Operational Procedures

The Company Operations Manual should contain reference to the following as applicable for aircraft type:

  1. Communications procedures for the air ambulance flight watch; (if applicable)
  2. Approved method of restraining a stretcher or incubator, patient and any medical equipment transported;
  3. Stretcher or incubator installation;
  4. Patient orientation relative to the aircraft axis;
  5. Operational procedures as applicable to each type of aircraft;
  6. Medical attendant's duties and responsibilities;
  7. Assignment of person responsible to restraint stretcher or incubator, patient and any required medical equipment in the aircraft;
  8. Assignment of a pilot to assist passengers in the cabin in the event of an emergency evacuation or in-flight incident involving fire or smoke in the cabin, or any incident threatening the safety of the aircraft or its occupant if a cabin attendant is not carried;
  9. Assignment of a crew member to ensure the safety of passengers and others approaching and department a helicopter when the rotors are turning;
  10. Procedures to ensure the following are conducted prior to flight;

    1. Pre-flight briefing to include information on seatbelts, emergency exits, main door operation, life-jackets, passenger safety card location, and use of cabin light switches;

    2. A visual check to ensure adequacy of stretcher or incubator installation and restraint, as well as patient restraint;

    3. A visual check to ensure any required medical equipment is adequately restrained;

    4. Procedures respecting completion of pre-takeoff and pre-landing cabin checks by a crew member;

    5. Procedures respecting the stowage of carry-on baggage, equipment and cargo to ensure compliance with section 602.86, Part VI, Canadian Aviation Regulations;

    6. Evacuation procedures should be established for:
      • The evacuation of patient removed from stretcher;
      • The evacuation of patient whose injuries prevent his/her release from stretcher. Criteria shall be established for each aircraft type to determine if a patient and stretcher can easily be evacuated from each exit on that aircraft; and
      • Evacuation of incubator;

    7. If it is determined that the incubator or stretcher will not fit through any one exit, such information shall be contained in the company Operations Manual and shall be included in the pre-flight briefing.
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