RULES & REGULATION

Government ACT

The following Act of the Gujarat Legislature, having been assented to by the Governor on the 3rd April, 2007 is hereby published for general information.


1. In respect of an ambulance vehicle the holder of a licence granted under section 49 shall be required to satisfy the licensing officer that—
  • the vehicle contains equipments relating to visual and audible signals as on emergency vehicle such as flashing or revolving lights;
  • the standards in force at the time the vehicle is manufactured and not inconsistent with the Motor Vehicles Act, 1988, relating to design, floor, general configuration and exterior markings and such other matters as may be prescribed by rules, are maintained;
  • the ambulance vehicle shall carry such equipments and supplies in working order to be readily available for use for providing Basic Life Support and Advanced Life Support;
  • the ambulance vehicle shall carry such medical equipments and supplies as may be prescribed by rules;
  • the ambulance vehicle may carry after life support equipments and drugs in addition to those generally prescribed for use by a Basic Life Support Ambulance Service.

  • 2.
  • A Basic Life Support Ambulance when carrying a patient except in the routine carriage of patient who is convalescing or is not on medical emergency, shall be staffed by at least two persons, one of whom shall be an Emergency Medical Technician, Emergency Medical Technician Paramedic or Health Professional and one of whom shall be a person who is qualified as an ambulance attendant.
  • An Emergency Medical Technician Paramedic or Health Professional shall accompany the patient in the patient compartment of the ambulance during his carriage.

  • 3.
  • An Advanced Life Support Ambulance shall be staffed with two persons both of whom are Health Professionals or one is Health Professional and the other is either an Emergency Medical Technician or an Emergency Medical Technician Paramedic or one is an Emergency Medical Technician and the other is an Emergency Medical Technician Paramedic or both of whom are Emergency Medical Technician Paramedics.

  • 4.
  • The staff specified for Advanced Life Support Ambulance shall remain on duty for 24 hours a day for seven days a week.

  • 5.
  • Ambulance driver shall be qualified as a driver according to the provisions of Motor Vehicles Act, 1988.
  • Besides the qualifications provided in the Motor Vehicles Act, 1988, the Ambulance driver shall have successfully completed an Emergency Vehicle Operators’ Course of Instructions approved by the City Council or, as the case may be, by the District Council.
  • RTO Rules

    What are the rules for Ambulance registration?

    Ambulance registration is largely left to the state’s consideration, every state has different hows and whats of ambulance registration. We’ll refrain from providing the information on this subject since they are unique for each state. The best thing you can do is visit your local RTO and get the information from there.


    A General code for Ambulance design and operation


    1. Color : The exterior color should be brilliant white withstanding regular cleaning and weather resistant.


    2. Conspicuity Improvement Units : Markings made under this should be in brilliant red (RAL code 3024). No less than 50% of the front side of the vehicle should be sulfur yellow, RAL-Code 1016 in contrast to no less than 10% brilliant red, RAL Code 9010. The word “AMBULANCE” on yellow background, a minimum of 65% of the hood width, shall be in mirror image (reverse reading) for mirror identification by drivers ahead.


    3. Emblems : The emblems (every other sign, symbol, or marking not referred to under ‘conspicuity improvement units’) are only allowed in a non-reflecting manner and the size can’t be bigger than 60% of the “AMBULANCE” markings. Ambulance Calling Number (YYY) if available must be displayed on the side and back of the Road ambulance.


    4. Warning lights : Type A and B road ambulances have flashers fitted at the appropriate locations as per the vehicle type.


    5. Sirens : Sirens with loudspeakers should be mounted in all types of ambulances. The frequency range permitted for these sirens is 500 HZ to 2,000 Hz. Wail and yelp signals that cycle between 10 – 18 respectively 150 – 250 per minute at a sound pressure of 110db(A) – 120db(A) is permitted. A public address system works at all times from the driver’s seat. Also, the siren switch can only be used when the warning lights are on.


    6. Recognition of personal : Safety garments for ambulance personnel should conform to at least ISO 14116:2008. These are protective clothing that gives protection against heat and flame.


    WHAT IS NAS?

    National Ambulance Service (NAS)


    The National Ambulance Service is the statutory pre-hospital emergency and intermediate care provider for the State. In the Dublin metropolitan area, ambulance services are provided by the NAS and Dublin Fire Brigade. Private and not for profit providers also play an important role in transporting patients requiring access to health care services and in supporting a variety of public and sporting events. We also work closely with the Northern Ireland Ambulance Service (NIAS) in border areas for the benefit of the population on both sides of the border. It is envisaged that these arrangements will continue. While NAS has made significant improvements in its service delivery over recent years, we recognise that future improvements are required to meet the changing needs of our patients. The National Ambulance Service responds to over 300,000 ambulance calls each year, employs over 1,600 staff across 100 locations and has a fleet of approximately 500 vehicles. In conjunction with its partners the National Ambulance Service transports approximately 40,000 patients via an Intermediate Care Service, co-ordinates and dispatches more than 800 aero medical/air ambulance calls, completes 600 paediatric and neonatal transfers and supports Community First Responder Schemes across the country.

  • One of the achievement of NHM is the patient transport ambulances operating under Dial 108/102 ambulance services.

  • At the time of launch of NRHM (a sub-mission of NHM) in 2005, such ambulances networks were non-existent

  • Now 35 States/UTs have the facility where people can Dial 108 or 102 telephone number for calling an ambulance.

  • Dial 108 is predominantly an emergency response system, primarily designed to attend to patients of critical care, trauma and accident victims etc.

  • Dial 102 services essentially consist of basic patient transport aimed to cater the needs of pregnant women and children though other categories are also taking benefit and are not excluded. JSSK entitlements e.g. free transfer from home to facility, inter facility transfer in case of referral and drop back for mother and children are the key focus of 102 service.