As a private not-for-profit community based service organization, a significant portion of our capital is utilized in the purchase of equipment. Our equipment selection is based upon the latest advances in the ambulance industry along with input from our field staff. Through this process we have procured an inventory of vehicles and equipment that is state of the art, cost effective and functional.
Currently staffing a modern fleet of 18 ambulances designed based on service needs, Advanced Life Support units are typically Type 1 and Type 3 models allowing for additional room for complex equipment and staffing needs for more critical patients. Basic Life Support units are generally Type 2 models that are smaller in size and more cost efficient, but are fully capable of serving the transport needs of BLS patients.
As units are decommissioned, many have found suitable homes to spend their retirement; Coastal often donates retired units to local police, fire departments and out-of-country medical outreach programs as a means of giving back to the community.
Global Positioning Satellites (GPS)
Delivering safe, efficient and timely ambulance service are some of our primary goals. GPS technologies assist us as we pursue these goals. Our dispatchers are able to locate where every ambulance is at all times, thus eliminating any doubt as to closest unit to handle a call. Dispatchers can assign calls to the crews through GPS notification where it will map out the directions for the crew. Additionally, adherence to posted speed limits and other driving behaviors can be monitored by staff and the information used to improve crew performance.
Safety is a priority for Coastal and as such we have selected to purchase and maintain our stretchers through Ferno, a noted industry leader in ambulance stretcher manufacturing. Coastal has a variety of stretchers to handle differing needs. All manual stretchers can accommodate weights up to 650lbs and we also utilize electro-hydraulic stretchers that can lift 700lbs and sustain weights up to 1200 lbs. All crewmembers undergo comprehensive stretcher training, which includes the process of daily stretcher inspections. All stretchers are maintained, at a minimum, on a quarterly basis by Equipment Management Services and Repair, Inc. (EMSAR) an authorized Ferno service dealer.
Through the use of Trans Safe Bariatric Ramp Systems, Coastal has the ability to safely, effectively and with dignity move bariatric patients into and out of the ambulance. The system includes an electric winch with 2 ton pulling capacity on a ramp system able to accommodate 1200 loaded pounds. Five (5) of our ALS units are currently outfitted for use of the ramping system for rapid response to bariatric needs, and we will continue to outfit our ALS units until all have been outfitted.
Phillips MRX diagnostic quality cardiac monitor and defibrillators are Coastal’s choice in heart healthcare for the patient. A multi-parameter device that combines semi-automated and manual defibrillation with capnography, external pacing, 12 lead electrocardiography with blood pressure monitoring and pulse oximetry.
The Auto Vent 3000 has capability to ventilate both pediatric and adult patients. Our ventilators are MRI compatible.
Nonin Pulse Oximetry/Phillips AED
All BLS level units are equipped with pulse oximetry and automated external defibrillators for patient assessment and management.
CPAP (Continuous Positive Airway Pressure)
Whisper Flow; For bridging airway maintenance, when oxygen depletion is a concern for critical care patients.
EPCR- (Electronic Patient Care Reports)
In an effort to safeguard patient care documentation and best comply with the continuing regulations set forth by Medicare/Medicaid for comprehensive medical necessity documentation in the fall of 2012 Coastal embarked on the transition from paper run reports to electronic run reports documentation.