but has a hard time with written text.
Having to read long texts is pointless and
will not be retained by the auditory learner
unless it is read aloud.
d. Reading/ Writing Learners- learners who
work best in the reading / writing modality
demonstrate a srtong learning preference
for written word. This includes both written
information presented in class in the form of
handouts and powerpoint slide
presentations as well as the oppprtunity to
synthesize course content in the completion
of writeen assignments. This modality also
lends itself to conducting research online,
as many information-rich sources on the
internet are relatively text-heavy.
e. Activist – Leans by having an experience or
needs to do.

Prompt Care Date Developed: Technical

f. Reflector - Learns most from activities

where they can watch, listen and then
review what has happened.
g. Theorist - Learns most when ideas are
linked to existing theories and concepts.
h. Pragmatist - Learns most from learning
activities that are directly relevant to their
situation.
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others(please specify)
___________________________

SELF-ASSESSMENT CHECK
INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary
data or information which is essential in planning training
sessions.
Please check the appropriate box of your answer to the
questions below.

BASIC COMPETENCIES

1. PARTICIPATE IN WORKPLACE COMMUNICATION YES NO

L.O.1.1 Obtain and convey workplace information 

L.O.1.2 Participate in workplace meetings and 
discussions
L.O.1.3 Complete relevant work-related documents 

2. WORK IN A TEAM ENVIRONMENT

L.O.2.1 Obtain and convey workplace information 
L.O.2.2 Identify own role and responsibility within 
team
L.O.2.3 Work as a team member 

3. PRACTICE CAREER PROFESSIONALISM

Prompt Care Date Developed: Technical

L.O.3.3 Work as a team member 

4. PRACTICE OCCUPATIONAL HEALTH AND SAFETY YES NO
PROCEDURES
L.O.4.1 Identify hazards and risks 
L.O.4.2 Evaluate hazards and risks 
L.O.4.3 Control hazards and risks 
L.O.4.4 Maintain OHS awareness 

COMMON COMPETENCIES

1. IMPLEMENT AND MONITOR INFECTION CONTROL POLICIES

AND PROCEDURES
L.O.1.1 Provide information to the work group about
the organization's infection control policies and 
procedures
L.O.1.2 Integrate the organization's infection control
policy and procedure into work practices 

L.O.1.3 Monitor infection control performance and

implement improvements in practices 

2. RESPOND EFFECTIVELY TO
DIFFICULT/CHALLENGING BEHAVIOR
L.O.2.1 Plan responses 
L.O.2.2 Apply response 
L.O.2.3 Report and review incidents 
3. APPLY BASIC FIRST AID
L.O.3.1 Assess the situation 
L.O.3.2 Apply basic first aid techniques 
L.O.3.3 Communicate details of the incident 
4. MAINTAIN HIGH STANDARD OF PATIENT SERVICES

Prompt Care Date Developed: Technical

L.O.4.3 Act in a respectful manner at all times 

L.O.4.4 Evaluate own work to maintain a high
standard of patient service 

CORE COMPETENCIES

1. PERFORM CARDIO PULMONARY RESUSCITATION (CPR)WITH

AUTOMATED EXTERNAL DEFIBRILLATOR (AED)OPERATION
L.O.1.1 Assess the situation 
L.O.1.2 Contribute in the management of casualty/ies 
L.O.1.3 Manage ambulance and personnel resources 
L.O.1.4 Communicate essential incident details 
L.O.1.5 Manage casualty in a remote and/or isolated
area 

L.O.1.6 Evaluate the incident 

2. MAINTAIN LIFE SUPPORT EQUIPMENT AND RESOURCES

L.O.2.1 Maintain resources 

L.O.2.2 Manage records 

3. IMPLEMENT SAFE ACCESS AND EXTRICATION PROCEDURES IN

AN EMERGENCY
L.O.3.1 Assess emergency situation in relation to safe
access and extrication 

L.O.3.2 Implement procedure to enable safe access

and extrication 

L.O.3.3 Monitor access and extrication procedure in an

emergency situation 

4. CONTRIBUTE IN RECEIVING REQUEST FOR AMBULANCE

Prompt Care Date Developed: Technical
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EMS Training January 11, 2023 Education and
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Skills
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II
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SERVICE
L.O.4.1 Receive request for service 
L.O.4.2 Respond to request for service 
L.O.4.3 Refer request 
L.O.4.4 Finalize request 
5. CONTRIBUTE IN ALLOCATING AMBULANCE SERVICE
RESOURCES
L.O.5.1 Allocate ambulance service resources 
L.O.5.2 Dispatch ambulance service resources 
L.O.5.3 Monitor progress of assigned personnel 
L.O.5.4 Maintain records of Ambulance Service co-
ordination activity 

6. CONTRIBUTE IN COORDINATING EMERGENCY RESOURCES

L.O.6.1 Coordinate ambulance and personnel
resources 

L.O.6.2 Liaise with ambulance communications

personnel 

L.O.6.3 Liaise with other related organizations and

emergency services 

7. DELIVER BASIC AMBULANCE COMMUNICATION SKILLS

L.O.7.1 Exercise effective communication techniques 
L.O.7.2 Convey and receive information using
available modes of communication 

L.O.7.3 Follow routine instructions 

L.O.7.4 Communicate with patients 
L.O.7.5 Complete reports as required 
L.O.7.6 Present a positive image of the service to the
public 

8. CONTRIBUTE IN ON-ROAD OPERATIONS

Prompt Care Date Developed: Technical

L.O.8.3 Contribute in the transport of patients 

L.O.8.4 Contribute in scene management 
9. CONTRIBUTE TO EMERGENCY SCENE MANAGEMENT
L.O.9.1 Contribute in identifying real and potential 
hazards in the environment
L.O.9.2 Communicate with those involved in the 
incident
L.O.9.3 Control hazards/scene safety 
L.O.9.4 Communicate with medical and other 
emergency and allied services with EMT’s
supervision to ensure safety at scene
L.O.9.5 Monitor the environment 
10. CONTRIBUTE TO SPECIAL EVENT SCENE MANAGEMENT
L.O.10.1 Attend mass gathering events 
L.O.10.2 Ensure safety at the scene 
11. CONTRIBUTE TO NON-EMERGERGENCY ROUTINE SCENE
MANAGEMENT
L.O.11.1 Attend to non-emergency scene 
L.O.11.2 Take appropriate measures to ensure safety
at the scene 

12. DELIVER PRE- HOSPITAL PATIENT CARE

L.O.12.1 Contribute in making initial patient
assessment 

L.O.12.2 Contribute in implementing patient care

procedures as the situation presents itself 

L.O.12.3 Contribute in monitoring basic patient care 

and
modify as required

Prompt Care Date Developed: Technical

13. CONTRIBUTE TO AMBULANCE OPERATIONS MANAGEMENT

L.O.13.1 Maintain operations to meet quality
standards 

L.O.13.2 Create and maintain conditions conducive to

productive work and quality service 

L.O.13.3 Monitor and control the use of resources 

14. TRANSPORT EMERGENCY PATIENTS
L.O.14.1 Convey and receive information relating to
emergency transport 

L.O.14.2 Transport patient under emergency

conditions 

L.O.14.3 Load, unload and secure patient and

equipment for emergency transportation 

15. TRANSPORT NON-EMERGENCY PATIENTS

L.O.15.1 Prepare and check vehicle and equipment 
L.O.15.2 Ensure faults in ambulance and equipment
are remedied 

L.O.15.3 Convey and receive information through use

of necessary modes of communication 

L.O.15.4 Load, unload and secure nonemergency

patient and other specific personnel for 
transportation
L.O.15.5 Drive vehicle 
L.O.15.6 Transport patient's relatives or other specific
personnel 

16. DRIVE AMBULANCE UNDER OPERATIONAL CONDITIONS

L.O.16.1 Prepare ambulance for operational response 
L.O.16.2 Drive the ambulance 

Prompt Care Date Developed: Technical

Evidences/Proof of Current Competencies

Current
Proof/Evidence Means of validating
competencies
1. Perform Oral Questioning, Performed Skills to
cardiopulmonar Interview and Actual satisfy Demonstration
y resuscitation Demonstration Checklist and answer
with AED the question
operation Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate
2. Maintain life Oral Questioning, Performed Skills to
support Interview and Actual satisfy Demonstration
equipment and Demonstration Checklist and answer
resources the question
Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate
3. Implement safe Oral Questioning, Performed Skills to
access and Interview and Actual satisfy Demonstration
extrication Demonstration Checklist and answer
procedures in an the question
emergency Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
Certificate
Authenticated
Certificate
4. Contribute in Oral Questioning, Performed Skills to
receiving Interview and Actual satisfy Demonstration
request for Demonstration Checklist and answer
ambulance the question
service Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate
5. Contribute in Oral Questioning, Performed Skills to
allocating Interview and Actual satisfy Demonstration
ambulance Demonstration Checklist and answer
service the question
resources Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate
6. Contribute in Oral Questioning, Performed Skills to
coordinating Interview and Actual satisfy Demonstration
emergency Demonstration Checklist and answer
resources the question
Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate
7. Deliver basic Oral Questioning, Performed Skills to
ambulance Interview and Actual satisfy Demonstration
communication Checklist and answer

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
skills Demonstration the question
accordance to
Certificate of Training
standard
Certificate of
Authenticated
Employment
Certificate
Authenticated
Certificate
8. Contribute in on- Oral Questioning, Performed Skills to
road operations Interview and Actual satisfy Demonstration
Demonstration Checklist and answer
the question
Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate
9. Contribute to Oral Questioning, Performed Skills to
emergency Interview and Actual satisfy Demonstration
scene Demonstration Checklist and answer
management the question
Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate
10. Contribute to Oral Questioning, Performed Skills to
special event Interview and Actual satisfy Demonstration
scene Demonstration Checklist and answer
management the question
Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
Authenticated
Certificate
12. Deliver pre- Oral Questioning, Performed Skills to
hospital patient Interview and Actual satisfy Demonstration
care Demonstration Checklist and answer
the question
Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate
13. Contribute to Oral Questioning, Performed Skills to
ambulance Interview and Actual satisfy Demonstration
operations Demonstration Checklist and answer
management the question
Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate
14. Transport Oral Questioning, Performed Skills to
emergency Interview and Actual satisfy Demonstration
patients Demonstration Checklist and answer
the question
Certificate of Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate
15. Transport non- Oral Questioning, Performed Skills to
emergency Interview and Actual satisfy Demonstration
patients Demonstration Checklist and answer
the question
accordance to
Prompt Care Date Developed: Technical
Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
Certificate of Training standard
Certificate of Authenticated
Employment Certificate
Authenticated
Certificate
16.Drive Oral Questioning, Performed Skills to
ambulance Interview and Actual satisfy
under Demonstration Demonstration
operational Checklist and
conditions Certificate of
answer the question
Training
accordance to
Certificate of standard
Employment
Authenticated
Certificate
Authenticated
Certificate

COMPETENCY SUMMARY
Identifying Training Gaps

Required Units of Current Training

Competency/Learning Competencies Gaps/Requiremen
Outcomes based on ts
CBC
1. PERFORM CARDIOPUMONARY RESUSCITATION with AED
OPERATION
L.O.1.1 Assess the L.O.1.1 Assess the
situation situation
L.O.1.2 Contribute to L.O.1.2 Manage the
the casualty/ies
management of
casualty/ies
L.O.1.3 Manage L.O.1.3 Coordinate First
ambulance and Aid activities
personnel until arrival of
Prompt Care Date Developed: Technical
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EMS Training January 11, 2023 Education and
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Skills
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resources medical
assistance
L.O.1.4 Communicate L.O.1.4 Communicate
essential essential
incident details incident details
L.O.1.5 Manage L.O.1.5 Manage
casualty in a casualty in a
remote and/or remote and/or
isolated area isolated area
L.O.1.6 Evaluate the L.O.1.6 Evaluate the
incident incident
2. MAINTAIN LIFE SUPPORT EQUIPMENT AND RESOURCES
L.O.2.1 Maintain L.O.2.1 Maintain
resources resources
L.O.2.2 Manage records L.O.2.2 Manage records
3. IMPLEMENT SAFE ACCESS AND EXTRICATION PROCEDURES
IN AN EMERGENCY
L.O.3.1 Assess L.O.3.1 Assess
emergency in emergency in
relation to safe relation to safe
access and access and
extrication extrication
L.O.3.2 Implement L.O.3.2 Implement
procedure to procedure to
enable safe enable safe
access and access and
extrication extrication
L.O.3.3 Monitor access L.O.3.3 Monitor access
and extrication and extrication
procedure in an procedure in an
emergency emergency
situation situation
4. CONTRIBUTE TO RECEIVING REQUEST FOR AMBULANCE
SERVICE

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
L.O.4.1 Receive request L.O.4.1 Receive request
for service for service
L.O.4.2 Respond to L.O.4.2 Respond to
request for request for
service service
L.O.4.3 Refer request L.O.4.3 Refer request
5. CONTRIBUTE TO ALLOCATING AMBULANCE SERVICE
RESOURCES
L.O.5.1 Allocate L.O.5.1 Allocate
ambulance ambulance
service service
resources resources
L.O.5.2 Dispatch L.O.5.2 Dispatch
ambulance ambulance
service service
resources resources
L.O.5.3 Monitor progress L.O.5.3 Monitor
of assigned progress of
personnel assigned
personnel
L.O.5.4 Maintain records L.O.5.4 Maintain
of Ambulance records of
Service co- Ambulance
ordination Service co-
activity ordination
activity
6. CONTRIBUTE TO COORDINATING EMERGENCY RESOURCES
L.O.6.1 Coordinate L.O.6.1 Coordinate
ambulance and vehicle and
personnel personnel
resources resources
L.O.6.2 Liaise with L.O.6.2 Liaise with
ambulance ambulance
communications communication
personnel s personnel
L.O.6.3 Liaise with other L.O.6.3 Liaise with

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
related other related
organizations organizations
and emergency and emergency
services services
7. DELIVER BASIC AMBULANCE COMMUNICATION SKILLS
L.O.7.1 Exercise L.O.7.1 Exercise
effective effective
communication communication
techniques techniques
L.O.7.2 Convey and L.O.7.2 Convey and
receive receive
information information
using available using available
modes of modes of
communication communication
L.O.7.3 Follow routine L.O.7.3 Follow routine
instructions instructions
L.O.7.4 Communicate L.O.7.4 Communicate
with patients with patients
L.O.7.5 Complete reports L.O.7.5 Complete
as required reports as
required
L.O.7.6 Present a L.O.7.6 Present a
positive image positive image
of the service to of the service
the public to the public
8. CONTRIBUTE TO ON-ROAD OPERATIONS
L.O.8.1 Contribute to L.O.8.1 Oversee
relaying communication
communication
L.O.8.2 Oversee L.O.8.2 Oversee vehicle
ambulance and and equipment
equipment preparation,
preparation, cleaning and
maintenance checking
and cleaning

Prompt Care Date Developed: Technical

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EMS Training January 11, 2023 Education and
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Skills
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L.O.8.3 Contribute to the L.O.8.3 Supervise
transport of transport of
patients patients
L.O.8.4 Contribute to L.O.8.4 Oversee scene
scene management
management
9. CONTRIBUTE TO EMERGENCY SCENE MANAGEMENT
L.O.9.1 Contribute to L.O.9.1 Assess the
identifying real environment to
and potential identify real
hazards in the and potential
environment hazards
L.O.9.2 Communicate L.O.9.2 Communicate
with those with those
involved in the involved in the
incident incident
L.O.9.3 Control L.O.9.3 Control hazards
hazards/scene safety
L.O.9.4 Communicate L.O.9.4 Communicate
with medical with medical
and other and other
emergency and emergency and
allied services allied services
with EMT’s to ensure
supervision to safety at scene
ensure safety at
scene
L.O.9.5 Monitor the L.O.9.5 Monitor the
environment environment
10. CONTRIBUTE TO SPECIAL EVENT SCENE MANAGEMENT
L.O.10.1 Attend mass L.O.10.1 Attend events
gathering involving risk
events or large
numbers of
people

Prompt Care Date Developed: Technical

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EMS Training January 11, 2023 Education and
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L.O.10.2 Ensure safety L.O.10.2 Ensure safety
at the scene at the scene
11. CONTRIBUTE TO ROUTINE SCENE MANAGEMENT
L.O.11.1 Attend to non- L.O.11.1 Attend to non-
emergency emergency
scene scene
L.O.11.2 Take L.O.11.2 Take
appropriate appropriate
measures to measures to
ensure safety at ensure safety
the scene at the scene
12. DELIVER PRE- HOSPITAL PATIENT CARE
L.O.12.1 Contribute in L.O.12.1 Make initial
making initial patient
patient assessment
assessment
L.O.12.2 Contribute in L.O.12.2 Implement
implementing patient care
patient care procedures
procedures as
the situation
presents itself
L.O.12.3 Contribute in L.O.12.3 Monitor basic
monitoring patient care
basic patient and modify as
care and modify required
as required
L.O.12.4 Endorse L.O.12.4 Endorsement
patients of patient
requiring basic requiring basic
care care
13. CONTRIBUTE TO AMBULANCE OPERATION MANAGEMENT
L.O.13.1 Maintain L.O.13.1 Maintain
operations to operations to
meet quality meet quality
standards standards

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L.O.13.2 Create and L.O.13.2 Create and
maintain maintain
conditions conditions
conducive to conducive to
productive work productive
and quality work and
service quality service
L.O.13.3 Monitor and L.O.13.3 Monitor and
control the use control the use
of resources of resources
14. TRANSPORT EMERGENCY PATIENTS
L.O.14.1 Convey and L.O.14.1 Convey and
receive receive
information information
relating to relating to
emergency emergency
transport transport
L.O.14.2 Transport L.O.14.2 Transport
patient under patient under
emergency emergency
conditions conditions
L.O.14.3 Load, unload L.O.14.3 Load, unload
and secure and secure
patient and patient and
equipment for equipment for
emergency emergency
transportation transportation
15. TRANSPORT NON-EMERGENCY PATIENTS
L.O.15.1 Prepare and L.O.15.1 Prepare and
check vehicle check vehicle
and equipment and equipment
L.O.15.2 Ensure faults L.O.15.2 Ensure faults
in ambulance in vehicle and
and equipment equipment are
are remedied remedied
L.O.15.3 Convey and L.O.15.3 Convey and
receive receive

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information information
through use of through use of
necessary necessary
modes of modes of
communication communicatio
n
L.O.15.4 Load, unload L.O.15.4 Load, unload
and secure non- and secure
emergency non-
patient and emergency
other specific patient and
personnel for other specific
transportation personnel for
transportation
L.O.15.5 Drive vehicle L.O.15.5 Drive vehicle
L.O.15.6 Transport L.O.15.6 Transport
patient's patient's
relatives or relatives or
other specific other specific
personnel personnel
16. DRIVER AMBULANCE UNDER OPERATIONAL CONDITION
L.O.16.1 Prepare L.O.16.1 Prepare
ambulance for vehicle for
operational operational
response response
L.O.16.2 Drive the L.O.16.2 Drive the
ambulance vehicle
L.O.16.3 Monitor traffic, L.O.16.3 Monitor
road and terrain traffic, road and
under terrain under
operational operational
conditions conditions

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(EMERGENCY MEDICAL SERVICES NC II)
COMPETENCY-BASED LEARNING MATERIALS

List of Competencies

No. Unit of Competency Module Title Code

Performing
Perform Cardiopulmonary
Cardiopulmonary
1 Resuscitation with AED HCS322317
Resuscitation with
Operation HCS322302
AED Operation
Maintaining life
Maintain life support
2 support equipment HCS322302
equipment and resources
and resources
Implementing safe
Implement safe access and access and
3 extrication procedures in an extrication HCS322303
emergency procedures in an
emergency
Contributing in
Contribute in receiving
receiving request
4 request for ambulance HCS322318
for ambulance
service
service
Contributing in
Contribute in allocating
allocating
5 ambulance service HCS322319
ambulance service
resources
resources
Contributing in
Contribute in coordinating coordinating
6 HCS322320
emergency resources emergency
resources
Delivering basic
Deliver basic ambulance ambulance
7 HCS322307
communication skills communication
skills
Contribute in on- road Contributing in on-
8 HCS322321
operations road operations
Contributing to
Contribute to emergency
9 emergency scene HCS322322
scene management
management
Contributing to
Contribute to special event special event
10 HCS322323
scene management scene
management
11 Contribute to routine scene Contributing to HCS322324

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routine scene
management
management
Delivering pre-
Deliver pre- hospital patient
12 hospital patient HCS322325
care
care
Contributing to
Contribute to ambulance ambulance
13 HCS322326
operations management operations
management
Transporting
Transport emergency
14 emergency HCS322327
patients
patients
Transporting non-
Transport non- emergency
15 emergency HCS322328
patients
patients
Driving ambulance
Drive ambulance under
16 under operational HCS322316
operational conditions
conditions

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MODULE CONTENT

UNIT OF COMPETENCY : CONTRIBUTE IN ON – ROAD OPERATIONS

MODULE TITLE : CONTRIBUTE IN ON – ROAD OPERATIONS

MODULE DESCRIPTOR

This competency entails managing the daily operations of an ambulance

while it is on the road, excluding patient care. The abilities and knowledge
required to provide proper endorsement in a receiving facility are of concern
to management. Ambulance crew members with strong organizational and
interpersonal skills would typically fill this role within their area of
responsibility.

NOMINAL DURATION: 50 hours

LEARNING OUTCOMES:
1.Contribute to relaying communication
2.Oversee ambulance and equipment preparation, maintenance, and
cleaning.
3.Supervise transport of a patient
4.Oversee scene management

ASSESSMENT CRITERIA:

1.Communication techniques and procedures are managed to ensure that

they are consistent with implementing the rules and regulations, laws,
ordinance, service policies and procedures.
2. Communication with control center is managed to ensure that it’s
established and maintained.
3. Notification of receiving facility is managed to ensure that local policies
and procedures are adheres to.
4. Vehicle and equipment are maintained in a clean and serviceable
condition according to legal/ industrial requirements and service policy and
procedures.
5. Ambulance operating stock is maintained to acceptable minimum and
maximum levels.
6. Patients’ transport is managed to ensure that they are transported safely
and smoothly in order to avoid further damage or injury.

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8.Driving is carefully monitored to make sure that hazards are identified and
safely avoided.
9.Vehicle driving is managed to ensure that all legal and industrial
requirements governing emergency vehicles are met.
10.Safe driving is provided to ensure that the best route is chosen based on
distance, time constraints, travel, and terrain.
11.Safe driving is provided to ensure that road map is read accurately and
quickly, as required.
12.Communication between driver and patient care officer is managed to
ensure safe transport and effective patient care.
13.Safety of scene is ensured in accordance with legal, industrial and service
guidelines.
14.Control of hazards is ensured in accordance with requirements to protect
welfare of patients and personnel.
15.Application of resources is in accordance with requirements of the scene,
service policies and procedures and relevant legal and industrial
requirements.
16.Ensure communication with allied services contributes to safety and well-
being of patients and ambulance personnel.

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CONTRIBUTE IN ON – ROAD
Learning Outcome # 1
OPERATIONS
CONTENTS:
1. Contribute to relaying communication
ASSESSMENT CRITERIA:
a. Communication techniques and procedures are managed
to ensure they are consistent with implementing rules and
regulations, laws, ordinances, service policies and
procedures.
b. Communication with control center is managed to
ensure that it is established and maintained.
c. Notification of receiving facility is managed to ensure that
local policies and procedures are adhered to.
CONDITION:
Students/Trainees must be provided with the following:
1. WORKPLACE LOCATION
Emergency medical dispatch area
2. TOOLS, ACCESSORIES, and SUPPLIES
TV, computer, and two-way radios
3. TRAINING MATERIALS
CBLM, Answer Sheets, Pen

ASSESSMENT METHOD:
Written Test
Demonstration with Oral Questioning

Prompt Care Date Developed: Technical

Learning Activities Special Instructions

Read Information Sheet EMS 7.1-1 In this Learning Outcome you take
on Receive request for service in appropriate measures in receiving
accordance with operating request for ambulance service.
procedures.

Answer Self-check EMS 7.1-1

Compare answers with the answer

key EMS 7.1-1
Go through the Information Sheets
Watch film, about receiving request and answer the self-check to ensure
for ambulance service that knowledge of the standards in
Competency-based training is
Make a written report about the acquired.
viewed film and submit it to the
instructor.

Read the Instruction Sheet for Task

Sheet EMS 12.1-1 “Receive request Show your output to your trainer for
for service in accordance with his feedback as you accomplish
operating procedures” them.

Perform Task Sheet EMS 7.1-1

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Evaluate performance using the Let your trainer observe how you
Performance Checklist EMS 7.1-1 receive request for ambulance
service.

CONTRIBUTE IN ON – ROAD
Learning Outcome # 2
OPERATIONS
CONTENTS:
Oversee ambulance and equipment preparation, maintenance, and
cleaning.
ASSESSMENT CRITERIA:
a. Ambulance and equipment are maintained in a
clean and serviceable condition according to
legal/industrial requirements and service policy and
procedures.
b. Ambulance operating stock is maintained to
acceptable minimum and maximum levels.
CONDITION:
Students/Trainees must be provided with the following:
4. WORKPLACE LOCATION
Emergency medical dispatch area
5. TOOLS, ACCESSORIES, and SUPPLIES
TV, computer, and two-way radios
6. TRAINING MATERIALS
CBLM, Answer Sheets, Pen

ASSESSMENT METHOD:
Written Test
Demonstration with Oral Questioning

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Learning Outcome 2
Oversee ambulance and equipment preparation, maintenance, and
cleaning.
Learning Activities Special Instructions
Read Information Sheet EMS 7.2.1 In this Learning Outcome you take
on Respond to request for service in appropriate measures in responding
accordance with operating to request for ambulance service.
procedures.

Answer Self-check EMS 7.2.1

Compare answers with the answer

key EMS 7.2.1
Go through the Information Sheets
Watch film, about responding to and answer the self-check to ensure
request for ambulance service that knowledge of the standards in
Competency-based training is
Make a written report about the acquired.
viewed film and submit it to the
instructor.

Read the Instruction Sheet for Task

Sheet EMS 12.2-1 “Respond to Show your output to your trainer for
request for service in accordance his feedback as you accomplish
with operating procedures” them.

Perform Task Sheet EMS 7.2.1

Let your trainer observe how you

Evaluate performance using the
respond to request for ambulance
Performance Checklist EMS 7.2.1
service.

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ASSESSMENT CRITERIA:
a. Transportation of patients is managed to ensure
they are transported safely and smoothly to avoid
further damage or injury.
b. Driving is well controlled to ensure hazards are
recognized and negotiated safely.
c. Driving of ambulance is managed to ensure that
legal and industrial requirements governing
emergency vehicles are adhered to.
d. Safe driving is provided to ensure route is chosen
appropriately according to distance, time
constraints, travel and terrain.
e. Safe driving is provided to ensure that road
map is read accurately and quickly, as
required.
f. Communication between driver and patient
care officer is managed to ensure safe
transport and effective patient care.
CONDITION:
Students/Trainees must be provided with the following:
7. WORKPLACE LOCATION
Emergency medical dispatch area
8. TOOLS, ACCESSORIES, and SUPPLIES
TV, computer, and two-way radios
9. TRAINING MATERIALS
CBLM, Answer Sheets, Pen

ASSESSMENT METHOD:
Written Test
Demonstration with Oral Questioning

Prompt Care Date Developed: Technical

Learning Activities Special Instructions

Read Information Sheet EMS 7.3.1 In this Learning Outcome you take
on Refer request for service in appropriate measures in referring
accordance with operating request for ambulance service.
procedures.

Answer Self-check EMS 7.3.1

Compare answers with the answer

key EMS 7.3.1
Go through the Information Sheets
Watch film, about referring request and answer the self-check to ensure
for ambulance service that knowledge of the standards in
Competency-based training is
Make a written report about the acquired.
viewed film and submit it to the
instructor.

Read the Instruction Sheet for Task

Sheet EMS 7.3.1 “Refer request for Show your output to your trainer for
service in accordance with operating his feedback as you accomplish
procedures” them.

Perform Task Sheet EMS 7.3.1

Let your trainer observe how you

Evaluate performance using the
refer request for ambulance
Performance Checklist EMS 7.3.1
service.

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ASSESSMENT CRITERIA:
a. Safety of scene is ensured in accordance with legal,
industrial and service guidelines.
b. Control of hazards is ensured in accordance with requirements
to protect welfare of patients and personnel.
c. Application of resources is in accordance with requirements of
the scene, service policies and procedures and relevant legal
and industrial requirements.
g. Ensure communication with allied services
contributes to safety and well-being of patients
and ambulance personnel.
CONDITION:
Students/Trainees must be provided with the following:
10. WORKPLACE LOCATION
Emergency medical dispatch area
11. TOOLS, ACCESSORIES, and SUPPLIES
TV, computer, and two-way radios
12. TRAINING MATERIALS
CBLM, Answer Sheets, Pen

ASSESSMENT METHOD:
Written Test
Demonstration with Oral Questioning

Prompt Care Date Developed: Technical

Learning Activities Special Instructions

Read Information Sheet EMS 7.4-1 In this Learning Outcome you take
on Refer request for service in appropriate measures in referring
accordance with operating request for ambulance service.
procedures.

Answer Self-check EMS 7.4-1

Compare answers with the answer

key EMS 7.4-1
Go through the Information Sheets
Watch film, about referring request and answer the self-check to ensure
for ambulance service that knowledge of the standards in
Competency-based training is
Make a written report about the acquired.
viewed film and submit it to the
instructor.

Read the Instruction Sheet for Task

Sheet EMS 7.4-1 “Refer request for Show your output to your trainer for
service in accordance with operating his feedback as you accomplish
procedures” them.

Perform Task Sheet EMS 7.4-1

Let your trainer observe how you

Evaluate performance using the
refer request for ambulance
Performance Checklist EMS 7.4-1
service.

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Contents:
1. Dispatching
Patient Handling
legal and industrial requirements in driving an ambulance

Assessment Criteria
a. Transportation of patients is managed to ensure
they are transported safely and smoothly to avoid
further damage or injury.
b. Driving is well controlled to ensure hazards are
recognized and negotiated safely.
c. Driving of ambulance is managed to ensure that
legal and industrial requirements governing
emergency vehicles are adhered to.
d. Safe driving is provided to ensure route is chosen
appropriately according to distance, time
constraints, travel and terrain.
e. Safe driving is provided to ensure that road map
is read accurately and quickly, as required.
f. Communication between driver and patient care officer
is managed to ensure safe transport and effective
patient care.

Conditions
The students / trainees will have access to:
1. WORKPLACE LOCATION
2. EQUIPMENT
- Computer / Laptop
- Projector

3. TOOLS, ACCESSORIES AND SUPPLIES

- PPE
- Working Gloves
- Ambulance Checklist
- Ambulance

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4. TRAINING MATERIALS
- CBLM
- Ball pens
Assessment Method:
1. Written test
2. Demonstration
Learning Experiences
Learning Outcome 1
Prepare ambulance for operational response

Learning Activities Special Instructions

1. Read Information Sheet EMS 7.3.1
“Prepare the ambulance to meet In this learning outcome you will be
operational requirements” able to understand how to prepare
2. Answer Self-Check EMS 7.3.1 the ambulance in accordance with
the checklist for driving for
Compare answers to Answers Sheet
operational response under
EMS 7.3.1
operational requirement.
3. View video on How to Proper
dispatch the patient from Read and understand the
interfacility transport. Information sheet and check
4. Make written report about the yourself by answering Self-check.
video. Trainer will check the And in comparing your answers
written report from the answer sheet, be sure that
5. Read Instruction on Task Sheet all your answers are correct before
EMS 7.3.1 “Supervise transport of proceeding to the next activity.
a patient.”
Perform Task Sheet EMS 7.3.1 In viewing video, make your written
“Supervise transport of a patient. report after and the trainer will
Evaluate output using access your report.
Performance Criteria Checklist
EMS 7.3.1 In performing the Task sheet and
6. Read Information Sheet EMS 7.3.1 Job Sheet, compare your output
“Legal and Industrial with the sample template provided
Requirements In Driving An in the Information Sheet/s.
Ambulance” Evaluate/ Access your work
7. Answer Self-Check EMS 7.3.1 according to the Performance
Compare answers to Answers Criteria Checklist. Make the
Sheet EMS 7.3.1 corrections or improvement if
necessary.

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Secure your evaluation outputs to
your trainer to record your
accomplishments.
8. Interpret the procedure on how to
be:
> DOH Accredited
> Air Ambulance
> ADMINISTRATIVE ORDER No.
2016-0029 Rules and Regulations
Governing the Licensure of
Ambulance and Ambulance
Service Providers

9. Read Instruction on Task Sheet

EMS 7.3.1-2“Supervise transport
of a patient”.
10. Evaluate output using
Performance Criteria Checklist
EMS 7.3.1
Practice doing the task sheet
and once you are confident,
prepare for an institutional
assessment.

Prompt Care Date Developed: Technical

Learning Objectives:
After reading this INFORMATION SHEET, YOU MUST be able to:
1. Appropriate dispatching
2. Drive an ambulance while responding to, or at emergency operations
going to facility

Introduction

This competency information sheet for Transporting patient safety includes

systematic, safe, and efficient control of all vehicle functions, as well as
effective management of hazardous situations under operational conditions,
particularly when responding to Emergency and Non-Emergency cases and
operating on urban or rural roads, as well as land and air ambulance.

What is patient transport?

Patient transporters are essential in assisting hospitals to care for patients
and operate efficiently. Because hospitals transport many patients
throughout their facilities daily.

The Role of Patient Transporter:

1. Assisting patients in and out of cars, taxis, and other vehicles.
2. Carefully lifting patients from their beds and placing them into wheelchairs
or moveable beds.
3. Moving patients to different areas of the hospital, such as operating
rooms, treatment areas, and special service departments.
4. Transporting supplies, laboratory specimens, and equipment to
designated areas of the medical facility.
5. Transporting deceased patients to the appropriate area, such as the
mortuary.
6. Providing patients and their families with compassion and care.
Demonstrating cultural and social tolerance and acceptance is crucial.
7. Following protocol to maintain a safe and healthy work environment for
fellow associates and patients.
8. Having a willingness to expand their knowledge and training through
continued education.

Prompt Care Date Developed: Technical

Patient Transport System, in addition to providing quality transportation

services to patients, helps give hospital staff more time in their workday to
do what they do best. Nurses, for example, can concentrate on patient
treatment plans rather than the logistics of moving their patients. As a
patient transporter, you are responsible for ensuring that patients arrive at
their destination comfortably and safely.

The Quality of a Good Patient Transporter

Patient transporters must ensure that every patient they serve receives
quality care. So, what characteristics characterize a good patient
transporter? Patient transporters should be high-energy, polite, and friendly,
in addition to following patient transportation best practices that we teach on
the job. We understand that a patient's experience encompasses far more
than the clinical care they receive. Patients must have the impression that all
hospital personnel, both clinical and non-clinical, are concerned about their
well-being.

Top Qualities Needed to be a Patient Transporter

Patient transporters must also be meticulous. Examining a patient's

equipment, for example, before transporting them to a different location to
ensure the trip, regardless of distance, is safe. Paying attention to detail can
aid in the prevention of accidents and other unpleasant situations.

To ensure that our associates feel empowered and that our patients receive
the best transportation services, we put all patient transporters through
extensive training. If you want to be a patient transporter, here's what we
look for in candidates:

Acceptance: Our patient transporters recognize that patients come from a

variety of backgrounds and cultures. We make certain that they treat
everyone and their families with the utmost respect.

Attention to detail: It is critical to pay attention to every detail when

moving patients. Before transporting a patient to a new location, our staff
performs numerous checks and balances.

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Customer service: Every patient should feel cared for and valued when
they interact with members of our team. We train all of our associates in
customer service and prefer candidates who already have a strong
understanding of what good customer service entails.
Friendly Personality: Patient transporters are popular among patients due
to their friendly and caring personalities. We seek individuals who can
brighten a room and bring joy to any situation.

Physical fitness: A patient transporter must be physically fit in order to

safely lift and lower patients. During their lifts, our associates must use
proper form.
Types of Vehicles

An emergency services used to

transport patients with traumatic or
medical conditions, or patients for
whom the need for specialty care,
emergency, or non-emergency
medical care is anticipated either
at the patient location or during
transport, is referred to as a
ground ambulance.

Air ambulances, like traditional

ground ambulances, are usually
helicopters outfitted with medical
equipment and staffed by medical
professionals.

Proper Flow of Dispatching

A civilized society's backbone is its emergency services. A single emergency

phone number is used to contact police, fire, and ambulance services. In The
Republic of the Philippines, that single number is 911. In other countries,
there may be a different or multiple unique numbers. The number is 112 in
the European Union, 999 in others, and so on. A person at a Public Service
Access Point, or PSAP, which is usually a governmental agency/service near
the location of the emergency, answers the call and dispatches First
Responders as needed two (2) way radio a mobile phone and wireless
carriers have developed methods for connecting voice to the appropriate
PSAP and providing accurate location data required for dispatch. The
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diagram below depicts a simplified representation of the current 911 and E-

911 network architecture.

Roles

Caller

911 Operator

Duty Nurse

Triage Officer

Receiving Doctor

Monitoring Patient

Risk reduction begins with attendants and equipment monitoring the patient
during transport. Quicker transport times and specialized transport teams
are associated with better outcomes, whereas illness severity is a predictor
of unfavorable complications. Monitoring during transportation varies greatly
depending on the environment, the skill of the attendants, and the severity
of the patient's illness. There are standards for patient monitoring during
transport, but they are mostly based on expert opinion. This paper examines
transportation guidelines and risks as a template for required monitoring, as
well as common transportation mishaps and how they can be avoided with
proper monitoring.

What to monitor during the transport

1. Vitals Signs (temperature, blood pressure, pulse/heart rate, respiratory
rate, and oxygen saturation)
2. Pulse, Motor and Sensory
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3. Level of Consciousness [Alertness, Verbal, Pain, Unconsciousness (AVPU)]
4. Glasgow coma Scale
5. History Taking (sign and symptoms, allergies, medication, past medical
history, last oral intake, event)

Endorsement

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Self- Check EMS 7.3.1

I.MODIFIED TRUE or FALSE: On the space provided before the number.

Write TRUE if the statement is correct otherwise; write change the underline
word to make the statement correct.

__________1. A patient who has had trauma or is in poor health will typically
be transferred by a ground ambulance. - TRUE
__________2. Ambulance can deliver canned goods. - TRANSPORT BOTH
EMERGENCY AND NON-EMERGENCY CARE
__________3. During transfers at the hospital, unlock the wheels of the bed
and the cot for stability, and adjust the bed and the cot to a good height for
the transfer. - LOCK
__________4. MICU mean Mobile Intensive Care Unit - TRUE
__________5. Locate medic bags afar to the treatment area to avoid awkward
reaching. - NEAR

__________6. Call 8080 in case of emergency. – 911

__________7. All vehicles shall be duly registered with the Land Transportation
Office under the name of the ambulance service provider prior to application
for DFA-License to Operate. – DOH
__________8. Every ambulance service provider shall be organized to provide
safe, quality, effective and efficient ambulance services for patients which
shall be always made accessible. -TRUE
__________9. The use of Personal Protective Equipment (PPEs) and adherence
to infection control policies shall be strictly observed. - TRUE
__________10. Use slide sheets or a slide board to move patient to better
location for treatment and lifting, for lateral transfers between bed and cot,
whenever possible. -TRUE

Prompt Care Date Developed: Technical

Performance Objective:
Prepared the Ambulance for operational response, you should
know the materials and equipment procedure and you should also be
able to have knowledge flow when it comes in the interfacility
transport.

Supplies/Materials
These are necessary materials that will be needed.
 PPE
 Working Gloves
 Ambulance Checklist

Equipment : Ambulance Vehicle, materials and

equipment.

Steps/Procedure:
1. Wear personal protective
equipment
2. Prepare materials needed in
preparing the ambulance for
operational response
3. Get the complete information
before dispatching.
4. Practice
5. Properly place the ambulance
in operational position ready
for response.
6. Clean the parking vicinity of
the ambulance.

Assessment Method:
Performance Criteria Checklist

Prompt Care Date Developed: Technical

CRITERIA YES NO
Can I….
1. Wear proper personal protective equipment?
2. Inform the team leader before checking the
ambulance?

3. Preposition the ambulance for response

position?

4. Use the BLOWBAGETS procedure in checking

the ambulance?

5. Clean the area after you use?

6. Finish the task within the given time?

7. Use proper tools/equipment and materials?

8. Ask for keys from the team leader to start the

checking procedure?

Prompt Care Date Developed: Technical

Contents:

legal and industrial requirements in driving an ambulance

Assessment Criteria
a. Transportation of patients is managed to ensure they are
transported safely and smoothly to avoid further damage or
injury.
b. Driving is well controlled to ensure hazards are recognized
and negotiated safely.
c. Driving of ambulance is managed to ensure that legal and
industrial requirements governing emergency vehicles are
adhered to.
d. Safe driving is provided to ensure route is chosen
appropriately according to distance, time constraints, travel
and terrain.
e. Safe driving is provided to ensure that road map is read
accurately and quickly, as required.
f. Communication between driver and patient care officer is
managed to ensure safe transport and effective patient care.

Conditions
The students / trainees will have access to:
1. WORKPLACE LOCATION
2. EQUIPMENT
- Computer / Laptop
- Projector

3. TOOLS, ACCESSORIES AND SUPPLIES

- PPE
- Working Gloves
- Ambulance Checklist
- Ambulance
5. TRAINING MATERIALS
- CBLM
- Ball pens

Prompt Care Date Developed: Technical

Learning Activities Special Instructions

1.Read Information Sheet EMS 7.3.1

“Prepare the ambulance to meet In this learning outcome you will be
operational requirements” able to understand how to prepare
the ambulance in accordance with
2.Answer Self-Check EMS 7.3.1 the checklist for driving for
operational response under
Compare answers to Answers Sheet
operational requirement.
EMS 7.3.1
3.View video on How to Proper Read and understand the
dispatch the patient from interfacility Information sheet and check
transport. yourself by answering Self-check.
And in comparing your answers
4.Make written report about the from the answer sheet, be sure that
video. Trainer will check the written all your answers are correct before
report proceeding to the next activity.

5.Read Instruction on Task Sheet In viewing video, make your written

EMS 7.3.1 “Supervise transport of a report after and the trainer will
patient.” access your report.

6.Perform Task Sheet EMS 7.3.1 In performing the Task sheet and
“Supervise transport of a patient. Job Sheet, compare your output
Evaluate output using Performance with the sample template provided
Criteria Checklist EMS 7.3.1 in the Information Sheet/s.
Evaluate/ Access your work
7.Read Information Sheet EMS 7.3.1 according to the Performance
“Legal and Industrial Requirements Criteria Checklist. Make the
In Driving An Ambulance” corrections or improvement if
necessary.
8.Answer Self-Check EMS 7.3.1
Compare answers to Answers Secure your evaluation outputs to
Sheet EMS 7.3.1 your trainer to record your
accomplishments.

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9.Interpret the procedure on how to
be:
> DOH Accredited
> Air Ambulance
> ADMINISTRATIVE ORDER No. 2016-
0029 Rules and Regulations
Governing the Licensure of
Ambulance and Ambulance Service
Providers

10.Read Instruction on Task Sheet

EMS 7.3.1-2“Supervise transport of a
patient”.
11.Evaluate output using
Performance Criteria Checklist EMS
7.3.1
Practice doing the task sheet
and once you are confident,
prepare for an institutional
assessment.

Prompt Care Date Developed: Technical

SUBJECT: Revised Rules and Regulations Governing the Licensure of Land

Ambulances and Ambulance Service Providers

I. BACKGROUND AND RATIONALE

On July 12,2016, the Department of Health (DOH) through the Health
Facilities and Services Regulatory Bureau (formerly Bureau of Health
Facilities and Services) published Administrative Order (A.O.) No. 2016-0029
titled "Rules and Regulations Governing the Licensure of Ambulances and
Ambulance Service Providers" dated June 29, 2016. The A.O. was drafted in
line with Section VI. A. 4. of A.O. No. 2010- 0003 titled "National Policy on
Ambulance Use and Services" which stated that the "Bureau of Health
Facilities and Services shall establish licensing standards for ambulance
services and ensures their implementation through regulation. The license of
hospital-based ambulance service shall be part of the hospital license. All
other ambulance services shall require a separate license" The policy was
envisioned to remedy the issue on the misuse of ambulance vehicles and the
mislabeling of other vehicles as ambulances in the country. Moreover, it
seeks to establish that ambulances operate with competent personnel and
appropriate equipment in order to respond to medical emergencies, provide
quality care and ensure patient safety. However, in consideration of the
plight of stakeholders who could not readily comply with the standards and
requirements prescribed in the policy, the DOH decided to issue out
Department Circular (D.C.) No. 2016-0357 titled Extension of Moratorium
Period for Compliance for All Ambulance and Ambulance Service Providers.
The D.C. provided a moratorium for all ambulance service providers to
comply until December 31, 201 7 while the A.O. underwent policy review.
After the conduct of several consultative meetings with stakeholders and
considering the context in which ambulance service providers currently
operate, this Order hereby provides the revised mandatory minimum
standards and requirements for the licensure of land ambulances and
ambulance service providers.

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II. OBJECTIVE
These rules and regulations are promulgated to protect the public and
ensure the safety of patients and personnel by setting the minimum
standards and requirements for land ambulances and ambulance service
provider~(
Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila •
Trunk Line 651-7800 local1113, 1108, 1135 Direct Line: 711-9502; 711-9503
Fax: 743-1829• URL: http://www.doh.gov.ph; e-mail:
[email protected]
III. SCOPE AND COVERAGE
These rules and regulations shall apply to all government and private land
ambulances and ambulance service providers.
IV. DEFINITION OF TERMS
For purposes of this Order, the following terms, abbreviations and definitions
apply:
1. Ambulance - a vehicle designed and equipped for transporting sick or
injured patients to, from, and between places of treatment by land, water or
air, affording safety and comfort to the patients and avoiding aggravation of
illness or injury.
2. Ambulance Service Provider (ASP) - a health facility, institution or entity
whether government or privately owned providing ambulance services.
3. Advanced Cardiac Life Support (ACLS)- a group of interventions used to
treat and stabilize adult victims of life-threatening cardiorespiratory
emergencies and to resuscitate victims of cardiac arrest. These interventions
include Cardio- Pulmonary Resuscitation, basic and advanced airway
management, tracheal intubation, medications, electrical therapy and
intravenous (IV) access.
4. Advance Life Support (ALS) - a set of life saving protocols and skills that
extend BLS to further support the circulation and provide an open airway and
adequate ventilation.
5. Basic Life Support (BLS) - a group of actions and interventions used to
resuscitate and stabilize victims of cardiac or respiratory arrest. These BLS
actions and interventions include recognition of a cardiac or a respiratory

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emergency or stroke, activation of the emergency response system, CPR and
relief of foreign- body airway obstruction.
6. Department of Health- License to Operate (DOH-LTO) - a formal authority
issued by DOH to an individual, agency, partnership or corporation to
operate an ambulance.
7. Emergency Medical Technician (EMT)- trained professional who provide
out of hospital emergency medical care and transportation for critical and
emergent patients who access the emergency medical services (EMS)
system. (Ohio National Registry of Medical Technicians, 2017)
8. First Aid -is the immediate assistance provided to a sick or injured person
until professional help arrives. Referred to as Standard First Aid (SF A) in this
Order. (International Federation of Red Cross and Red Crescent Societies,
2016)
9. HFSRB- Health Facilities and Services Regulatory Bureau
10. Land Ambulance- a vehicle designed and equipped with basic or advance
life support for transporting patients to, from, and between places of
treatment by land.
11. Medical Direction- allows a paramedic or EMT to contact a physician from
the field via radio or other means to obtain instruction on further care of a
patient
12. Medical emergencies - any acute or life-threatening condition that
requires immediate intervention by competent personnel
13. Patient Transport Vehicle (PTV) - any form of land vehicle designed to
transport patients whose condition is of a non-life-threatening nature.
14. RO-RLED- Regional Office- Regulation Licensing and Enforcement Division
V. GENERAL GUIDELINES
1. All vehicles shall be duly registered with the Land Transportation Office
under the name of the ambulance service provider prior to application for
DOH-License to Operate.
2. Licensed land ambulance vehicles shall only be used for the purpose by
which it was granted a license to operate.
3. No land vehicle of any kind shall bear on its body the label or marking of
the word "AMBULANCE" unless it has been duly licensed and categorized as
a land ambulance by the Department of Health.

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4. Every ambulance service provider shall be organized to provide safe,
quality, effective and efficient ambulance services for patients which shall be
always made available.
5. Ambulance service providers of privately owned ambulances shall be
registered with the Department of Trade and Industry (DTI) or with the
Securities and Exchange Commission (SEC), whichever is applicable.
6. For ambulance service providers of government owned ambulances, a
local government ordinance/board resolution or its equivalent as proof of
ownership of ambulance vehicles shall be required.
7. All ambulance service providers shall have an Operations Control and
Dispatch Center of their ambulance/s whether it be a business office or space
and shall ensure adequate parking spaces for their ambulance/s.
8. Ambulance service providers shall ensure that they are part of a functional
referral network within the area/vicinity where they shall operate.
9. The DOH-LTO of ambulance service providers of institution-based
ambulances applying for a DOH-LTO shall be included in the One-Stop Shop
(OSS) system for hospitals and other health facilities, and shall be reflected
in the health facility DOH-LTO. There shall only be one (1) DOH-LTO for the
health facility indicating the number oflicensed ambulances.~
10. Ambulance service providers of non-institution-based ambulances shall
secure a separate DOH-L TO.
11. Ambulance service providers shall strictly comply with the standards,
criteria and requirements prescribed in the Assessment Tool for Licensing a
Land Ambulance and Ambulance Service Provider (Annex C).
12. Ambulance service providers (ASP) shall subject each of its ambulance
vehicles for inspection. Any additional vehicle shall be applied for inspection.
Only when found compliant shall the additional vehicle be included in the
existing list of approved ambulances of the ASP. Moreover, in cases when a
vehicle will no longer be used as an ambulance, the ASP shall inform
HFSRB/RO-RLED through a letter indicating the plate or conduction sticker
number of the said vehicle for delisting. The delisted vehicle shall then no
longer bear the marking "AMBULANCE" and the DOH Ambulance logo should
be removed.
13. Vehicles used to transport patients but are not equipped with Basic Life
Support (BLS) or Advance Life Support (ALS) shall be categorized as Patient
Transport Vehicles.

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14. Patient Transport Vehicles shall be used to transport patients whose
condition is of a non-life threatening nature such as but not limited to
scheduled visits to a physician's office for treatment, routine physical
examinations, x-rays or laboratory tests, or upon discharge from a hospital.
15. Patient Transport Vehicles should not bear the marking of the word
"AMBULANCE" but shall instead be labeled as "PATIENT TRANSPORT
VEHICLE."
16. Patient Transport Vehicles shall not be licensed by the HFSRB but shall
be registered with the Bureau using a prescribed form.
VI. SPECIFIC GUIDELINES
A. CLASSIFICATION OF LAND AMBULANCES
1. ACCORDING TO OWNERSHIP
a. Government - owned, managed and operated wholly by government
agencies/institutions such as, but not limited to, DOH hospitals, Local
Government Units (LGU) and LGU-run hospitals, the Bureau of Fire Protection
(BFP) and the Philippine National Police (PNP) of the Department of the
Interior and Local Government (DILG), the Philippine Coastguard of the
Department of Transportation (DOTr), the Armed Forces of the Philippines
(AFP) of the Department of \ National Defense (DND),rs./~J.jopolitan Manila
Development
Authority (MMDA) and other

b. Private - owned, managed and operated with funds through donation,

principal, investment or other means by any individual, corporation,
association or organization. Private ownership may be through single
proprietorship, partnership, corporation, cooperative, foundation, religious,
non-government organization and others.
2. ACCORDING TO INSTITUTIONAL CHARACTER
a. Institution-based - ambulance that is owned, operated, maintained and
used by a health facility (i.e. hospital, infirmary, etc.) regulated by the
Department of Health.
b. Non-institution-based/ Free-Standing - ambulance that is operated
independently from a health facility but may be used to service a health
facility through a notarized Memorandum of Agreement (MOA) /service
contract or its equivalent.

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B. CATEGORIZATION OF LAND AMBULANCES
1. Type I- ambulance capable of providing Basic Life Support (BLS)
2. Type II- ambulance capable of providing Advance Life Support (ALS)
C. CATEGORY OF AMBULANCES REQUIRED AMONG HEALTH
FACILITIES
1. Ambulances are part of the licensing requirements of several types of
health facilities. The category of ambulance required from a health
facility shall be commensurate to the services provided by the health facility
as shown in the table below: Type of Category of Ambulance If Outsourced
with a DOH Licensed
Facility Required Ambulance Service Provider (ASP)
Specialty • The ambulance servicing the
and Hospitals should be Type II
Level3 • There should be a MOA between the
Hospitals Type II (ALS) Ambulance hospital and the ASP (whether
government or privately owned)
Level2 • The ambulance vehicle should be
Hospitals stationed at the hospital at all times.
Type I (BLS) Ambulance+ • The ambulance servicing the
Levell MOA with a hospital of Hospitals may either be Type I or
Hospitals higher level. Type II

• There should be a MOA between the

Infirmaries May opt to have a Type II hospital and the ASP (whether
Ambulance government or privately owned)
2. Hospitals and infirmaries may opt to have their o_wl/atient Transport
Vehicles (PTV) in addition to their ambulancesr jv'
Pa'fs of15

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3. Birthing facilities at a minimum are required to enter a MOA with
ambulance service providers (whether government or privately owned)
but may also opt to own an ambulance. This shall be complemented
with a MOA with a health facility of higher level. In cases wherein the
birthing home's referral facility is also the ambulance service provider,
one MOA will suffice as long as the terms for ambulance services are
clearly stipulated in the said MOA.
4. All facilities opting to enter a MOA with any DOH licensed ambulance
service provider shall take into consideration that the ASP servicing
the facility should be able to respond and provide ambulance services
within a reasonable time. Moreover, DOH licensed ASPs entering into
MOA/s with health facilities should do so in accordance with their
service capacity and capability.

D. STANDARDS
1. AMBULANCE BODY
a. An ambulance vehicle shall be able to accommodate the patient, and
the required number of personnel and equipment.
b. The ambulance shall have a non-porous partition between the driver
and the body of the ambulance.
c. DOH Licensed Ambulances shall bear the following markings:
1. Front: The reflectorized and capitalized word "AMBULANCE"
which is spelled out in reverse (mirror image). The height of
each letter shall be no less than 10 centimeters and the word
shall be seen at least six (6) meters away.
ii. Side: Each side of the ambulance body shall have the
capitalized word "AMBULANCE" not less than 15 em in
height.
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The name and logo of the licensee, the administrative division
(Region, Province, City, Municipality and Barangay) to which
the ambulance is affiliated with may be indicated on the sides
of the ambulance provided that the logo/font size used should
not be more than the height of the word "AMBULANCE." This
shall be placed below the word "AMBULANCE."
iii. Rear: The reflectorized and capitalized word "AMBULANCE"
not less than 15 em in height and the prescribed DOH
ambulance logo to be issued by the DOH once the application
for a license is approv;~ (Refer to Annex B: Official DOH ~
Ambulance Logo)r ~

P~15

iv. The licensee may also opt to mount the blue "Star of Life"
emblem on any part of the ambulance vehicle.
v. There shall be no restrictions on the color of the ambulance
vehicle or on the color of the letterings.
v1. Any other signage or pictures outside of what is prescribed
herein are not allowed.

d. Each ambulance shall have adequate and stable cabinet/s that can
appropriately store the required equipment, medicines and supplies.
These storages shall be easily accessible but properly secured at all
times.
e. Ambulance vehicles shall have Emergency Warning Light System and
Siren-Public Address System.
2. PERSONNEL
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Each ambulance shall be manned by an adequate number of qualified,
trained and competent staff to ensure efficient and effective delivery of
quality ambulance services.
a. A minimum of at least two (2) ambulance personnel, excluding the
driver, is required for every ambulance dispatched. Additional staff
depends on the nature of the emergency as determined by the
management of the service provider.
b. The minimum qualifications and trainings required from ambulance
personnel shall be in accordance to the type of ambulance they operate
as follows:
Category of Minimum Training Requirements Ambulance Qualifications

CY 2018-2019:
• Standard First Aid (SF A)
Graduate of any • Basic Life Support (BLS)

Type I health related 4

year course Starting CY 2020 onwards:

• SF A + BLS + Emergency Medical

Technician (EMT) Training-Basic
CY 2018:
• Standard First Aid (SF A)
• Basic Life Support (BLS)
Licensed or • Advance Cardiac Life Support

Type II Registered Nurse (ACLS)

Starting CY 2020 onwards:

SF A+ BLS + ACLS + EMT Training-

Advance /Paramedic Training

y ~{,-~>
rke7of15 \

c. There shall be staff development and continuing education program to

upgrade the knowledge, attitude and skills of staff.
3. EQUIPMENT, MEDICINES AND SUPPLIES
Every ambulance shall have available and operational prescribed
equipment, medicines and supplies.
a. Each ambulance shall be adequately equipped with appropriate
equipment, medicines and supplies. (Refer to Annex C: Assessment
Tool for Licensing a Land Ambulance and Ambulance Service
Provider)
b. There shall be a program for calibration, preventive maintenance and
repair of equipment, including decontamination and disinfection.
c. There shall be a contingency plan in case of equipment breakdown and
malfunction, especially during patient transport.
d. There shall be a program for the management of temperature sensitive
medication.
4. SERVICE DELIVERY
Every ambulance service provider shall ensure that the services delivered
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to patients comply with the standard quality embodied in the assessment
tool for licensing a land ambulance and ambulance service provider, other
policy guidelines and/or related issuances.
a. Ambulance service provider shall have documented policies and
procedures on its administrative and technical Standard Operating
Procedures (SOP) for the provision of its ambulance services.
b. Ambulance service provider shall have documented policies and
procedures on the establishment of its referral system.
Non-institution-based/ Free-Standing ambulance service providers
servicing the public independently shall have a MOA with a hospital
for which they can bring their clients for the needed health services.
[This clause is not applicable in cases of extreme medical emergencies
or in cases when patients prefer another ambulance service provider.]
c. Ambulances shall have devices to communicate to the operation center
of the ambulance service provider and the referral hospital/health
facility for recording and effective management of cases.
d. There shall be ~~~lines in the implementation of medical direction
when needed. ('T \
Palf15

5. INFORMATION MANAGEMENT
Every ambulance service provider shall maintain a system of
communication, recording and reporting of the patient's condition as well
as the results of examinations which may include electronic
communications or otherwise allowed under Republic Act (R.A.) 8792,
otherwise known as the "Electronic Commerce Act of 2000." Moreover,
management of data or information should be in adherence to R.A. 10173
also known as the "Data Privacy Act of2012."
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a. Hospital/Facility Referral Form
Each form shall be kept confidential and shall contain sufficient
information to identify the patient and to justify the treatment
provided, which includes the information of transfer/referral of patient
to another physician or health facility.
b. Logbook
Ambulance service providers shall maintain a logbook which shall be
signed by the head of the DOH licensing team during inspection and/or
monitoring visits. The logbook shall contain, but not be limited to, the
following information:
1. N arne, sex and age of patient;
ii. Name of attending physician, when applicable;
111. Origin and destination;
iv. Date and time of dispatch and return of ambulance;
v. Reason for transfer/transport;
vi. Disposition of patient.
c. Submission of Reports
All ambulance service providers shall submit an annual report
utilizing the template provided by DOH (Refer to Annex D: DOH
Annual Statistical Report for Ambulance Service Providers). The
deadline for the yearly submission is every 31st of March of the
following year (ex. CY 2018 report will be due on March 31, 20 19).
6. ENVIRONMENTAL MANAGEMENT
Every ambulance service provider shall ensure that the environment is safe
for its patients and staff including members of the public as necessary and
that the following measures and/or safeguards shall be observed:
a. The ambulance shall be properly ventilated, lighted, clean and safe.
b. There shall be a written plan and program of proper disinfection and
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preventive maintenance of the ambulance vehicles.(;)-{ \
Pal.s

c. The use of Personal Protective Equipment (PPEs) and adherence to

infection control policies shall be strictly observed.
d. There shall be procedures for the proper disposal of infectious wastes
and toxic and hazardous substances in accordance with R.A. 6969
known as "Toxic and Hazardous Substances and Nuclear Wastes Act"
and other related policy guidelines and/or issuances.

VII. PROCEDURAL GUIDELINES

A. The processing of application for DOH-LTO shall be as follows:
Type of HFSRB RO-RLED
Application
Initial/ Institution-based: Institution-based:
Renewal Ambulances of Levels 2 and 3 Hospitals, Levell Hospitals,
Ambulatory Surgical Clinics, Dialysis Clinics, Birthing Homes and
Medical Facilities for Overseas Workers and Infirmaries
Seafarers, etc.
Non-institution-based:
Government owned:
Ambulances ofBarangay Health Stations, Rural
Health Units, Health Centers, City Health Offices,
Municipal Health Offices, Provincial Health Offices,
LGUs, BFP, PNP, Coastguard, AFP, MMDA, etc.
Privately owned

Prompt Care Date Developed: Technical

time of receipt of the complete application documents to the issuance or

non-
issuance ofthe DOH-LTO.

C. APPLICATION FOR INITIAL DOH-LTO

1. Ambulance service providers of institution-based ambulances shall follow
the One-Stop Shop (OSS) system for hospitals and other health facilities.
2. Ambulance service providers of non-institution-based ambulances shall
follow the consecutive steps: (Refer to Annex A for the Process Flow in the
Licensure of Land Ambulances and Ambulance Service Providers- Initial)
a. Ambulance service providers shall submit the following relevant
documents to HFSRB/ RO-RLED:
1. Duly accomplished application fo~. Tff~ form can be
downloaded from hfsrb.doh.gov.p~

Pag~lS~

u. Proof of ownership:
For Ambulance Service Providers of Government owned
ambulances:
a) Enabling Act or Board Resolution or its equivalent
b) Cooperative Development Authority Registration with
Articles of Cooperation and By-laws, whenever applicable
For Ambulance Service Providers of Privately owned
ambulances:

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a) Department of Trade and Industry (DTI) or Securities and
Exchange Commission (SEC) Registration with Articles of
Incorporation and By-laws;
b) Cooperative Development Authority Registration with
Articles of Cooperation and By-laws, whenever applicable
iii. Registration of the vehicle(s) from the Land Transportation
Office
iv. License of the ambulance driver/s as Professional Driver, from
the Land Transportation Office
b. Pay the corresponding fee, and submit a copy of the official receipt
to HFSRB/ RO-RLED.
c. The HFSRB/ RO-RLED shall receive and · evaluate the
completeness of documentary requirements submitted including
proofs of payment. A complete application means that the required

documents, as specified in the application checklist of HFSRB/RO-

RLED, have been submitted. If incomplete, the client shall be

given thirty (30) days to submit the complete documentary

requirements. The application payment will be forfeited if the
complete documentary requirements are not submitted within thirty
(30) days.

d. For complete applications, the inspection team of HFSRB/RO-

RLED shall inspect the ambulance vehicle/s. The applicant shall

ensure that all key staff, pertinent records, and ambulance vehicles
are made available to HFSRB/RO-RLED during inspection visits.
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If during inspection, the ambulance vehicle/s is/are found non-
compliant to the standards and requirements for the licensing of

ambulances, the inspection team from the concerned offices shall

notify the applicant of their deficiencies and the ASP shall be given
time to comply within the prescribed timeline (maximum of 30
days). The counting of days to process the application shall be
stopped ("stop-clock") until all deficiencies have been complied
with. Failure to complete the compliance within the pres.ccr ·b d
Page It of15

timeline given shall mean disapproval of the application and

forfeiture of payment. The HFSRB/RO-RLED shall then send the
Letter of Denial with the noted deficiencies to the applicant.
If found compliant during inspection, the inspection team shall
recommend the issuance of the DOH-LTO.
e. The Director IV of HFSRB/RO Director, or in his/her absence or
unavailability or when delegated, the Director III of HFSRB/RO,
shall approve the issuance of the DOH-LTO.
f. Once the DOH-LTO has been issued to the ambulance service
provider, each compliant ambulance vehicle of the licensed ASP
shall be given the Official DOH Ambulance Logo with its
corresponding plate or conduction sticker number, ambulance
category and the year until when the DOH-LTO of the ASP will be
valid. The logo shall then be mounted at the rear of the vehicle.

Moreover, all ambulance vehicles should have a copy of the DOH-

D. APPLICATION FOR RENEWAL OF DOH-LTO

1. Ambulance service providers of institution-based ambulances shall follow
the
One-Stop Shop (OSS) system for the renewal of their DOH-LTO.
2. Ambulance service providers of non-institution-based ambulances shall
follow
the consecutive steps:
a. Submit the following documents:
i. Duly accomplished application form. This form can be
downloaded from hfsrb.doh.gov.ph.
ii. DOH annual ambulance statistical report
111. other relevant records as may be required by DOH
b. The same steps and timelines outlined in Section VII. C.2. b.-f. of this
Order shall apply.

3. The DOH-LTO of an ambulance service provider shall be cancelled

automatically without notice upon failure to submit a duly accomplished
application form and to pay the proper fee beyond thirty (30) days from the
date of expiration stated in its license. Thereafter, the service provider shall
apply for an initial DOH-LTO.
E. MONITORING
1. Licensed a~~ytance service providers and its ambulances shall be
monitored
regularly.fvt(

P~e(.S\

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2. The HFSRB or RO-RLED shall conduct periodic monitoring visits utilizing
the assessment tool for licensing a land ambulance and ambulance service
provider.
3. The applicant shall ensure that all key staff, records, premises and
facilities are
made available to HFSRB or RO-RLED during monitoring activities.
4. A Notice of Violation shall be issued immediately for non-compliance with
these rules and regulations.

VIII. VALIDITY OF LICENSE TO OPERATE

The DOH-LTO of ambulance service providers of institution-based
ambulances shall
be valid for one (1) year only following the OSS system for hospitals and
other health
facilities, while for ASP of non-institution-based ambulances, the DOH-LTO
shall be valid
for three (3) years from January of the first year to December of the third
year.
IX. SCHEDULE OF FEES
A. A non-refundable fee shall be charged for the application of DOH-LTO of
an
ambulance service provider and its land ambulances (Refer to Annex E:
Schedule of Fees in the Licensure of Land Ambulances and Ambulance
Service Providers):
B. All fees/checks shall be paid to the order of DOH in person or through
postal
money order [or through bank to bank payments as soon as the system
becomes
functional].
C. All fees, surcharges and discounts shall follow the current DOH prescribed

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schedule of fees in A.O. No. 2007- 0001 "Revised Schedule of Fees for
Certain
Services Rendered by the Bureau of Health Facilities and Services and
Centers for
Health Development ... ", A.O. No. 2007- 0023 regarding "Schedule of Fees
for
the One-Stop Shop Licensure System for Hospitals", and A.O. No. 2008 -
0028
"Schedule of Fees for the One-Stop Shop System for the Regulation of
Medical
Facilities for Overseas Workers and Seafarers and Non-Hospital Based ... ",
other
policy guidelines and/or relevant issuances.

X. VIOLATIONS
Ambulance service providers found violating any provtswn of these rules and
regulations and its related issuances and relevant policy guidelines, and/or
commission/omission of acts by personnel operating an ambulance under
this Order shall
be penalized and/or its DOH-LTO suspended or revoked.
XI. INVESTIGATION OF CHARGES AND COMPLAINTS
The Health Facilities and Services Regulatory Bureau or the Regional Office
Director
and/or his authorized representative(s) shall investigate complaints and
verify if ambulance
service provider concerned or any of its personnel is liable for an alleged
violation. The
HFSRB or RO Director may order the preventive suspension of operation of
the co!ed

Page 13 of15

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ambulance service provider pending investigation which shall not be more
than ninety (90)
days.
XII. SANCTIONS AND PENALTY
Imposable penalties for violations hereof shall be in accordance with A.O. No.
2007-
0022 titled "Violations under the One-Stop Shop Licensure System for
Hospitals", A.O. No.
2008-0027 known as "One-Stop Shop System for the Regulation of Medical
Facilities for

Overseas Workers and Seafarers, Non-Hospital-Based Dialysis Clinics and

Non-Hospital-
Based Ambulatory Surgical Clinics with Ancillary Services", and related
issuances or

guidelines.
In case of death or serious physical injury (as defined by Article 263 of the
Revised
Penal Code of the Philippines) of the patient, passengers, pedestrians or the
general public,
the DOH-LTO of the ambulance service provider shall be automatically
revoked if such
death or injury was found or determined by the appropriate authority to be
due to the
negligence or misuse of the ambulance service. This is without prejudice to
any criminal or
civil charges or both that may be filed by the aggrieved party against the
ambulance service
provider.

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Ambulance service providers whose DOH-LTO has been revoked shall be
prohibited
from applying for another DOH-LTO as an ASP for a minimum of one (1) year.
XIII. APPEAL
Any hospital or other health facility aggrieved by the decision of the HFSRB
Director
or Regional Director may, within ten (1 0) days after receipt of the notice of
decision file a
notice of appeal to the Head of the Office for Health Regulation (OHR). All
pertinent
documents and records of the appellant shall then be elevated by HFSRB or
the Regional
Office to the OHR. The decision of the Head of the OHR if still contested
maybe brought on
a final appeal to the Secretary of Health within ten (10) days after receipt of
the decision from
OHR. The Secretary of Health's decision shall be absolute and executory.
XIV. TRANSITORY PROVISIONS
A. For application of DOH-LTO for CY 2018, ambulance service providers of
both
institution-based and non-institution-based ambulances may file their
applications and
pay the corresponding fees at either HFSRB or RO-RLED until December 15,
2017.
B. Applications filed starting January 2018 should follow section VII. A of this
Order.

XV. REPEALING CLAUSE

Provisions from previous issuances that are inconsistent or contrary to the
provi~Js
of this Order shall be deemed impliedly or expressly amended or revoked~ ~

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Page 14 of15

XVI. SEPARABILITY CLAUSE

In the event that any provision or part of this Order is declared unauthorized
or
rendered invalid by any court of law, those provisions not affected by such
declaration shall
remain valid and in force.
XVII. EFFECTIVITY
This Order shall take effect after fifteen (15) days after its publication in two
newspapers of general circulation.

F . UQUE III, M.D., MSC.

etary of Health

Page 15 oflS

-
.
.

Republic of the Philippines

Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

Prompt Care Date Developed: Technical

PROCESS FLOW

Step 1: Applicant shall fill out application form for the licensure of
land Ambulances and Ambulance Service Providers

Step 2: Applicant shall prepare/secure/submit together with the application

form the following
documents:
a. Proof of ownership
For Ambulance Service Providers of Government owned ambulances:
1. Enabling Act or Board Resolution or its equivalent
2. Cooperative Development Authority Registration with Articles of
Cooperation and By-laws, whenever
applicable
For Ambulance Service Providers of Privately owned ambulances:
1. Department of Trade and Industry (DTI) or Securities and Exchange
Commission (SEC) Registration with
Articles of Incorporation and By-laws;
2. Cooperative Development Authority Registration with Articles of
Cooperation and By-laws, whenever
applicable
b. Registration of the vehicle(s) from the land Transportation Office
c. license of the ambulance driver/s as Professional Driver, from the land
Transportation Office

Prompt Care Date Developed: Technical

to the DOH Central Office/RO Cashier

Step 4 : Application will be received by HFSRB/RO-RlED including the proof of

payment
for evaluation of documentary requirements as specified in the application
checklist

Applicant has 30 days to

submit complete
documentary
requirements. •

Step 5: HFSRB/RO-Rl ED shall inspect the

ambulance vehicle/s

Application payment will be

forfeited if complete
documentary requirements
are not submitted within 30
days.

1/ completed within 30 days HFSRB/RO-RLED shall

inform the applicant of
their deficiencies and
given time to comply
within 30 days'
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If applicant fails to
comply within 30
days, application
will be disapproved
and payment
forfeited

HFSRB/RO-RLEO
shall send the Letter
of Denial with the
noted deficiencies
to the applicant

lfapplicant
complied within 30
days, proceed to
Step6

Re-application and New Payment

GO BACK TO STEP 3

Step 6: HFSRB/RO-
RlED shall

recommend the

issuance of the DOH-

Step 7: Director IV of
HFSRB/RO Director or
Director Ill of
HFSRB/RO, shall
approve the issuance
of the OOH-lTO
Step 8: Official •DOH
Ambulance Logo shall
be given for each
compliant ambulance
vehicle of the licensed
ASP
End of Process
0 Th ounting of d'!}'S to process the application shall be stopped ("stOJ! lockJ
unti II deficie cie have bee com lied with.

TIMETABLE

3 Days

27 Days

OOH· AASP-Pf·AnnexA
Revision:OO
01126/2018
Page 1 ol1

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Republic of the Philippines
Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEXB
A.O. No. 2018- ooo I

OFFICIAL DOH AMBULANCE LOGO

LICENSED BY THE DOH

PL.ATE NUl\IBER :---------

\1\IB UL.t\N CE
Ci-\.TEGORY
, i.A.LID UNTIL
I COl\"TROL NO.

*Conduction sticker number shall be indicated if the vehicle has no plate

number yet :············ ....................................................... :
i DOH-A ASP-Logo-Annex B i
i Revision:OO ! i 1/26/2018 : ................................................................... ,

Republic of the Philippines

Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

Prompt Care Date Developed: Technical

ASSESSMENT TOOL FOR LICENSING A LAND AMBULANCE AND

AMBULANCE SERVICE PROVIDER

I. GENERAL INFORMATION
Name of Ambulance Service Provider (ASP): __________________ _
Complete Address: ___________________________ _

TeL/Fax Nos.:-------------
Name of Owner:

Email
Address: -------------
------------------------------

Category:
0 Type I - B LS Ambulance
Ownership:
0 Government:
0 National
0 Local
Others (specify) ____ _
Institutional Character:
0 Institution-based
Type of application:
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0 Initial

0 Type II- ALS Ambulance

0 Private
0 Single Proprietorship
0 Corporation
Others (specify) ____ _

0 Non-institution-based/Free-Standing

0 Renewal
DOH License Number (ASP): ______ _

r · ~0~:~ ~5~:0: ~~~~ ~-· .. :

j Revision:OO 1
: 01/26/2018
1 .... ~~-~~-- ~- ~ .. ~~ ................................... i

II. TECHNICAL REQUIREMENTS

ANNEX C
A.O. No. 2018- DOO I
Instruction: In the appropriate box, place a check mark(--./) if the ambulance
or ambulance service
provider is compliant or X-mark if not compliant.
STANDARDS
(AMBULANCE SERVICE

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PROVIDER)
1. Land Transportation Office
Registration under the name of
the Ambulance Service Provider
2. For Institution-based:
Designated area that will house
the policies, files, records, etc. of
the ASP and which shall serve as
the operations control and
dispatch center of ambulance/s.
For Non-institution-based:
Operations control and dispatch
center of ambulance/s whether it
be a business office or space
3. ASP office has adequate parking
spaces for the ambulance/s they
own (when applicable).
A. SERVICE DELIVERY

Type I Type II COMPLIANT REMARKS

Every ambulance service provider shall ensure that the services delivered to
patients comply with the
standard quality embodied in the Assessment Tool for licensure of land
ambulances, other policy guidelines
and/or related issuances.
1. Documented policies and
procedures on:

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a. Administrative and technical
standard operating
procedures (SOP) for the
provision of its services
b. Establishment of its referral
system
2. For health facilities (ex.
hospitals, infirmaries and
birthing facilities) with
outsourced ambulance services:
Notarized Memorandum of
Agreement (MOA) between the
health facility and ASP

DOH-A ASP-L TO-AT-Annex C

Revision:OO
01/26/2018
Page 2 of 12

STANDARDS
(~MBULANCE SERVICE
PROVlDER)

For Non-institution-based/ Free-

Standing ambulance service

providers servicing the public

independent! y:
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Notarized Memorandum of
Agreement (MOA) with a
hospital
3. Schedule of Retention and
Disposal of Records and other
relevant information
4. Quality Assurance Program
5. Continuous Quality
Improvement
a. Client satisfaction survey
with analysis
b. Handling and resolution of
complaints
6. Copies of the clinical protocol
for each specific case
B. INFORMATION MANAGEMENT

Type I TypeD

ANNEX C
A.O. No. 2018- 0()0 I
COMPLIANT REMARKS

Every ambulance service provider shall maintain a system of

communication, recording and reporting of the
patient's condition as well as the results of examinations which may include
electronic communications or
otherwise allowed under R.A. 8792 known as "Electronic Commerce Act
of2000." Moreover, management
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of data or information should be in adherence to R.A. 10173 also known as
the "Data Privacy Act of2012."

1. Hospital Referral Form-

completely and accurately filled

out; kept secured and

confidential
2. Logbook - completely and
accurately filled out with the
following contents:
a. Name, sex and age of patient
b. Name of attending physician
(when applicable)
c. Origin and destination
d. Date and time of dispatch and
return of ambulance
e. Reason for transfer/transport
f. Disposition of patient
3. File of the Annual Statistical
Report (for renewal) -
completely and accurately filled
out

r· .. ·~ ·:~· :c;::~~·~ ..... !

i Revision:OO ; ! 01/26/2018
i ... .~~' f" "" ................... """""'

Prompt Care Date Developed: Technical

STANDARDS
(AMBULANCE SERVICE Type I Type II COMPLIANT REMARKS
PROVIDER)

C. ENVIRONMENTAL MANAGEMENT
Every ambulance service provider shall ensure that the environment is safe
for its patients and staff
including members of the public as necessary and that the following
measures and/or safeguards shall be
observed.
1. The ambulance shall be properly
ventilated, lighted, clean and
safe.
2. Written plan and program of
proper disinfection and
preventive maintenance of the
ambulance vehicles
3. Adequate personal protective
equipment (PPEs)
4. Procedures for the proper
disposal of infectious wastes and
toxic and hazardous substances
in accordance with R.A. 6969
known as "Toxic and Hazardous
Substances and Nuclear Wastes

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Act" and other related policy
guidelines and/or issuances
D. EQUIPMENT, MEDICINES AND SUPPLIES
Every ambulance shall have available and operational prescribed equipment,
medicines and supplies.
l. There shall be a program for
calibration, preventive
maintenance and repair of
equipment, including
decontamination and
disinfection.
2. There shall be a contingency
plan in case of equipment
breakdown and malfunction,
especially during patient
transport.
3. There shall be a program for the
management of temperature
sensitive medication.

:··········································· .. ···················: ~ DOH-A ASP-L TO-AT-Annex C

1 Revision:OO
: 01/26/2018
1 Page4of12 ~ ............................................................... ,,,;

ANNEX C
A.O. No. 2018- DOD\

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STAND ARBS AND
REQUIREMENTS Type I Type II COMPLIANT REMARKS
(AMBULANCE VEHICLE)
LTO PLATE OR CONDUCTION STICKER NUMBER:
E. AMBULANCE BODY
An ambulance vehicle shall be able to accommodate the patient, and the
required number of personnel and
equipment.
1. Safety non-porous partition
(separating the driver and the
body of the ambulance
2. Electric (internal and external)
supply bulbs
3. Overhead grab rail on the
ceiling on top of the
patient/stretcher
4. Inverter power source
5. Licensed Ambulances shall bear
the following markings:
a. Front: The reflectorized and
capitalized word
"AMBULANCE" which is
spelled out in reverse (mirror
image). The height of each
letter shall be no less than 1 0
centimeters and the word
shall be seen at least six (6)
meters away.

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b. Side: Each side of the
ambulance body shall have
the capitalized word
"AMBULANCE" not less
than 15 em in height.
c. Rear: The reflectorized and
capitalized word
"AMBULANCE'' not less
than 15 em in height and the
prescribed DOH ambulance
logo to be issued by the
DOH once the application
for a license is approved
No other signage or pictures
outside of what is prescribed.
(May opt to mount the blue
"Star of Life" emblem on
any part of the ambulance
vehicle)
6. Adequate and stable cabinetls
that can appropriately store the
required equipment, medicines
and supplies

DOH-A ASP-LTO-AT-Annex C
Revision:OO
01/26/2018
Page 5 of 12
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ANNEX C
A.O. No. 2018- 000 l

STANDARDS AND
REQUIREMENTS Type I Type II COMPLIANT REMARKS
(AMBULANCE VEI!/!ICLE)
7. Emergency Warning Light
System and Siren-Public
Address System
F. PERSONNEL
Each ambulance shall be manned by an adequate number of qualified,
trained and competent staff to ensure
efficient and effective delivery of quality ambulance services.
1. Minimum of two (2) ambulance
personnel excluding the driver is
required for every ambulance
dispatched.
Each staff shall be trained from a
DOH-recognized . . trammg
provider, in the following:
a. Standard First Aid
b. Basic Life Support
c. Advanced Cardiac Life
Support
d. Emergency Medical Starting CY 2020
Technician (EMT) onwards:
Training- will be in EMT Training- transition Basic

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2. Driver
There shall be one (I) driver for
every shift. Each driver shall
have the following:
a. Valid professional driver's
license
b. Certificate of Proficiency
from TESDA (NC II)
3. Complete 20 l files of each
personnel containing:
a. PRC ID
b. Certificate of
Trainings attended
c. Job description
d. Notarized Contract of
Employment
4. Schedule of duties or shift of
personnel
5. Staff development and
continuing education program to
upgrade the knowledge, attitude
and skills of staff

Starting CY
2020 onwards:

EMT Training-
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Advanced

/Paramedic
Training

-:·······························································:
i DOH·A ASP·L TQ-AT-Annex C
i Revision:OO l 01 /26/2018
! Page6of 12 : .................................................................. ;

LIST OF EQUIPMENT, MEDICINES AND SUPPLIES

Each ambulance shall be adequately equipped with ap!Jtvvriate equi]
!ITEM Type I Type II

A. Ventilation and Airway Equ•· It

I. Suction apparatus and ar.r.ec;sories
a. Portable or Mounted Suction
Machine
b. Flexible suction catheters
Fr. 5,8,12 and 14
2. Portable oxygen
equipment/installed
a. Portable oxygen tank with
regulator
b. Oxygen mask No. 2,3 and 4
(fornewborn, infantandadult)
3. Bag valve mask resuscitator with
rebreather bag for adult, pediatric
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and infant
4. Endotracheal tubes (pedia and 8llbJ adult)
5 Airway;:, (pedia and adult)
6. Nebulizer with nebulizer kit
7 Laryn 'l'v set (pedia and adult) ltMi ~'-L
B. Monitoring and/or Defibrillation
1. Defibrillator AED

Manual with
cardiac monitor

2. Defibrillator pads disnosahle

3. Sphygmomanometer, Non-
mercurial

- Pediatric cuff
- Adult cuff
4. S_!_~tl1o cope (peniatric and adult)
C. J mmobilization Devices
I. Rigid cervical collars (small,
meninm large)
2. Firm padding or commercial head
immobilization device
3. Lower extremity traction devices
(supporting slings, padding,
traction strap)
4. Upper and Lower extremity
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immobilization devices
a. Joint above and joint below
fracture
b. Rigid-support appropriate
material (cardboard, metal, pneumatic,
vacuum. wood or plastic)- ,.v_...., sizes

ANNEX C
A.O. No. 2018- 000 f

medicines and supplies.

COMPLIANT REMARKS

DOH-A ASP-L TO-AT-Annex C

Revision:OO
01/26/2018
Page 7 of 12

ITEM
c. Resistant straps or cravats
d. Orthopedic (scoop)
stretcher/ Long back board
D. Dressings and Bandages
1. Sterile bum sheets
2. Triangular bandages
3. Sterile Dressings
a. 1 O"x30" or larger
b. ABDs, 1 O"x 12" or larger
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c. 4"x4" gauze sponges
4. Sterile gauze rolls (various
sizes)
5. Non-sterile elastic bandages
(various sizes)
6. Sterile occlusive dressing
3 "x8" or larger
7. Adhesive tape roll
a. Various sizes of2" or 3"
hypoallergenic
b. Various sizes of2" or 3"

non-
hypoallergenic/ordinary

E. Obstetrical Delivery Set

1. Sterile delivery kit
2. Wrap I blanket for newborn
F. Infection Control
1. Eye protection (full peripheral
glasses or goggles or face
shield)
2. HEP A Masks I Surgical
Masks
3. Non-sterile and Sterile Gloves
4. Jumpsuits or Gowns
5. Shoe covers
6. Hand sanitizer or 70% alcohol
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7. Sharps container (puncture
proof)
G. Miscellaneous
1. Blood Glucose Meter with
strips
2. Thermometer, non-mercurial
3. Heavy bandage or paramedic
scissors for cutting clothes,
belts and boots
4. Alcohol swabs
5. Heat and Cold packs or their
equivalent

Type I Type II

ANNEX C
A.O. No. 2018- 000 J
COMPLIANT REMARKS

DOH-A ASP-l TO-AT-Annex C

Revision:OO
01/26/2018
Page 8 of 12

ITEM

6. Flash lights with extra batteries

and bulbs
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Communication devices exclusive for
ambulance use between the OPCEN,
ambulance vehicles and referral
facilities which may be any of the
fol ·
1. Radio
2. Cellular Phone

1. IV Administration set

L. Medicines I
1. Activated
2. Salbutamol nebules
3. Sterile water for irrigation, 1
liter
4. Sterile water for injection,
10ml
5. Intravenous fluids
DS LRS 1 Liter
DS NSS 1 Liter
DS Water 1 Liter
DS 0.3NaCl 500ml
Plain LRS
Plain NSS
6.

Type I Type II
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Licensed hand-
held radio with

base station

ANNEX C

A.O. No. 2018-

COMPLIANT REMARKS

DOH-A ASP·L TO·AT-Annex C

Revision:OO
0112612018
Page 9 of 12

ITEM Type I

M. Controlled Medications

Type II

ANNEX C

A.O. No. 2018-

COMPLIANT REMIARKS

Prompt Care Date Developed: Technical

8.
9.

14. Sodium bicarbonate l Oml

15. Digoxin O.lmg/ml ampule and
0.

:-.. ·~;·~ ~·~5; 0 ·~··· ·:

! Revision:OO ! ! 01/26/2018
! Page 10 of 12
L .................................................................. :

Name of Ambulance
Service Provider:
Date of Inspection:
RECOMMENDATIONS:
For Licensing

ANNEX C
A.O. No. 2018- 0001

[ ] For Issuance of License To Operate as AMBULANCE SERVICE PROVIDER

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
Validity from _____ ____ to _ ___ _____ _
LTO Plate or Conduction Sticker Number (Vehicle/s):
1. 4. ____________________________ ___
2. 5. ____________________________ ___
3. 6. ____________________________ __
•use additional sheetls if needed
[ ] Issuance depends upon compliance to the recommendations given and
submission of the following
within days from the date of inspection

[ ] Non-issuance. Specify reason/s: -----------------------

Inspected by:
Printed name

Received by:

Signature:
Printed Name:
Position/Designation:
Date:

Signature Position/Designation

r···························································'""=
! DOH-A ASP-L TO-AT-Annex C
! Revislon:OO ! 01 /2612018
! Page 11 of 12 L ................................................................. .;

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
N arne of Ambulance
Service Provider:
Date of Monitoring:
DOH License Number
(ASP):
LTO Plate or Conduction Sticker Number (Vehicle/s):

ANNEX C
A.O. No. 2018- 0001

1. 4. ________________________________ _
2. 5. ____________________________ __
3. 6. ____________________________ __
*Use additional sheet/s if needed

RECOMMENDATIONS:
For Monitoring
[ ] Issuance of Notice of Violation

[ ] Non-issuance of Notice of Violation

[ ] Others. Specify------------------ --------------------------

Monitored by:
Printed name

Received by:
Prompt Care Date Developed: Technical
Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
Signature:
Printed Name:
Position/Designation:
Date:

Signature Position/Designation

r···· ~o ~~ ~s ~c~o ~~~~~~~ ·····1

! Revision:OO ! 01/26/2018
~ Page 12 of 12 •.................................................................. ;

Republic of the Philippines

Department of Health

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEXO
A.O. No. 2018- 000 I
ANNUAL STATISTICAL REPORT FOR AMBULANCE SERVICE PROVIDERS
Name of Ambulance Service Provider:
------------------------------------- License Number: ------------------- Validity: _________
to ________ _
Number of Ambulance Vehicles: -------

A. Total Ambulance Conduction (Per Vehicle)

Total number of conductions

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority
Total Hospital to Hospital Conduction
Total Other Health Facilities* to Hospital
Conduction
Hospital to Home Conduction
Home to Hospital Conduction
Hospital to other routes (i.e. hospital to
airport) or vice versa
B. Average Response Time of Ambulances (Annual): -------
C. Top Ten (10) Reasons for ReferraVTransport
1.
2.
3.

D. Adverse Events During Transport (including deaths)

Date Time

Total NumberofDeaths (ifany): ________ _

*May include infirmaries, birthing homes, etc.

Description

····~c; :~-~:: ~~~:·~··········· .. 1

i Revision:OO
i 1/26/2018 ~ Page1of1 ........................................................................... ;.

Republic of the Philippines

HEALTH FACILITIES AND SERVICES REGULATORY BUREAU

ANNEXE
A.O. No. 2018- 0001

SCHEDULE OF FEES IN THE LICENSURE OF LAND AMBULANCES AND

AMBULANCE SERVICE PROVIDERS

Institution-based*
(e.g. Hospitals, Infirmaries )

AMBULANCE
SERVICE PHP 5,000.00 I year
PROVIDER
AMBULANCE PHP 1,000.00 I unit I year VEHICLE

*DOH-LTO VALIDITY:
**DOH-LTO VALIDITY:
1 year
3 years

Prompt Care Date Developed: Technical

Emergency
EMS Training January 11, 2023 Education and
Medical Pictur
Skills
Academy Services NC Developed by: e 1 ...
Incorporated Michael C. Development
II
Esteban Authority

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