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Indiana Department of Homeland Security

Emergency Management Response Division


Emergency Medical Group
Appendix B

Approved
Expenditure
Amount Type of PPE List Title Description
I. Personal Protective Equipment

Garment, Emergency Medical,


75 each Kappler Personal Protective Kit w/XX Coverall 01EM-02-GARS Single-Use, NFPA 1999 Single-use emergency medical protective garment (certified as compliant with NFPA 1999).

Garment, Emergency Medical,


75 each Kappler Personal Protective Kit w/XXX Coverall 01EM-02-GARS Single-Use, NFPA 1999 Single-use emergency medical protective garment (certified as compliant with NFPA 1999).

Respirator certified by NIOSH under 42 CFR 84 and classified as one of nine types of filtering-
1 case 3M N95 Respirator Flat Fold Universal Size 01AR-06-DISP Particulate, Disposable facepiece disposable particulate respirators (N95, N99, N100; R95, R99, R100; P95, P99, P100).

Device, Eye and Face Protection,


Emergency Medical, Single-Use, Single-use emergency medical eye and face protection device (certified as compliant with NFPA
100 each Ultra Soft Goggles 12/box 01EM-01-EFPS NFPA 1999 1999).

Gloves, Emergency Medical, Work,


20 boxes Microflex SE Nitrile Gloves Medium 01EM-03-GLMW NFPA 1999 Emergency medical work gloves (certified as compliant with NFPA 1999).

Gloves, Emergency Medical, Work,


20 boxes Microflex SE Nitrile Gloves Large 01EM-03-GLMW NFPA 1999 Emergency medical work gloves (certified as compliant with NFPA 1999).

Gloves, Emergency Medical, Work,


20 boxes Microflex SE Nitrile Gloves X-Large 01EM-03-GLMW NFPA 1999 Emergency medical work gloves (certified as compliant with NFPA 1999).

200 pair Ear Plugs - Hearing Protection 01ZA-04-HEAR Protection, Hearing Hearing protection for operations in potentially high noise environments.

3 each PETT

Light, Hand-Held or Helmet- Hand-held lights or lights mounted on helmets or otherwise worn by the user for use in non-
5 each LITEBOX Industrial 40-XI w/charger 03OE-04-LTHH Mounted Illumination flammable or non-explosive atmospheres.

Light, Hand-Held or Helmet- Hand-held lights or lights mounted on helmets or otherwise worn by the user for use in non-
48 each 2-D Industrial Flashlight 12/case 03OE-04-LTHH Mounted Illumination flammable or non-explosive atmospheres.

Batteries for all recommended equipment. Types including, but not limited to Alkaline, Nickel-
Cadmium (Ni-CAD), Nickel Metal Hydride (NiMH), Lithium (Li-Ion). Form factors such as AA, AAA,
200 each D-cell Alkaline Battery 12/box 10BC-00-BATT Batteries, All Types, Sizes C and D cells, 9-Volt, Clamshell.

II. Interoperable Communications Equipment


Computer hardware and operating system software designated for use in an integrated system
allowable under the indicated grant programs. Such systems include detection, communication,
cybersecurity, logistical support and Geospatial Information Systems. This item may include
networking hardware (routers, wireless access points, etc.), servers, workstations, notebook
Laptop Computer w/ Remote wireless internet computers, and peripherals such as printers and plotters procured with an allowable system and
4 each connection 04HW-01-INHW Hardware, Computer, Integrated necessary for its implementation.

20 each Short Range VHF Radios 06CP-01-PORT Radio, Portable Individual/portable radio transceivers

12 each 800 Mhz Radios 06CP-01-PORT Radio, Portable Individual/portable radio transceivers

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Indiana Department of Homeland Security
Emergency Management Response Division
Emergency Medical Group
Appendix B

4 Each Mobile Phones 06CC-01-CELL Phone, Cellular Cellular Phone

III. Decontamination Equipment

Adjuncts that enable spinal immobilization of patients encountered in a variety of positions and
125 each Najo Lite Backboard 09ME-04-SPIN Equipment, Spinal Immobilization situations.

Adjuncts that enable spinal immobilization of patients encountered in a variety of positions and
4 sets Body Strap Sets Head On 09ME-04-SPIN Equipment, Spinal Immobilization situations.

5 each SKED basic Rescue System 08D2-01-LITR Device, Victim Extrication Devices such as litters, stretchers, stokes baskets, etc. for moving non-ambulatory victims.

2 each Manta Rescue Aid 08D2-01-LITR Device, Victim Extrication Devices such as litters, stretchers, stokes baskets, etc. for moving non-ambulatory victims.

5 each Ferno Disaster Ltter Tactical 08D2-01-LITR Device, Victim Extrication Devices such as litters, stretchers, stokes baskets, etc. for moving non-ambulatory victims.

Systems, Shelter, Rapid Rapidly deployable shelter systems, hardwall or softwall (command and control, triage, evidence
2 each ACSI 12 X 10 Shelter 19SS-00-SHEL Deployment protection, etc.).

Shelter Heater/Blower and Duct Campfire


1 each CV125CG 19SS-00-SHEN System, Environmental Control Environmental control system for shelters

each Mediwrap MW3946 08D3-01-BLKT Blankets, Disposable Disposable blankets

Adjuncts that enable spinal immobilization of patients encountered in a variety of positions and
100 each Philly Patriot C collar 09ME-04-SPIN Equipment, Spinal Immobilization situations.

Adjuncts that enable spinal immobilization of patients encountered in a variety of positions and
50 each Philly Patriot C collar Peds 09ME-04-SPIN Equipment, Spinal Immobilization situations.

100 each MO6364 Ferno Body Bag 09MS-01-BAGB Bag, Body, Heavy-Duty Single-use body bag to contain deceased patients.

Supplies, Disinfectant and


3 cases Epi-Clenz 4oz No Rinse hand gel 24/case 09MS-03-DSIN Antiseptic Commercial disinfectant and antiseptic products to clean skin and other surfaces.

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Indiana Department of Homeland Security
Emergency Management Response Division
Emergency Medical Group
Appendix B

IV. General Support Equipment

A vehicle used to tow equipment trailers, such as a semi-trailer tractor. This item is only allowable
Mover, Prime, for Equipment/Water if purchased for use with other allowable items such as the trailers in Items 12TR-00-TEQP and
1 each Tow Vehicle 12TR-00-MOVR Trailers 12TR-00-H2OT.

1 each 28' Haulmark or Equal Trailer 12TR-00-TEQP Trailer, Equipment Trailers for transport of equipment to an incident or training site.

Generators, varying types and sizes, including gasoline, diesel, propane, natural gas, alternator,
1 each Generator 12,000 watt 10GE-00-GENR Generators gas turbine powered devices, etc.

1 each Graphics

1 each Utility Cart 19MH-00-CART Cart, Field Field cart for transporting tools, equipment, or personnel.

Portable area illumination for work areas, rescue sites, and staging areas during night operations
4 each Quartz Tripod Lights 650W/brackets 03OE-03-LTPA Lighting, Portable Area Illumination or in areas with insufficient ambient light.

Equipment for movement of bulk material, including pallets, pallet lifting and movement devices
6 each Cargo Netting for shelves 19MH-00-BULK Equipment, Bulk Material Handling such as portable forklifts, dollies, rigging, cargo netting, and loading ramps.

Vest or Outer Garment, High- High-visibility vest or outer garment (certified as compliant with either ANSI/ISEA 107 or ANSI/ISEA
5 sets ICS Vests-Medical Sector 01ZA-06-VEST visibility 207).

Manually operated hand tools, cutting torches, exothermic torches, accessories and attachments
for cutting, prying, breaking, shoring, stabilizing, moving, applying or removing fasteners where
1 set Small Hand Tools (Assortment) w/Toolbox 03SR-02-TLHN Tools, Hand powered tools are not appropriate or safe to use.

Generators, varying types and sizes, including gasoline, diesel, propane, natural gas, alternator,
3 each Small generators with attached light sets 10GE-00-GENR Generators gas turbine powered devices, etc.

Location marking devices for marine use, including diver-down flags and Alpha flags. Includes
50 each 12 Hour Red Cyalume Lightstick 03WA-01-MARK Device, Marking, Marine anchoring mechanism such as magnetic attachment device or grappling hook.

Location marking devices for marine use, including diver-down flags and Alpha flags. Includes
100 each 12 Hour Yellow Cyalume Lightstick 03WA-01-MARK Device, Marking, Marine anchoring mechanism such as magnetic attachment device or grappling hook.

Location marking devices for marine use, including diver-down flags and Alpha flags. Includes
200 each 12 Hour Green Cyalume Lightstick 03WA-01-MARK Device, Marking, Marine anchoring mechanism such as magnetic attachment device or grappling hook.

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Indiana Department of Homeland Security
Emergency Management Response Division
Emergency Medical Group
Appendix B

Location marking devices for marine use, including diver-down flags and Alpha flags. Includes
250 each 30 Min White High Intensity Cyalume Lightstick 03WA-01-MARK Device, Marking, Marine anchoring mechanism such as magnetic attachment device or grappling hook.

Location marking devices for marine use, including diver-down flags and Alpha flags. Includes
250 each 30 Min Red High Intensity Cyalume Lightstick 03WA-01-MARK Device, Marking, Marine anchoring mechanism such as magnetic attachment device or grappling hook.

Location marking devices for marine use, including diver-down flags and Alpha flags. Includes
250 each 30 Min Yellow High Intensity Cyalume Lightstick 03WA-01-MARK Device, Marking, Marine anchoring mechanism such as magnetic attachment device or grappling hook.

Fully equipped kits that contain all equipment and materials to coordinate multi-casualty incidents,
including (but not limited to) triage tags/supplies, clip boards and related forms, color-coded
Equipment/Kits, Multi-Casualty marking tape and tarps for treatment areas, medical branch position vests; field operation guide
5 each Ferno Triage Tarps (set of 4 with case) 09ME-01-MCIK Incident (MCI) (FOG) for medical branch/MCI operations and local protocols.

Restricted access and caution warning signs, preprinted or field printable, various colors, sizes,
25 each Boundary Cones 42" High 03OE-03-SIGN Signs and shapes. Includes traffic cones and other free-standing signage, as well as mountable items.

Restricted access and caution warning signs, preprinted or field printable, various colors, sizes,
9 each CP-3550 Tripods 03OE-03-SIGN Signs and shapes. Includes traffic cones and other free-standing signage, as well as mountable items.

CP-3110 Deluxe Treatment Area Flag sets with Restricted access and caution warning signs, preprinted or field printable, various colors, sizes,
3 each case 03OE-03-SIGN Signs and shapes. Includes traffic cones and other free-standing signage, as well as mountable items.

Restricted access and caution warning signs, preprinted or field printable, various colors, sizes,
10 each White Duct Tape 03OE-03-SIGN Signs and shapes. Includes traffic cones and other free-standing signage, as well as mountable items.

Restricted access and caution warning signs, preprinted or field printable, various colors, sizes,
500 each Wire Marking Flags 03OE-03-SIGN Signs and shapes. Includes traffic cones and other free-standing signage, as well as mountable items.

Boundary marking tape: YELLOW Caution/RED Danger/ Incident specific (i.e., radiological,
10 each FIRE Line Tape 03SR-03-TPBM Tape, Boundary Marking biological, chemical).

Equipment, Technical Equipment used in the physical or chemical process of deliberate decontamination for responders
10 each 5 Gallon Buckets 08D2-03-TDEW Decontamination - Wet and their equipment using liquids/solutions.

Publications or other reference material suitable for use at the scene of an incident or during
1 each Mobile Commander with EMS Tactical Board 11RE-00-RFEX References, Field Expedient preplanning, training, and exercise development.

30 each Supply Totes 17 Gal. 10 each ONE COLOR ONLY 09MS-03-BAGH Bag, Biohazard Variable size, disposable bags to contain materials soiled with infectious fluids/products.

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Indiana Department of Homeland Security
Emergency Management Response Division
Emergency Medical Group
Appendix B

V. Medical and Pharmaceutical Supplies

Variable size, disposable bandages and dressing to treat all types of soft tissue wounds. Non-
72 each Sterile Burn Sheet 60x90 24/case 09MS-04-BAND Bandages and Dressings durable absorbent products.

Variable size, disposable bandages and dressing to treat all types of soft tissue wounds. Non-
8 case Disposable Economy Sheet P/T 40x72 09MS-04-BAND Bandages and Dressings durable absorbent products.

8 case Sterile Water Irrigation 1000ml 12/case 09PH-01-WATR Water, Sterile Fluid solution; topical irrigation

Variable size, disposable bandages and dressing to treat all types of soft tissue wounds. Non-
4 case Multi Trauma Dressing 12x3 25/case 09MS-04-BAND Bandages and Dressings durable absorbent products.

Combine Pad Sterile 5x9 20 each pack 20 Variable size, disposable bandages and dressing to treat all types of soft tissue wounds. Non-
2 case pack/case 09MS-04-BAND Bandages and Dressings durable absorbent products.

Variable size, disposable bandages and dressing to treat all types of soft tissue wounds. Non-
4 case Gauze Pad 4x4 100/Box 12boxs/case 09MS-04-BAND Bandages and Dressings durable absorbent products.

Variable size, disposable bandages and dressing to treat all types of soft tissue wounds. Non-
20 boxes Gauze Rolls 4" Sterile 12/boxes 8boxes/case 09MS-04-BAND Bandages and Dressings durable absorbent products.

2 cases ZONAS Tape 2" x 10 yd 6/box 12 boxes/case 09MS-04-TAPE Tape, Adhesive Various size adhesive medical tape

Triangular bandage 40x40x56 12/box Variable size, disposable bandages and dressing to treat all types of soft tissue wounds. Non-
1 case 20boxes/case 09MS-04-BAND Bandages and Dressings durable absorbent products.

50 each Padded Board Splint 24" 09MS-08-SPLT Splints, Disposable Splints that enable all types of limb immobilization. All types and sizes

25 each Padded Board Splint 36" 09MS-08-SPLT Splints, Disposable Splints that enable all types of limb immobilization. All types and sizes

20 each Prosphyg 775 Adult Cuff/Navy 20/case 09ME-03-BPSL Equipment, Blood Pressure Manual and automated blood pressure equipment/products

Durable stethoscope to assist in patient care through audible assessments (auscultation). Durable
25 each PROSCOPE 660 Nursescope Black 09ME-03-STET Stethoscope and disposal models available

50 each Trauma Shear-Black 09MS-01-SHER Shears/Scissors, Medical Standard medical shears to enable cutting of various materials.

Light, Hand-Held or Helmet- Hand-held lights or lights mounted on helmets or otherwise worn by the user for use in non-
20 pieces Disposable Penlight 6/pack 60packs/case 03OE-04-LTHH Mounted Illumination flammable or non-explosive atmospheres

Positive pressure ventilators that deliver regulated volumes of oxygen to patients requiring invasive
6 each Ferno Adult BVM 09ME-02-VENT Ventilators respiratory support. Adult and pediatric applications

Positive pressure ventilators that deliver regulated volumes of oxygen to patients requiring invasive
3 each Ferno Peds BVM 09ME-02-VENT Ventilators respiratory support. Adult and pediatric applications

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Indiana Department of Homeland Security
Emergency Management Response Division
Emergency Medical Group
Appendix B

Basic and advanced durable airway management equipment. Enables basic and advanced access
10 each Berman Airway Set sizes 1-6 09ME-02-AWMG Equipment, Airway Management to, and protection of, patient respiratory system.

Basic and advanced durable airway management equipment. Enables basic and advanced access
5 sets Nasopharyngeal Airway Set 6 w/case 09ME-02-AWMG Equipment, Airway Management to, and protection of, patient respiratory system.

Negative pressure devices that enable suctioning of patient airway. Airway maintenance device.
3 each SSCORT VX2 Suction Unit w/bracket 09ME-02-SUCT Equipment, Suction Units Various models, both powered and manually operated.

25 each Big Stick Suction Tips 09MS-02-SUCT Supplies and Adjuncts, Suction Catheters, tubing, wands and miscellaneous connection devices for use with suction devices.

25 each Suction cannisters (Red Top) 09MS-02-SUCT Supplies and Adjuncts, Suction Catheters, tubing, wands and miscellaneous connection devices for use with suction devices.

Durable oxygen equipment (e.g., cylinders, regulators, manifolds, etc.) to facilitate the storage and
10 each D Aluminum Oxygen cylinder w/toggle 09ME-02-OXYE Equipment, Oxygen delivery of medical oxygen

Durable oxygen equipment (e.g., cylinders, regulators, manifolds, etc.) to facilitate the storage and
4 each M Oxygen Cylinders 09ME-02-OXYE Equipment, Oxygen delivery of medical oxygen

Durable oxygen equipment (e.g., cylinders, regulators, manifolds, etc.) to facilitate the storage and
5 each Brass Reg 2 Diss 1 barb 0-25 Spiracle 820 09ME-02-OXYE Equipment, Oxygen delivery of medical oxygen

Trauma type first aid kit, including bulk dressings and bandages, splints, occlusive dressings and
10 each Ferno Bag Stocked TK-5111 03OE-03-KTFA Kit, First Aid, Trauma Type associated supplies for treating trauma patients in a field environment.

2 each Carts for Oxygen cylinders M size 19MH-00-CART Cart, Field Field cart for transporting tools, equipment, or personnel.

Durable oxygen equipment (e.g., cylinders, regulators, manifolds, etc.) to facilitate the storage and
2 each Multi Manager 0-25 Setting Spiracle 09ME-02-OXYE Equipment, Oxygen delivery of medical oxygen

Durable oxygen equipment (e.g., cylinders, regulators, manifolds, etc.) to facilitate the storage and
2 each O2 Hose DISS Fitting (KIT) 09ME-02-OXYE Equipment, Oxygen delivery of medical oxygen

Mask, Emergency Medical, Single-


3 cases Adult Partial HI-CON NR Mask 50/case 01EM-01-MASK Use, NFPA 1999 Single-use emergency medical masks (certified as compliant with NFPA 1999).

4 cases NaCl 0/9% 1000ml 12/case

200 each Standard 10gtt Admin set 1Y 09ME-03-GLUM Meters, Glucose Simple device that rapidly analyzes blood glucose levels from capillary blood sample

Supplies, Intravenous
250 each IV Start Kit latex free w/tegaderm 200/case 09MS-05-IVSA Administration Various intravenous solutions and needle/catheter assemblies.

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Indiana Department of Homeland Security
Emergency Management Response Division
Emergency Medical Group
Appendix B

Supplies, Intravenous
100 each INSYTE IV Catheter 14ga 1.75 09MS-05-IVSA Administration Various intravenous solutions and needle/catheter assemblies.

Supplies, Intravenous
100 each INSYTE IV Catheter 16ga 1.16 09MS-05-IVSA Administration Various intravenous solutions and needle/catheter assemblies.

Supplies, Intravenous
200 each INSYTE IV Catheter 18ga 1.16 09MS-05-IVSA Administration Various intravenous solutions and needle/catheter assemblies.

Supplies, Intravenous
100 each INSYTE IV Catheter 20ga 1.16 09MS-05-IVSA Administration Various intravenous solutions and needle/catheter assemblies.

20 each B-D 3.3 Qt Sharps Container 16DT-01-CTSH Containers, Sharps Containers, Sharps

500 each BIO BAG Red 25 Gallon 30x37 09MS-03-BAGH Bag, Biohazard Variable size, disposable bags to contain materials soiled with infectious fluids/products.

25 each Eye Lenses for Lavage 09MS-01-SHEY Shield, Eye Irrigation Lens Single-use, disposable eye lens with catheter to facilitate irrigation.

Basic and advanced durable airway management equipment. Enables basic and advanced access
3 each Intubation equipment (sets) 09ME-02-AWMG Equipment, Airway Management to, and protection of, patient respiratory system.

Basic and advanced durable airway management equipment. Enables basic and advanced access
10 each Endotracheal Tubes each Size w/et holders 09ME-02-AWMG Equipment, Airway Management to, and protection of, patient respiratory system.

4 each Extension Cords Heavy Duty 100ft w/reels 10PE-00-REEL Reels, Electric Cord Electric cord reels

Adjuncts that enable spinal immobilization of patients encountered in a variety of positions and
100 each Head Immobilizers for Backboards Ferno 455 09ME-04-SPIN Equipment, Spinal Immobilization situations.

300 each Patient Self Help Kits 09ME-01-BAGM Bag/Kit/Pack, Medical Portable vessel that contains various medical supplies and equipment.

Items, Support, Decontamination Signs, signals, traffic cones, lights, hazmat tape, directional signage, strobes, glow sticks,
3 pack Decon Arm Bands 08D2-01-TDCS Corridor loudspeakers, etc.

5 pack Triage Tags 09MS-01-TTAG Tags and Supplies, Triage Single-use, disposable patient marking devices for use during multi-casualty triage management.

10 each Triage Tape Belt 09MS-01-TTAG Tags and Supplies, Triage Single-use, disposable patient marking devices for use during multi-casualty triage management.

1 each Slave Cord Adapter

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Indiana Department of Homeland Security
Emergency Management Response Division
Emergency Medical Group
Appendix B

VI. Out of Hospital Triage Tags

18 each SMART Triage Pack w/20 Triage tags 09MS-01-TTAG Tags and Supplies, Triage Single-use, disposable patient marking devices for use during multi-casualty triage management.

Fully equipped kits that contain all equipment and materials to coordinate multi-casualty incidents,
including (but not limited to) triage tags/supplies, clip boards and related forms, color-coded
Equipment/Kits, Multi-Casualty marking tape and tarps for treatment areas, medical branch position vests; field operation guide
2 each SMART MCI Bag w/4 SMART Triage Packs 09ME-01-MCIK Incident (MCI) (FOG) for medical branch/MCI operations and local protocols.

Publications or other reference material suitable for use at the scene of an incident or during
1 each SMART Commander 11RE-00-RFEX References, Field Expedient preplanning, training, and exercise development.

5 Each NIMS Type III Ambulances Ambulance Equipped per EMS Commission requirements

1 each Emergency Medical Group Supervisor Vehicle

Device, Global Positioning System Global Positioning System (GPS) receiving device, including self-contained handhelds, mobile
7 Each GPS Units 04AP-02-DGPS (GPS) mounted systems, and accessory devices to enable computers and communications devices.

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