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General Safety Issues
As mentioned before, the MAVO is generally
responsible for the well being of the patient
when transporting him or her. The MAVO
should remain in control of the transport,
looking out for potential safety issues and
guarding the patient from hazards. Possible
hazards during a transport include:
Falls or spills
– A loose rug or icy step can
cause a slip or fall with serious
consequences. A wise MAVO looks for items
that can cause possible slips and falls.
Motor vehicle accidents
– Like any other type
of transportation, the possibility of a motor
vehicle collision represents a huge possible
hazard. Since you will be driving elderly or
medically fragile patients, there is an
expectation that you will drive as safely as
possible.
Harm from self
– Some patients, particularly
those with degenerative brain illnesses such
as Alzheimer’s disease can sometimes
behave in ways that are unsafe. A confused
patient could, for example, wander into a busy
street or unbuckle his seat belt in a car. You
must supervise patients to prevent them from
doing harm to themselves.
Regulatory Bodies
When working for a company that is licensed
in New Jersey as a Mobility Assistance
Vehicle provider, an MAVO must comply with
the training regulations mandated by the
Office of Emergency Medical Services
(OEMS). Like many other industries, worker
protection issues are regulated under the
jurisdiction of the Occupational Safety &
Health Administration.
(OSHA) Occupational Safety & Health
Administration
OSHA has a number of safety standards
designed to protect workers from occupational
hazards. They are generally not industry
specific; rather, employers are required to
evaluate the hazards their workers are
exposed to and comply with standards that
apply to those hazards.
OSHA investigates complaints regarding
unsafe behaviors, and has the authority to cite
employers for unsafe working conditions.
This manual will discuss one the main OSHA
standards that affect MAV operations – the
Bloodborne Pathogens standard.
NJ State Department of Health
Office of Emergency Medical Services
The Office of Emergency Medical Services
(OEMS) licenses and regulates medical
transportation in New Jersey. It has authority
to regulate MAV operations, ambulance
services, paramedic units, critical care
transports, and air medical units. It grants
licensures to providers, certifies EMT’s and
paramedics, approves education programs,
and enforces the regulations for the operation
of these services.
The main document that defines the operating
requirements for MAV operations is NJAC
8:40. NJAC 8:40 requires that the MAVO must
have current training in an approved
paratransit education program, and have
current
training
in
cardiopulmonary
resuscitation. OEMS can stop MAV vehicles
on the road to inspect for these credentials.
DEFINITION:
Crashworthy
In a licensed MAV unit, all materials in the
vehicle must be
crashworthy
. This means
the it must be secured with a belt or other
positive locking means so that it will not
become a projectile during a collision or
rollover and hurt someone in the vehicle.
While automotive seat belts are
acceptable, Velcro™ or bungee cords are
not.