Atch_1_Appx_5.10__MDGI_41-18_Amb_Driver_2016.pdf

BY ORDER OF THE 49MDG MEDICAL GROUP INSTRUCTION 41-18

49th Medical Group (ACC)

7 April 2016

Medical

AMBULANCE DRIVER TRAINING/INSPECTION

COMPLIANCE WITH THIS PUBLICATION IS MANDATORY

ACCESSIBILITY: Publications and forms are public on the MDG share drive.

RELEASABILITY: There are no releasability restrictions on this publication.

OPR: SGO Certified by: MDG/CC Paul Willingham

Supersedes: MDGI 44-12, 01 Oct 2013 Pages: 6

This instruction applies to all personnel assigned to or attached to the 49th Medical Group (49

MDG). This publication is available digitally in the Library Catalog. Refer recommended changes and questions about this publication to the Office of Primary Responsibility (OPR) using the AF Form 847, Recommendation for Change of Publication; route AF Forms 847 through appropriate chain of command. Ensure that all records created as a result of processes prescribed in this publication are maintained in accordance with Air Force Manual (AFMAN)

33-363, Management of Records, and disposed of in accordance with Air Force Records

Information Management System (AFRIMS) Records Disposition Schedule (RDS).

SUMMARY OF CHANGES: This document has been completely revised to reflect the new AFI

46-101, Nursing Services and operations, dated 30 January 2015. Recent changes also include revisions of MDG Form O-26 a/b.

PURPOSE:

This instruction provides guidelines for training and certification of 49th Medical Group personnel involved with ambulance operations. It ensures individuals are well trained by testing their ability to safely operate an ambulance in a variety of driving conditions. Trainees will display the proper knowledge and use of pre/post checklists/inspections and inventories of the ambulance. This instruction applies to all certified ambulance drivers assigned to or attached to the 49 MDG.

1. Licensing for Ambulance Drivers

1.1. All 49 Medical Group personnel assigned to the 49 MDG are required to have ambulance driver training prior to driving an ambulance.

1.2. Qualifications:

1.2.1. Trainee must possess a valid U.S. driver's license.

1.2.2. Trainee will receive hands-on training on assigned ambulances by authorized personnel.

1.3. Section supervisors will identify need for training, and then coordinate training with appointed trainer.

1.4. Specific ambulance type trained is annotated in the back of individual’s government license.

2. Training objectives.

2.1. All trainees will:

2.1.1. Be able to operate the ambulance and demonstrate safe operation.

2.1.2. Be able to quickly locate any item stored i n the ambulance.

2.1.3. Demonstrate proper use of AF Form 1800 Ambulance Service Checklists, Operator's Inspection Guide and trouble report.

2.1.4. Demonstrate the ability to locate receiving medical facilities.

2.1.5. Pass a Driver Training Evaluation and/or Flight Line Driver's Evaluation.

2.1.6. Pass written local procedures and map exam, along with CBT test on flight line operations, with minimum score of 80% IAW HAFB 1 1-250 Ch. 11. This will be required for personnel working in the Flight Medicine Clinic.

2.1.7. Verbalize/demonstrate safe driving procedures on flight line if working in the

Flight Medicine Clinic.

3. Training.

3.1. Training will consist of:

3.1.1. Proper use of the pre/post operation checklists of vehicle for service (AF Form

1800).

3.1.2. Proper use of all emergency vehicle controls.

3.1.3. Maintaining proper control of the ambulance at all times.

3.1.4. Proper use of vehicle’s turning signals, emergency lights, and sirens.

3.1.5. Proper use of mi rrors and spotters while backing the ambulance up.

3.2. Demonstrates common courtesy towards other drivers, as well as defensive driving techniques.

3.3. Location of supplies and equipment using a checklist.

3.4. Knowledge of most expedient routes to local medical facilities.

3.5. Review of New Mexico laws, A F Operating Instructions governing the use of medical emergency vehicles, and driving policies on Holloman AFB.

3.6. Viewing of the Foreign Object Disposal video for flight line operations if working in the Flight Medicine Clinic.

3.7. Written evaluation and 2-day/night flight line orientation for initial training. Night flight line orientation will be conducted by ARE personnel.

4. Evaluation.

4.1. The evaluation will be conducted by the NCOIC of ambulance services or certified 49

MDG vehicle operator trainer. After trainee has been trained on all aspects of the ambulance and feels confident they can safely operate vehicle.

4.1.2. Trainee must pass a two phase evaluation to be considered quali fied for ambulance l icensing.

4.1.3. I n phase one, the individual will make a thorough bumper to bum per inspection of the ambulance using AF form 1800, the ambulance inspection checklist, and the cab/exteri or compartment checklist.

4.1.4. Any discrepancies noted while using the AF Form 1800 must be annotated in the discrepancy maintenance section of the form. Check all fluid levels and service as required by the AF Form 1800.

4.2. The individual w i l l also use ambulance's supply and equipment checklists, and ensure stock levels are correct.

4.3. In phase two, the evaluator will test the abilities of the individual to safely operate the vehicle and locate local medical facilities. The evaluator wil l document results of the evaluation on the Driver Training Evaluation.

4.4. If the individual does not pass the evaluation, he or she will be rescheduled for retraining, and re-evaluation will be done no earlier than 1 month.

4. 5. When the individual successfully completes the ambulance evaluation, the eval uator will complete the appropriate documentation and send the individual to 49 TRANS to have ambulance driver status added to their military driver's license .

4.6. The individual will receive flight line certification when all requi rements in HAFBI

11- 250 Ch.11 have been met if working in the Flight Medicine Clinic. Training documentation will be maintained in the Flight Line Program Manger binder within the

Flight Medicine Clinic.

5. General Maintenance.

5.1. Ambulances will receive priority maintenance.

5.2. NCOIC of Flight Medicine Clinic (FMC) and Ambulance Response Element (ARE) will appoint a vehicle control monitor and alternate for their sections. They will be responsible for the maintenance and upkeep of the response vehicles as directed.

5.3. The NCOIC/FMC and NCOIC/ARE will be notified immediately when ambulance is taken to TRANS for maintenance.

6. Inspections.

6. 1. Daily inspections of emergency response vehicles will be conducted by the medical technician coming on shift at 0700 for ARE section. Inspection will be completed by

0730 for FMC section. Both inspections require the u se of AF Form 1800 and the

Ambulance Daily Inventory.

6.2. Fuel, water, and oil: the vehicle will be refueled when the gas gauge reads 50% full or less in either fuel tank. Engine oi l and all other fluid levels will be checked daily. Oil and water will be added as necessary. All dry cell batteries, flashlights and spare batteries will be checked and recharged weekly.

6.3. Radio Check: a radio check will performed with ARE, FMC, Fire Alert communication Center (FACC), and Gera ld Champion Regional Medica l

Cen te r Emergency Room ( GCRMC-ER) on a daily basis. Any difficulty in transmitting or receiving messages will be reported to the 49 MDG Land Mobile Radio

(LMR) representatives.

6.4. Brakes, lights, horn, and siren: checked daily and repairs will be made as necessary.

6.5. Tire Pressure: Tire pressure will be checked once a week and recorded on tire pressure log. Monthly tire pressures will be documented on the reverse side of the A F form 1800. Corrections to the tire pressure will be made as necessary (when the pressure is below or exceeds 5 psi of the desired reading).

6.6. Ambulances will be washed once a week and waxed at least monthly.

7. Inventories.

7.1. Ambulances will be inventoried and inspected daily using the appropriate ambulance equi pment checklist. Particular attention will be paid to expiration dates of sterile supplies, IV solutions , and any deterioration in items like batteries. Prompt replacement of expired or missing items i s essential. All items will be checked for serviceabili ty during daily inspection.

7.2. The ambulance equipment checklist is a required item list and will be kept in each ambulance.

7.3. Oxygen tanks w ill be checked daily. The tank will be replaced if the pressure fall s below 800 psi.

7.4. J ump bags and IV bags will be inventoried dai ly using the Jump Bag inventory checklist.

8. Resupply:

8.1. Ambulances will be resupplied within 1 hour after returning to the 49 MDG from any response situation where ambulance supplies have been used.

PAUL A. WILLINGHAM, Col, USAF, MSC

Commander, 49th Medical Group

Attachment 1

GLOSSARY OF REFERENCES AND SUPPORTING INFORMATION

References

AFMAN 24-306, Manual for the Wheeled Vehicle Driver

AFMAN 24-309, Chapter 4, Operating Records and Licensing

HAFBI 13-202, Airfield Driving Operations

AFMAN 33-363, Management of Records

AFI 46-101, Nursing Services and operations

Prescribed Forms

No prescribed forms.

Adopted Forms

AF Form 847, Recommendation for Change of Publication

AF Form 1800, Vehicle Inspection

Terms

Medical Group Instruction (MDGI): Local policy publication which are directive in nature and assign responsibilities, direct actions, and procedures to various entities within the organization.