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Ambulance Driver Certification
Terms in this set (59)
Privately owned or operated emergency ambulances may not be equipped and operated as emergency vehicles nor respond to an emergency call unless
The operating service has been licensed to do so by the California Highway Patrol.
The term "Ambulance" refers to
Ambulances used to respond to emergency calls. However, the definition includes any vehicle, such as a "rescue" vehicle, when it has been specially modified or equipped with the intent to transport injured persons.
"Code 3" is the term used to describe
The use of red warning lamps and sirens if the vehicle is being driven in response to an emergency call.
"Code 3" is justified only when
Initially responding to an emergency call or when speed in obtaining emergency medical care appears essential to save a life, prevent undue suffering, or to reduce or prevent disability.
The service name of an ambulance must be displayed
On both sides and the rear of each vehicle in letter that contrast sharply with the background. Lettering should be 4 in or more in height and in a color that is visible during the daytime.
Fire extinguishers must be inspected and serviced
Yearly or immediately after use
Licensed vehicles are required to be inspected
initially and then yearly by the California Highway Patrol. If not in compliance, the ambulance may be removed from service until the problem has been corrected. This applies to both private and publicly owned ambulances.
Destination restrictions are established to
Prevent ambulance transportation of emergency patients over unnecessarily long distances to obtain medical attention.
The purpose of an ambulance driver certificate is
not a verification of driving competence but to show that an individual has knowledge of the laws pertaining to ambulance operations and has not been disqualified from employment by criminal activities, physical disabilities, or poor driving habits.
Ambulance driver certificate is not required for
police officers, deputy sheriffs, members of a fire department, or someone driving an ambulance from out of state into California.
Temporary ambulance driver certificate is good for
Regular ambulance driver certificate is good for
5 years and expires the same day as the applicant's driver's license.
Ambulance driver must possess an EMT certificate after
one year of initial employment as an ambulance driver
DL-51 form must be dated within
two years of the application date.
Renewal certificate applications will be accepted;
A renewal applicant must have
during the six month period prior to the expiration of the regular certificate;
an EMT certificate
Who is responsible for the operation of the service in compliance with statutes and regulations?
Every ambulance service owner, operator, manager, or supervisor
An ambulance driver must demonstrate his or her driving competence to
the service owner
Who is responsible for making sure the driver is trained and competent in the use of safety and emergency care equipment and trained to assist the attendant in patient care?
the service owner
Any ambulance attendant must at minimum posses
an EMT certificate. EMT-II, paramedic, PA, RN, or physician are also applicable.
An ambulance driver's primary responsibility is
Other primary responsibilities are:
the safe transport of the patient.
1) Not making an accident and
2) Smooth driving: a) Driving that will not stress or traumatize the patient and b) Driving in a manner that will permit the attendant to provide medical care to the patient.
"Code 3" transport can result in the following:
• Frighten the patient
• Put a stabilized patient into shock
• Disrupt ongoing medical treatment
• Aggravate certain medical conditions
"Code 3" transportations constitute
only 5-7 percent of total trips.
Three medical conditions that require "Code 3" operation:
1. Uncontrolled hemorrhage
2. Uncontrolled cardiovascular or respiratory impairment
3. Complicated impending child birth
A decision to use "Code 3" operation must be made on the belief that
the medical emergency justifies the risks incurred when demanding the right-of-way through traffic.
What is "Code 3"?
Displaying a steady burning red warning lamp that is visible 1000 ft in front of the vehicle and sounds a siren that is reasonably necessary.
If not under "Code 3", the driver must comply with
all traffic laws that apply to any other vehicle on the road.
Even under "Code 3", a driver can still be held liable is involved in an accident where
property damage, injury, or fatality occurs
A driver must also drive with
due regard for the safety of all persons using the road.
In order to provide due regard for the safety of others,
sufficient notice of the ambulance's approach must be given to allow other drivers and pedestrians to yield the right-of-way.
Sirens do not give sufficient warning to drivers
approaching head on or traveling on converging roads.
In rural environment, a driver going ____ mph may not be aware of the siren until ____ ft away. In urban environment, driver may not detect siren until ___ ft away.
55 mph; 33 ft
The siren warning is only _____ as effective to a vehicle on crossroads compared to a vehicle traveling in front of am ambulance going the same way.
During Code 3, drivers should be cautious of:
1. blind intersections and driveways
2. motorists with impaired hearing
3. inattentive drivers.
Ambulance drivers should:
-Assume other drivers don't hear the siren at safe distances, especially at intersections.
-Be aware that other drivers usually have trouble locating the source of the siren.
-Restrict the use of sirens to situations where they are most effective.
-Avoid passing on the right.
Excessive or indiscriminate use of warning lights
reduces public awareness and respect of their purpose.
Proper use of warning lights:
• The front steady burning red warning light should be displayed when an extreme hazard exists.
• Flashing red light may only be displayed during extremely hazardous conditions, such as requiring traffic to stop or requiring the road to be blocked.
• Flashing amber lights are used only when an unusual traffic hazard exists.
Warning lamp effectiveness may be reduced by:
• Low sun or glare
• Confusion with traffic signals or neon lights
• Their position on the ambulance (If mounted too high or low, they might be out of vision to the driver of the vehicle ahead)
The use of headlamps during the daylight is effective in
reducing accidents by making the vehicle more visible to other drivers.
What is defensive driving?
doing everything reasonably possible to avoid being involved in a preventable accident, regardless of what the law is, what the other driver does, or in adverse driving conditions.
Five elements of defensive driving:
To back an ambulance:
1. Station a crew member outside to the left rear of the vehicle
2. Check for pedestrians and obstacles
3. Sound horn before backing
4. Back slowly
5. Check mirrors constantly
Intersections are the most likely accident areas. At intersections, the driver should:
1. Check for hazards well in advance of intersection
2. Look left, right, then left again before entering intersection
3. Maintain a safe following distance
What is safe following distance?
Greater than the distance required for the reaction time (3/4 of a second) but less than the total stopping distance; 3 second rule
Following distance should be increased by ___ if the ambulance is large or heavy. Following distance should be _____ if the road surface is loose or slippery, vision is obscured, or the driver is not fully alert. Following distance should be ______ if the road surface is packed snow or ice.
At highway speeds (40-60mph) a safe pass takes about
At 55 mph, the passing distance would be ____ ft.
When speed is doubled, braking distance more than _______.
Vehicle inspections of the ambulance should be done
at the beginning of each shift
Who is responsible for the mechanical safety of the ambulance?
Who is responsible for equipping and maintaining the vehicle?
No ambulance should respond to an emergency call or transport patients unless:
When is the only time this requirement does not apply?
1. staffed by both a certified driver and qualified attendant
2. maintained in good mechanical and sanitary condition
3. equipped as required.
"State of emergency" / "State emergency" / "Local emergency"
Every ambulance service should maintain a current record of every emergency call dating
Back to 3 years
Every ambulance service should maintain a personnel file for
Each driver and attendant
Responsibilities of the owner of an ambulance service:
1. Ensure driver proficiency
2. Staffing qualifications (staff must be qualified to operate an ambulance or be an ambulance attendant)
3. Unlawful operation (never knowingly allow the operation of an ambulance not in accordance with regulations)
Required safety equipment:
• A siren and steady burning red warning lamp
• Seat belts for driver and front seat passenger
• Fire extinguisher of the dry chemical or carbon dioxide type
• A portable, battery-operated light
• A spare wheel
• A jack and tools for wheel changes
• Maps covering the areas in which the ambulance provides services
• Patient compartment door that latches operable from inside or outside the vehicle
Private ambulance services cannot permit their ambulances to respond to emergency calls unless
they possess a license. License expires in one year.
No owner shall use any ambulance to operate without
maintaining the ability to respond in damages.
No privately owned ambulance can operate unless it carries
a valid special vehicle identification card or temporary card. An identification card is used by the department as evidence that the operator has obtained a license and that the ambulance is in accordance with regulations.
must provide employer with a report showing the driver's current public record. The employer will receive a periodic report from the DMV at least every six months.
No motor vehicle except an authorized emergency vehicle shall follow within __________ft of an ambulance operating under "code 3".
an audible warning device that produces the readily recognizable warning sound identified with emergency vehicles
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