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Description
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Rationale
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Budget priority
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5.2.1
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Provide a payload module at least 170” long.
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This is the minimum size adequate to carry the gear that we are accustomed to carrying. A length that also allows designated areas for carrying crew personal items, including but not limited to turnout gear, is desireable.
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MUST
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5.2.2
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Install an additional alternator, if a factory option.
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The electrical system must be capable of simultaneously powering all typically attached electrical components, with enough reserve to handle at least some atypically attached electrical components.
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MUST
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5.2.3
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Delete any air microfiltration system if it takes up otherwise useful space.
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We are not satisified that the effectiveness of these systems has been proven to the extent that it prevents disease transmission or hazmat exposure. We do not have an effective program in place for replacing microfilters on schedule, hence these systems go to waste.
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SHOULD
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5.2.4
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Install air conditioner for the payload module of the highest capacity and highest Mean Time To Failure (MTTF) available.
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Inadequacy and failure rates of air conditioning in the payload module have been frequent irritants.
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MUST
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5.2.5
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Install “CPR seat” so that it will be adjacent to patient’s pelvis/thigh area (not adjacent to a supine patient’s chest). Delete rearward cabinets and/or rearward telemetry area, and extend action area to account for this seat placement. (See illustration section 6.1↓.)
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No one sits down when doing CPR. Seat needs to be placed to optimize attendant position for starting an IV on patient’s right hand/arm. Without moving the seat to this position, the seat is so far forward that the attendant is almost sitting behind the typical patient’s field of vision.
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MUST
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5.2.6
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Under “CPR seat” lid, provide sufficient storage for 3 “D” size oxygen tanks. Install a “W” trough at the bottom of the compartment. Install two quick release straps, to secure the tanks at the 1/4 and 3/4 tank length positions. Tanks are 21” long/high x 4.5” diameter. Must be able to place and remove the tanks without turning them sideways. (See illustration section 6.2↓.)
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Allows for safe interior storage of additional portable oxygen.
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MUST
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5.2.7
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Install additional “severe weather” in-wall insulation, if offered.
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Assists with temperature control and sound dampening.
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SHOULD
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5.2.8
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Apply undercoating, if offered.
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Assists with temperature control, sound dampening, and corrosion resistance.
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MAY
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5.2.9
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Provide an extended cab (but not a crew cab), if available on chassis.
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Allows room for radio shop to mount radio/router equipment. May allow designated area for carrying crew personal items, including but not limited to turnout gear.
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MAY
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5.2.10
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Provide a 3” drop skirt at outer edges of payload module forward of rear wheel.
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Provides easier ingress & egress. Rampover angle is not a major concern in our district.
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SHOULD
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5.2.11
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Provide a double step at side payload module entrance, each step equal height.
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Provides easier ingress & egress.
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SHOULD
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5.2.12
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Extend bottoms of compartments within drop-skirt area to bottom of drop-skirt.
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Provides more room for gear.
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SHOULD
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5.2.13
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Provide sweep-out compartment bottoms where feasible.
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Easier to clean.
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SHOULD
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5.2.14
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Provide a compartment (IV/DRUG COMPARTMENT) in the payload module right front cabinet that reaches ceiling level and that is dimensioned to hold at least one TEMS IV Box and one TEMS Drug Box, lockable with a standard padlock. Assume both TEMS boxes are 19” deep 10.75” high 11.5” wide. This compartment is only to be accessible from the interior, and its door must be made of a rigid material.
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City requirement: “All IV and drug boxes will be stored in locked compartments or brackets when not in use. Compartment design must be approved by the Department and the Virginia Department of Health Office of EMS. A standard lock shall be used for all rescue squad, Department of EMS, and Fire Department operated vehicles.”
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MUST
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5.2.15
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Provide a 100% height external right rearmost compartment (BACKBOARD COMPARTMENT). In this compartment, install a 3/16” thich 14” deep vertical divider 8.25” from right wall. Install a shelf forward of aforementioned vertical divider halfway between ceiling and floor, mounted on 20” of adjustable shelf track (10” of track above and below shelf). Install a seat belt across entire compartment opening, 30” down from ceiling, 2” from compartment opening, secured with zinc footman loops. (See illustration section 6.3↓.)
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Allows orderly stowage of backboards and scoop stretcher, velcro splint pack, and C-collar pack. Strap helps prevent gear from falling onto personnel.
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MUST
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5.2.16
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Provide a 3/4 height external left rearmost compartment (STAIR CHAIR COMPARTMENT). Approximately 40” from floor, make this compartment accessible from interior as well. In the lower approximately 40” of this compartment, install two adjustable 3/16” thick 40” tall 7.5” deep vertical dividers on shelf track mounted to and running the width of the inboard wall, to divide the inboard section of the compartment into thirds. Install a seat belt on the left and right walls, 8” from the inboard wall, secured with zinc footman loops. In the interior-accessible upper portion of this compartment, install adjustable shelf track and two shelves. (See illustration section 6.4↓.)
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Allows orderly stowage of traction splints and KEDs, and interior/exterior access to other items. Seat belts help prevent gear from falling into personnel.
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MUST
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5.2.17
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Reinforce door/hinge of STAIR CHAIR COMPARTMENT. On interior of this door, near the bottom, mount a box sufficient to carry a 37.5” high 20.5” wide 8” deep heavy duty (Stryker 6252) stair chair. Reinforce the box with additional screws, or rivets, or internal and external continuous bead welds. Install a horizontal seat belt, secured with zinc footman loops, approximately 30” above bottom of stair chair box sufficient to secure top portion of stair chair. (See illustration section 6.5↓.)
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Allows orderly stowage of stair chair and uses door rather than muscle to shift stair chair away from compartment interior.
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MUST
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5.2.18
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Provide a 3/4 height external left forwardmost compartment (MAIN OXYGEN COMPARTMENT). The upper portion of this compartment must be accessible via a lexan door to the interior action area.
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To carry main oxygen. Provides interior access to main O2 valve.
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MUST
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5.2.19
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Provide a 1/2 height external left compartment immediately behind the MAIN OXYGEN COMPARTMENT. In this compartment, mount inverter on ceiling, close to forward wall. Install a fixed shelf sufficiently below the inverter to allow the following: Mount airhorn pump and vacuum pumps to the fixed shelf so they will sit immediately below the inverter. Install a single heat isolation cage around the area occupied by the inverter, airhorn pump, and vacuum pump. (See illustration section 6.6↓.)
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Allows space-efficient mounting of inverter, airhorn pump, and vacuum pump.
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MUST
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5.2.20
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Apply privacy tinting to all payload module windows.
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Patient privacy and climate control.
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MUST
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5.2.21
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Install a grab bar inside the side payload module entry.
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To allow a person to steady self using left hand while entering payload module.
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SHOULD
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5.2.22
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Install an exterior stealth failsafe switch in passenger side grill to unlock at least as many doors as may be required to regain access to all electrically-lockable spaces.
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To prevent lock-outs.
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MUST
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5.2.23
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Provide gas strut hold-open for side payload module door.
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We’ve been dissatisfied with spring hold-opens.
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MUST
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5.2.24
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Provide for compartment doors to open 135 degrees unless doing so allows compartment door to impact travel of another door at any point.
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Allows easier access to gear.
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SHOULD
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5.2.25
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Upgrade incandescent lighting to LED wherever possible.
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Reduces electrical load and burn-outs.
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MUST
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5.2.26
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Provide for payload module main power bus to be slaved to OEM ignition switch.
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Allows more intuitive control of payload module power.
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MUST
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5.2.27
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Provide 5 minutes of electrical power to payload module (but not to payload module air conditioner blower) when ignition is switched off. Provide dual-action momentary rocker switch on driver’s side of cab console to (a) force timer to expire, and (b) reactivate timer.
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Prevents sudden darkness from interfering with patient care and egress. Allows driver to conserve battery when timer is not needed. Allows driver to recover from inadvertent interference with timer function.
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MUST
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5.2.28
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Install one extra 12V automotive battery in payload module battery compartment, wired in parallel but isolated, for use when the vehicle is not running without affecting ability to start the vehicle.
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Reduces electrical and starting failures.
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SHOULD
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5.2.29
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Install ’”Main” Radio System’, ’Portable Radio’ chargers, and ’CAD MDT System’ as indicated in 6.9↓, 6.10↓, and 6.11↓, using equipment specified by the City Of Virginia Beach / Communications & Information Technology Department / Telecommunications division.
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For standard complement of radios & MDT equipment.
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MUST
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5.2.30
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Provide a door for exterior access to the non-lockable portion of the payload module’s right front cabinet. (See illustration section 6.7↓.)
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For efficient outside access to portable equipment.
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MUST
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5.2.31
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Provide 2 cigar lighter outlets, on 20 amp circuit, energized by ignition & shoreline, in payload module as follows: One on wall in action area adjacent to “airway seat”, the other on wall in extended action area just forward of “CPR seat”.
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To power squad and personal gear.
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SHOULD
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5.2.32
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Provide a cigar lighter outlet, on 20 AMP circuit, energized by ignition & shoreline, in payload module as follows: In right front cabinet, in the uppermost portion that is accessible from the interior and the exterior.
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To charge portable gear.
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MUST
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5.2.33
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Provide a 12VDC 15 amp power source (hot and ground) on ignition circuit w/6 ft pigtail, terminating behind the action area wall.
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To power gear.
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MUST
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5.2.34
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Provide a 12VDC 15 amp power source (hot and ground) on ignition circuit w/6 ft pigtail, terminating in the front cab console.
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To power gear.
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MUST
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5.2.35
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Provide a 12VDC 30 amp power source (hot and ground) on ignition circuit w/6 ft pigtail, terminating behind the passenger seat.
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To power gear.
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MUST
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5.2.36
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Install auto-eject shoreline inlet, with interrupter, with white cover, on driver’s side of payload module just forward of forewardmost compartment at approximately eye level. Install a green LED 110VAC shoreline indicator light just above. (See illustration section 6.8↓.)
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To make the shoreline easily accessible to the driver as driver gets in/out of driver’s seat, and to indicate whether circuit is successfully energized. Interrupter prevents sparking if under load when ejected.
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MUST
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5.2.37
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Provide 2 dual-socket 110VAC outlets in payload module as follows: One on wall in action area adjacent to “airway seat”, the other on wall in extended action area just forward of “CPR seat”.
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To power gear.
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MUST
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5.2.38
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Provide a dual-socket 110VAC outlet in payload module as follows: In right front cabinet, in the uppermost portion that is accessible from the interior and the exterior.
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To power gear.
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MUST
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5.2.39
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Rig inverter to be “always on”. Delete action area inverter switch.
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Required by our standard complement of I.T. gear.
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MUST
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5.2.40
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If allowed by engine manufacturer, install engine block heater, with switch behind driver’s seat, wired to shoreline.
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Extends engine life.
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SHOULD
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5.2.41
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Use 1050W inverter/charger to power all 110VAC receptacles, “charger 20 amp automatic w/integral cut off”.
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To power and charge gear appropriately.
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MUST
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5.2.42
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Provide “Miami-Dade” front cab console (or similar).
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Has room for our standard complement of radio heads. Allows orderly stowage of more gear. Has cup-holders.
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MUST
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5.2.43
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Replace OEM cab domelight with domelight that can be switched to either white or red, wired to ignition, with switches on dome light itself.
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Allows interior lighting with less impact on driver vision, and intuitive activation.
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SHOULD
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5.2.44
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If using CoolBar or equivalent with angled faces, install additional white scene light on lower half of each angled face, to come on with same-side standard scene lights.
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Extends scene lighting to area more forward than standard.
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MAY
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5.2.45
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On payload module interior ceiling, install white lights, with appropriate switches in action area, as follows: 3 dual-intensity on curb side; 4 dual-intensity on street side; 3 flourescent recessed approximately on center line.
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Increases illumination options for patient care.
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MUST
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5.2.46
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Install a 5” (or so) light under cabinetry to illuminate action area only, with integral switch.
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Allows limited lighting for attendant without necessarily lighting patient.
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MAY
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5.2.47
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Install 15-minute timer switch on battery circuit on curb-side wall at front of squad bench, to allow activation & deactivation of interior overhead flourescent lights only.
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To better control lighting.
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MUST
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5.2.48
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Install small light in circuit board compartment, with integral switch, on constant hot circuit.
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To assist with electrical troubleshooting.
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SHOULD
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5.2.49
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Install approximately full-length overhead grab rail in payload module.
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To assist with steadying personnel.
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MUST
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5.2.50
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Install high-durability grab rails on payload module door interiors.
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To assist with entering/exiting payload module.
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MUST
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5.2.51
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Install rack for M or H oxygen cylinder in MAIN OXYGEN COMPARTMENT, on right wall as close to inboard wall as possible, allowing hand access to 3 ratchet-style straps.
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Our oxygen replenishment system negates need to remove/replace oxygen cylinders.
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MUST
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5.2.52
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Install Ohio-style oxygen/suction ports as follows: 2 O2 outlets and 1 vacuum port in action area; 1 O2 outlet on curb-side wall at head of squad bench.
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Provides for airway & oxygenation of high acuity patient on cot, while also providing for oxygenation of lower acuity patient on squad bench.
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MUST
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5.2.53
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Provide IV hooks only as follows: Perko style or equivalent, just below ceiling; w/velcro straps positioned to prevent IV bags from swinging; 1 on curb-side at front of squad bench; 1 on curb-side roughly midway down squad bench; 1 on street side just forward of “CPR seat”; 1 on street side just rear of “CPR seat”.
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Unobtrusive, convenient, and proximity to walls helps prevent swinging even if straps aren’t utilized.
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MUST
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5.2.54
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Install tethered oxygen wrench in MAIN OXYGEN COMPARTMENT.
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MUST
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5.2.55
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Use lexan interior compartment doors to the extent possible, without compromising the required rigidity of the IV/DRUG COMPARTMENT.
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Allows attendants to see contents of compartment without having to open compartment.
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SHOULD
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5.2.56
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In payload module right front cabinet, if any interior compartment doors open to the side, make sure the handle is on the left and the hinge is on the right.
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Experience shows that access is hindered if doors open in other direction.
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MUST
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5.2.57
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Provide a squad bench with a split 50/50 lid.
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Allows access to gear under lid(s) even if gear or people are occupying one lid and can not be easily moved.
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MUST
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5.2.58
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Provide gas strut (at least 30 LB capacity) hold-opens for squad bench lids.
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Prevents lids from inadvertently falling and scraping/pinching personnel.
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MUST
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5.2.59
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Use rivets to secure front & rear kickplates/stoneguards to body.
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Our experience is that screws tend to back out.
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MUST
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5.2.60
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Install dri-deck, turtletile, or equivalent, at bottom of all exterior compartments and shelves.
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Allows rain to drip below gear.
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SHOULD
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5.2.61
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Install a Stryker Power-LOAD system.
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Power loading reduces likelihood of exertion-related crew injury and has member recruitment & retention value.
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MAY
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5.2.62
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Install an ACDC Industries MZL-180 (or, upon customer approval, a functionally equivalent) voltage-sensing delay timer in the electrical/IT cabinet, and rig it to supply power to the CAD MDT System CPU.
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Allows CAD MDT to receive messages while ambulance is off, unless voltage drop would risk preventing ambulance from being started.
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MUST
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5.2.63
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Do not install anything at front of squad bench that would interfere with securing a tall patient supine on the squad bench – unless also providing a quick-release mechanism to allow removal of the interfering object.
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Allows crew to secure a tall patient supine on the squad bench in multiple casualty situations.
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MUST
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