How to Start an Ambulance Service

Operating an ambulance service requires certified ambulance vehicles. The service can provide profit, non profit services, voluntary or municipal services.
To acquire an operational license the service should have paramedic, critical care service levels including intermediate/advanced life support.
The ambulance service provides emergency medical service by conveying patients to hospital. Other services are mortuary and funeral services.
Running an ambulance service is highly profitable and challenging. The operator needs startup funds, experienced personnel and licensing. Stated below are general requirements for an ambulance service provider.
Ambulance vehicle
How to Start an Ambulance Company
Technical Requirements
Technical requirements are focused on service delivery, administrative and technical operating procedures.
Others are quality assurance, contingency plan in event of breakdown and notarized memorandum of agreement with hospital facilities. They also have to provide copies of clinical protocol for each case.
Ambulance Personnel
The ambulance should have a minimum of two responder's per dispatch. They should install advanced cardiac life support, emergency medical care and standard first aid.
Every shift should accommodate one driver with a valid driver’s license, certificate of proficiency.
Ambulance Personnel
The Ambulance Service
It is mandatory for ambulance service provider’s has the required number of personnel and equipment. The van should have the word ambulance legibly displayed.
It should be fitted with emergency warning light system, siren. The van should have a public dress system, tampered glass, air-conditioning, fire extinguisher.
The other fittings are internal/external electric bulbs, folder stretcher, orthopedic stretcher, wheeled cot with a fastening system, overhead aluminum gerbil.
Ambulance Van
  • required number of personnel
  • ambulance legibly displayed
  • fitted with emergency warning light system
  • siren
  • public dress system
  • tampered glass
  • air-conditioning
  • fire extinguisher
  • internal/external electric bulbs
  • folder stretcher
  • orthopedic stretcher
  • wheeled cot with a fastening system
  • overhead aluminum gerbil
Environmental Management of Ambulance Service
The ambulance service provider must ensure safety of the passenger, general public and personnel. This includes proper disinfection of ambulance vehicle, proper disposal of infectious waste or hazardous material.
Information Management
The service should maintain a good system of communication, reporting, recording. Proper information management includes accurate logbook, file of annual statistics report. Regional provisions include reason for referral, dates, time, and number of deaths en route.
  • accurate logbook
  • file of annual statistics report
  • reason for referral
  • dates, time, and number of deaths en route
Ambulance Service Equipment Medicine/Supplies
It is expected that every service has available operation supplies and medicine. The van should have ventilation and airway equipment.  
Airway equipment includes suction airway equipment apparatus, oxygen equipment, and nebulizer. Other equipment is defibrillation equipment, immobility devices, bandages, obstetric delivery set, and infection control safety gear.
Miscellaneous supplies are tape measure, weighing scale, thermometer, cold packs. They need to stock medicines, fluids, controlled medication.
  • Ventilation
  • suction airway equipment
  • oxygen equipment
  • nebulizer
  • defibrillation equipment
  • immobility devices
  • bandages
  • obstetric delivery set
  • infection control safety gear
  • tape measure
  • weighing scale
  • thermometer
  • cold packs
  • medicines
  • fluids
  • controlled medication
Ambulance Service License
There is a general assessment tool for an ambulance and ambulance service provider. The company needs to fill general and personal information.
The general information covers name of ambulance service, complete address, telephone number, email, name of owner. They need to specify classification if institution, non-institution based, ownership structure, number of ambulance units.
The service provider should Incorporate, get health insurance cover and tax identification number. There are strict state and federal guidelines for ambulance service providers.


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