Air Methods acquires Omniflight
Transcription
Air Methods acquires Omniflight
Central Region Illinois | Missouri | Nebraska | Oklahoma | South Dakota | Texas Q3 2011 Air Methods acquires Omniflight Central Region welcomes three Texas bases Air Methods announced August 1 that it had successfully completed its acquisition of Omniflight Helicopters, Inc. Omniflight provides air medical transport services throughout the United States under both the community-based and hospital-based service delivery models, utilizing a fleet of approximately 100 helicopters and fixed-wing aircraft. Omniflight is headquartered in Addison, Texas, with operations in 18 states involving more than 75 base locations. With the acquisition, Air Methods’ central region in the community-based division is excited to welcome three Texas bases to the region: Snyder (AS350), Midland (PC12), and Abilene (AS350). All three bases are operated under the Native Air brand. “On behalf of the entire Central region we extend a warm welcome to Omni personnel in Texas and management throughout the region,” stated Patti Klein, Central regional vice president. “All three bases have strong recognition in their communities and we look forward to getting to know our new team members, their customers and learning about these new markets.” Air Methods has a wealth of integration experience under its belt from previous acquisitions, and the outlook is positive for both operations, which are generally very complementary with less geographical overlap than seen in previous acquisitions. Moving forward, the organization will work with customers to ensure nothing gets lost in the way of great service due to the acquisition and resulting integration activities. Once the transition process is completed, the company’s network of operating bases and underlying support teams will enhance support to all operations. For more than 30 years, Air Methods has strived for the highest standards in quality, service and a talented workforce, and it plans to continue that tradition as it enters into a new era. Air Methods is excited about the opportunity this represents. Blown Away By Lyle Butler & Rod Pace Sunday, May 22 was a memorable day for Joplin Missouri, St. John’s Mercy and MedFlight. An F5 tornado tore through the center of Joplin destroying everything in its path. The tornado, estimated to be as much as one mile wide, stayed on the ground decimating everything in its 13-mile trek across the city, moving from the Southwest corner of the city across to the Southeastern portion of town, including the St. John’s campus where MedFlight 1 is based. The temporary base at the Joplin airport was complete and ready to go by the end of a long day Tuesday. The base went fully operational Wednesday May 25 following a complete debriefing with the crews and the Joplin base stood poised to serve the citizens of the four state community they have supported for the past 19 years. The first flight from the new location was completed on May 27. While all of the work was going on at the Joplin airport to establish the temporary base, there was as much work occurring on the St. John’s campus. Media had swarmed the campus and many stories aired featuring MedFlight program staff. Other behind the scenes work was feverishly being completed as well. By Thursday, only four days after the tornado wreaked havoc and devastation on Joplin, St. John’s Mercy had begun establishing their plans for the Tent Hospital. Included in their plans were helipads and more permanent accommodations for the flight program on-site. Ground breaking occurred and asphalt was poured and the helipads painted by Saturday, May 28, creating the new, dual helipads for St. John’s Mercy and MedFlight. All of the storms that afternoon had originated in Southeast Kansas and were demonstrating a Northeasterly path and were forecasted to move across the North end of Joplin. A water-wrapped cell formed this tornado and with about a minute’s warning, the St. John’s campus took a direct hit. Windows were blown out, the twin towered, ten story structure suffered structural damage immediately. The strength of the storm tossed cars, trucks and the helicopter around like a child would toys. Within minutes of the tornado leaving the campus, the staff inside the hospital began to react, safely evacuating 209 patients in the few hours that followed. The estimated 210 staff members on duty that day executed a disaster response plan with the assistance of hundreds of citizens who descended on the facility to provide whatever help they could. Rob Nelson, Regional Aviation Director, was in Joplin earlier in the week giving insight, direction to the completion of the dual helipad, measuring 75’ by 150’ complete with fencing, lighting and security monitoring. The helipads were completed, painted and secured with fencing on Saturday, less than one week after. The 60-bed Tent Hospital, complete with 20 ER Beds, ICU bed capabilities and a labor-delivery unit was completed late Saturday evening and opened at 0700 on Sunday, May 29. Later that afternoon, President Obama was on-site to witness the tremendous effort and sense of community towards cleaning up and beginning to rebuild Joplin as the first surgery was being completed inside. That same evening the Central Region Leadership group was making plans to meet in Joplin to provide support to our partner, St. John’s Mercy and make every effort to return MedFlight 1 to service as soon as safely possible. It was going to be a challenging endeavor since the aircraft, medical equipment, supplies, mechanic’s tools and facilities, spare parts and buildings were all destroyed. Gone. The Regional Team collaborated with the Medical Base Supervisor for MedFlight 1, Rod Pace, and St. John’s Mercy to devise a plan to restore critical care air medical transport services in Joplin. The regional backup BK117 was ready to depart from St. Louis Monday, but was delayed by weather. The aircraft arrived in Joplin Tuesday with a cache of supplies and equipment from ARCH. Through the graciousness of the city of Joplin Airport authorities, we were able to secure a temporary location at the old terminal of the airport to establish quarters for the crew. The staff of St. John’s MedFlight 1 & 2 demonstrated phenomenal teamwork and commitment with their response to helping set up the temporary base, stock the aircraft and become mission ready. All disciplines were represented and assisted with many, many chores and tasks along the way. That same weekend, the unused quarters located in Drumright were disassembled and relocated to an area adjacent the helipads and Tent Hospital. The building was together on Monday and work was feverishly underway to place utilities to the quarters. A maintenance building was purchased and brought on-site next to the helipad. By Friday of the second week water had been connected to the new quarters. Electricity posed a unique challenge as 90% of the grid supplying power to the hospital area had been destroyed in the storm. Generators were brought in and electricians worked through the majority of the weekend to establish power to the quarters and other areas across the road from the Tent Hospital. The quarters 2 continued page 3 continued from page 2 were on generator power by Saturday night and off-duty crew members were on-site Sunday to clean and begin moving things in from the temporary location at the Joplin airport. The base “opened” and the MedFlight 1 crew spent the night in their new home Sunday night, June 5, just two long, interesting weeks after the tornado destroyed their base and the hospital. have been faced with new challenges, trials and adjustments as a result of this. They have responded with true grit, determination and passion for their roles and the program. While phone and internet access is still not available, we are fortunate to be able to continue to operate with a cellular hotspot, cell phones and radios. While some things are now gone as a result of the tornado, the pride at MedFlight is not, and is as strong as ever. Without the teamwork they and St. John’s Mercy demonstrated, this task would have been nearly impossible. We have all been “Blown Away” by the accomplishments of this team in such a short amount of time! In the weeks that followed the Tent Hospital has continued to grow, and St. John’s MedFlight – ARCH – Air Methods has been hand in hand every step of the way. Two operating room trailers are on site and fully functional. Dialysis trailers are in place and serving patients. A Cath Lab trailer was brought in. The first diagnostic heart cath procedure was successfully completed on June 15. Needing access to IABP services before they would do interventional procedures, St. John’s Mercy approached MedFlight and ARCH-Air Methods. An IABP pump certified for the aircraft was relocated to Joplin and the cath lab is now fully operational and open to STEMI patients as well. ***The staff of St. John’s MedFlight would like to express their sincere appreciation for all of the support from Air Methods and especially from the Central Region Leadership team. Patti Klein, Kandi Sagehorn, Lyle Butler, Matt Kasten, Bobby Groves, Mike Stacey, Jeff Graham, Rob Nelson and Casey Marland – for all of your support, concern, text and calls in those first hours, the next day and every day since. Carolyn Kasten and Chris Payton for all of the “behind the scenes” work we know you all did to get us what we needed… Thank you all ! To the AirCom staff in both St. Louis and Omaha, we appreciate the extra work and diligence for us... Eddie and Brad – thanks for coming to town to establish the radio system!*** Today, Mercy continues on their path to restore and bolster healthcare services to the community. A modular hospital facility has been designed, procured and scheduled to begin arriving in the coming weeks. The flight program continues to adjust and adapt to their new environment as well. The crews and staff of the MedFlight program 3 Gone but Not Forgotten By Scott A Hagemann, Business Development Manager, LIFESTAR CHICAGO & Lyne Ultstead, Chief Flight Nurse, AirLife This tribute is long overdue, specifically because I wasn’t sure where to start. I met Christopher Coon just over two years ago when he joined the Business Development Team in the Central Region. My first impression of Chris was why a “kid” his age would want to step aside from the role of Flight Paramedic to become a member of the Business Team. After talking with Chris it was evident that he had a special gift of working with people. Chris’style of marketing was one of a kind and was noted when I was training him in the Springfield area. Chris was respected by every agency from the hospitals he marketed, to the fire department and EMS agencies he worked with so diligently to provide education and practical training. Chris was responsible for three bases “AirLife” in Urbana, “ARCH” in Effingham and “Saints Flight 1” in Springfield. Chris told me many times that he was going to make each of these bases increase not only volume but also total requests including scene responses. Chris worked with many medical directors and made so many positive changes that I can’t list them all. Some of Chris’s favorite things: ANYTHING to do with his motorcycle! He was meticulous about that machine. Washing, waxing, changing the chrome, washing, waxing, changing the leather, washing, waxing, etc. You could always find a smile on his face when he was on the motorcycle. Chris was also proud of his history in music/entertainment. He was a DJ in the 1990s (you know that was the high time for a DJ) and he had a huge collection of music. He was a drummer and enjoyed teaching Caleb and Hunter the drums. Caleb (11) and Hunter (9) are Chris sons. Chris loved attending Caleb’s baseball games and Hunter’s wrestling matches. Chris adored his boys and would do anything for them. Chris grew up in Hoopeston with his mom, Sherry, and his dad, Danny. The AirLife crew had a running joke about “if Chris is on…your shoes better be polished and your uniform WITHOUT wrinkles.” If our shoes were dirty, Chris would make us take them off and he would polish them for us. He had the same pride for the AirLife helicopter. Chris would be on the helipad washing the helicopter all by himself – if necessary. It was imperative for Chris that the helicopter be clean and presentable to the public. He refused to go on PRs until the helicopter was washed – and sometimes waxed!!! Chris has ALWAYS wanted to be in air EMS. His mom, Sherry, tells a story about Chris getting his toy helicopter and taping toilet paper to it then turning on the blow dryer in his mother’s beauty shop just to watch the wind blow the toilet paper over and around the helicopter. Sherry says, “Chris, since he was a small boy, has always wanted to be in helicopter EMS.” As I mentioned earlier Chris was a true family man! Although the love and respect he had for his AirLife family was also very evident. The respect that Chris had for the flight crew that he worked with was admirable. I never heard a negative word out of his mouth regarding his fellow flight crew members. After Chris’ death that respect was returned by all that knew Chris both professionally and personally. Chris’ funeral service was held at the Hoopeston High School. The representation from the Hoopeston area, Carle Hospital, Air Methods Corporation staff, area flight programs and personal friends was amazing. While driving to the cemetery through downtown Hoopeston I was truly amazed by the out pouring of respect for not only Chris but for his family. Local residents were standing on their front porches or curbside with their hands over their hearts. The procession seemed to go on for miles with ambulances, fire apparatus, staff cars and personnel vehicles. Chris started as a first responder while he was in high school in 1989-1992. He worked at Middle Fork Ambulance. Chris, for a brief time, worked as a police officer for the City of Hoopeston in 19951996. Chris left the law enforcement field to return to EMS in 1996 at Hoopeston Ambulance. During his tenure at Hoopeston Ambulance, Chris rose from EMT to paramedic and worked as the Manager of the Hoopeston Ambulance. Chris started at AirLife in 2004 – realizing his dream of becoming a flight paramedic. As all of the crew at AirLife will tell you, Chris was an AWESOME flight paramedic. His ability to anticipate what to expect on every flight was uncanny. He was the epitome of a “scene flight” expert. Chris was a pleasure to work with as he never considered anything acceptable other than excellent patient care. Chris’ life on earth ended on November 9, 2010. When Matt Kasten notified me that Chris had died it hit me and I’m sure many other people like they lost their own brother. Chris you are missed by all!! Every hospital, EMS agency and fire department that AirLife went to….Chris knew someone in the room. It became the running joke “are you related to Chris?” because everyone knew him. 4 “Rest in Peace Brother” Getting to know the central region Kay Kamish Flight Nurse – Tulsa Life Flight Don Janvrin Pilot – Black Hills Life Flight Name: Katherine (Kay) Kamish Name: Donald Janvrin Job title: Flight Nurse, RN, BSN, EMT-P Job title: Line Pilot Time with company: 18 months Time with company: 3 years Family: Brother, sister in law, nephew in Florida. Uncle, cousins in Minnesota Work experience: RN since 1984. Tulsa Life Flight since 1987 Where are you from? Originally ~ all over! My father was a surgeon in the Army and we moved duty stations every two years. I’ve lived on both coasts and in the middle, Germany and Panama. In Oklahoma since 1976. Biggest accomplishment: Being a nurse Family: Wife- Aimee, sons Cade and Jet Work experience: 13 years prior with Marine Corps Where are you from? Cattle ranch in Northwest South Dakota Biggest accomplishment: Not sure What do you do on your time off? Attend kids’ rodeos, team-roping, Ju-Jitsu Favorite food: Steak and potatoes What do you do on your time off? Not enough space here to tell it all! I have a small farm and operate a horse business. I have my own horses in training, I take outside horses in training and give some lessons. I enjoy two Martial Arts (Tae Kwon Do and Tai Chi). I love to travel, in US and overseas. I am a falconer working with a Red Tail Hawk at the moment, and also assist with some rehabilitation/rescue of raptors. In quieter times I love to read and enjoy movies. I also love the theater and usher at the Tulsa PAC. Oh, and hiking when I can get away! There’s more, but that’s enough! Favorite food: Any kind of Thai food! And of course chocolate chip cookies! Favorite movie: Remember the Titans Career path you might have taken if you weren’t in the air medical industry: Currently working on completing my degree in Professional Counseling How did you get started in an air medical career? Moving to the area and the job became available Pet peeve: Rude people Trait you most value in a person: Honesty If you could travel anywhere in the world – where would it be? Israel Favorite movie: Lord of the Rings Career path you might have taken if you weren’t in the air medical industry: I would have enjoyed something in Veterinary medicine. If related to human medicine, Physical Therapy had always been interesting to me. Describe yourself in one word: uber-patriotic How did you get started in an air medical career? I worked in the Trauma Emergency Center of St. Francis Hospital in Tulsa. I always respected the Flight Nurses, what they did, what they had to know, what they went through. I ‘Third Rode’ with them several times and loved it. An opening came up and I was approached by the Manager and asked if I would be interested in applying. I did, and found the perfect place for me to practice my nursing. Pet peeve: People with negative attitudes who want to dump that bad attitude on everyone else around them and drag people down. Trait you most value in a person: Optimism and willingness to see the good in a person or situation. If you could travel anywhere in the world – where would it be? TNTC!! Too numerous to count! Right now I’d go to Bhutan if I could. But there are so many other places . . . Describe yourself in one word: Integrity 5 My Story By Captain Brett R. Koski, Lead Pilot, LifeNet 2-2, St. Joseph, MO My official hire date with Air Methods was December 7, 2009. About a month earlier I had seen an ad posted online about a job opening in Oklahoma, and decided to shoot off an email seeing if there were any positions open near Omaha, NE. Omaha is my hometown, and at the time I thought it would be nice to move back to the area. I had gone to flight school in Chandler, AZ and was currently on my fourth year working as a tour pilot in Las Vegas, NV. Needless to say I was tired of the desert, and wanted to return to “greener pastures.” Turns out there was a position open in St. Joseph, MO. Just about two hours south of Omaha. This worked out great and I took the opportunity to go visit the base in late November. The base visit went well, and I was soon on to Colorado for the formal interview, and from there, on to pilot basic indoctrination. pilots he’s certified. The FAA in Oklahoma City I guess, didn’t share his professional opinion. The paperwork was sent to the regional FAA office in Kansas City, MO so that it could be handled within the region, and left up to the local FAA staff. This was my first introduction to a true federal bureaucratic process. And quite a surprise to both myself, and the company. The first setback was the fact that my application for a Second Class Medical was denied. This came as a big surprise! Both of my surgeons, plus the AME, had all signed me off as physically fit to fly (not to mention the fact that it was my own professional opinion that I was one hundred percent ready to return to work, hence going in for the exam in the first place...). Once I got over the fact that the word from three medical professionals (one who is even certified by the FAA) meant nothing to the federal government, it was on to step two, the neurological exam. Immediately after basic indoc I was off for my initial flight training! First to Chicago, where we ran into a snow storm, then on to St. Louis, where we ran into another snow storm, then back to Chicago, where we were finally able to complete the required training and checkride. I had my first real shift as a HEMS pilot in February, 2010. This was to be short lived. On April 15, two months after my first HEMS shift, I was involved in a motorcycle accident. Right, another reason to dislike April 15... I don’t remember anything from the accident, which is probably for the best. I do however, remember the nine months it took to get back into the cockpit. I struck the front-right quarter panel of a minivan (it had to be a minivan...) at approximately fourty miles per hour. The driver of the van was making an illegal left turn. Local courts found the driver guilty of a misdemeanor, yet somehow failed to make him financially responsible. But that’s another story altogether. As the result of what was basically a head-on collision, I was left with a fractured left leg, broken right arm, dislocated right wrist, broken left arm, and a completely shattered left elbow. Witness said I flew fifty feet through the air, nearly striking the traffic light over the intersection in the process. No, I did not have a current flight release. Two days in the local hospital in St. Joseph, multiple CT scans and surgeries. Seven days residing in a hospital in Omaha, more CT scans and surgeries. Another nine days laying in a skilled nursing facility. One month sporting a rented wheelchair waiting for the leg to heal. Two months with a cast on each arm. Fifty-nine staples, four metal plates, thirty screws. Permanent loss of motion in both my left and right arms, accented by the scars that will probably always remain visible. But chicks dig scars right? When I first decided to purchase a motorcycle, I knew the helmet I chose would be one of the most important pieces of gear to focus on, as far as quality and fit were concerned. I spared no expense when it came time to buy a helmet, and I was wearing the helmet at the time of my accident. I wouldn’t be sharing this story if I hadn’t been wearing a full face helmet. There was nothing in my ambulance or hospital reports or records that even hinted at any sort of neurological or head injury. Yet the FAA insisted on a neurological exam. Another $100 down the drain (administered by the same AME who did my medical, who was also completely baffled as to why I needed the neuro exam). An exam that I passed with (once again) flying colors, I mean, anyone can draw a clock face, and count backwards from 100 in multiples of 7, or recite the order of months in reverse. With the neurological exam complete, it was time to get back in the cockpit. But no, not according to the FAA, not just yet. It seemed like a lifetime waiting for my body to heal, but it made sense, broken bones and helicopters just don’t mix. There was a storm on the horizon though, the FAA. I went in for my initial classtwo physical mid August, 2010. I was handed my medical certificate in January, 2011, five months later. The first step was to get both of my surgeons to release me to go back to work. That was easy enough. Step two was to pass my FAA medical exam, administered by an FAA Aviation Medical Examiner, naturally. The local AME passed me with flying colors, even going as far as to say I was much more physically fit than most of the other Step three turned out to be a logistical nightmare. Step three’s goal involved me proving (physically, in person) to the FAA, that I was able to perform the required duties as the PIC of a commercial ro- 6 continued page 7 continued from page 6 torcraft. Remember, both my surgeons, as well as an FAA AME, had all signed me off, the AME twice now, months ago... What the FAA wanted, was to see me physically fly a helicopter, witnessed by one of their own examiners. It was November by now, when I notified my AAM that I would be taking a flight test with the FAA. To my surprise, my AAM told me that Air Methods would provide an aircraft and CCE to help speed up my certification, and get me back to my base to once again fly the line. Unfortunately this proved to be a dead end. The FAA examiner refused to sit in the rear of the aircraft and watch me perform all PIC duties, with a CCE flying left seat watching over his companies’ aircraft. Mr. FAA wanted a set of controls for himself. Long story short, negotiations ended in a stalemate: Company (and myself) wondering why the FAA couldn’t observe from the back seat, and Mr. FAA questioning and attacking the legality of the aircraft and the credibility of our operation. This is where I drew the line, and decided that dealing with the local FAA was going to get me nowhere. AZ. From the day I arrived in Chandler for my first “training” flight, to the time I had my new medical certificate, a total of four days had passed. Yes, what the FAA and I accomplished inside of four days in Arizona, couldn’t be accomplished in four months back in Missouri. I’ll let you come to your own conclusion there. It’s been a little over a year now since the accident. After receiving my new medical certificate it was decided that I’d go back through basic indoc a second time, since it had been nine months since I had flown the line. This was a fabulous idea, as it covered all the bases needed to get me back in the air as quickly and efficiently as possible. Plus, this meant that once again I got to enjoy the catered lunch that is delivered every day during class! I’m currently back flying the line in St. Joseph, MO. After seeing the initial x-rays of my left arm there was a period where I thought I may never fly again, and I feel that just being at work has been the best physical and mental therapy that I needed. It’s nice to be back doing something that I’m good at, and I thank Air Methods Corp, as well as all the pilots that were patient and helpful while I struggled in the process of returning to work. I’m proud to be part of such a team. After a “brief” two-week jurisdictional battle between FAA regional offices, I was able to get some flight training in an R22, and an FAA examiner lined up, all through my old flight school back in Chandler, Congratulations Julie Childers on 25 years By Amy Niewinski, Area 4C Medical Manager I want to take a moment to introduce you to Julie Childers RN, CFRN. Julie has been with ARCH/Air Methods for 25 years. Here is a short overview of Julie’s career. Julie graduated from Southern Illinois University Edwardsville in 1973 with a double major in Anthropology and Psychology and minor in Education. She just wasn’t settled in this career path and chose to go to nursing school. She graduated from Belleville Area College with an Associate’s degree in 1981. Julie worked at Belleville Memorial ICU from 1981 to 1982. From 1982 to 1986 she worked at St Louis University in the CVR unit. In 1986, Julie became one of the original MARC nurses. She worked as a flight nurse until 2001. In 2001, Julie assumed the role of Medical Base Supervisor at ARCH’s Sparta, IL base. She continued flying but also stepped into the management realm. In 2005, Julie’s knees would not keep up with her so, she transitioned into the Medical Education Coordinator position where she continues to thrive today. On any given day you can find Julie creating a spreadsheet and sharing her wealth of knowledge with the flight crews. Julie’s credentials include: CFRN, BLS-I, ACLS-I, PALS-I, and ITLS-I. Fun Facts about Julie: Hobbies: boating, water sports, kids, grandkids, and Jim. Favorite saying: I am old – let me alone Favorite drink: martinis Favorite food: anything but organ meats - just look at me!!!! Most memorable rotor flight: Approx 1987 Don Palmer pilot and me. Three drowned kids on scene. Enough said…. Most memorable fixed wing: Sometime in the 90s –with Kevin Wilson - patient from Hannibal – ground to aircraft at Quincy airport – pt arrested prior to lift off to SUS. Called Quincy hospital – they sent paramedic unit to airport and told us to step back because they were ACLS certified (lol.) Freezing cold, could not turn any aux power on because of battery issue with airplane, airport closed, ran out of drugs. Quincy called med control – they pronounced but because it was a Mo patient, they had to call the coroner to the airport, meanwhile Hannibal was trying to get the patient into their ambulance to take him back to Hannibal – I am asking if you can cross a state line with a dead body that had not been released by the state where he died. Spent approximately 2 hours in the back of an ambulance with the deceased patient, medics from Quincy and Hannibal still arguing who had control of the body, until the coroner (who was an insurance salesman) came and pronounced him. At that point we left – with the 2 services still arguing where the body should go. Julie has been in the industry for 25 years and has seen the industry evolve. Through all the ups and downs she has hung in there. Congratulations Julie on 25 years. We are proud of you!! 7 Unapproved Aircraft Alterations By Jeff Graham, Area Maintenance Manager Unapproved Aircraft Alterations can take many forms in our industry. To begin with, the FAA definition of an Airworthy Aircraft is as follows, which is not the exact wording but simplified for this purpose. render the Aircraft Unairworthy, place ourselves at risk for an FAA violation, loss of our mechanics license, resulting disciplinary action, loss of pay, and place Air Methods Operating Certificate at risk. The Aircraft must conform to its Type Certificate. Conformity to Type Certificate is considered attained when the Aircraft Configuration and the Components Installed are consistent with the drawings, specifications, and other data that is part of the TC including any Supplemental Type Certificates or other Approved Alterations, and the Aircraft is in a condition for Safe Operation. The things we can and cannot do take some time to research. There are so many different medical interiors from different STC holders and many installations are field approved by the FAA in years past and it is difficult if not possible to obtain approval from the FAA for the same installation presently! Medical equipment mounts are items that this applies to frequently. Since the Approved Data from STC’s and Field Approvals are aircraft serial number specific, Medical Equipment Mounts often will transfer from one aircraft to a similar aircraft and appear to fit just fine however unless the supporting approved data and paperwork exists for the aircraft serial number the aircraft would not be airworthy with that piece of equipment installed. It would be an unapproved alteration to the aircraft! I will break that simplified statement down and provide a short explanation. Conforms to Type Certificate: Aircraft are issued a TC at the time of manufacture stating the items, equipment, and components that are part of the Aircrafts basic design. Supplemental Type Certificate: (STC) is a type certificate (TC) issued when an applicant has received FAA approval to modify an aircraft from its original design. The STC, which incorporates by reference the related TC, approves not only the modification but also how that modification affects the original design. Some of our Aircraft with STC installations have options in the approved data for different medical mounts; in this case it is just a matter of obtaining the correct mount for the need, making a log entry and updating the equipment list and weight and balance. In aircraft that have field approved medical interior installations, it is usually a several month process to obtain different mounts and the necessary approvals to change from one piece of equipment to another, and can cost thousands of dollars. Approved Alterations: Means an alteration that is performed correctly using FAA Approved Data. For the purposes of this article, Approved Data is an (STC) or a FAA Field Approval. A Field Approval is the process of obtaining FAA approval for an Alteration that is not an STC; this consists of the applicant submitting a data package to the FAA requesting approval, and it can be a lengthy process. The Field Approval process and the knowledge that Alterations can also be broken down into Minor Alteration and Major Alteration are both lengthy subjects for another day! Occasionally a mechanic will come across an unapproved modification that was done without his or her knowledge, or it may be an approved alteration but the supporting documentation drawings do not exist and the paper trail is not in place for the aircraft it is found on. In those instances we are required to remove that piece of equipment to continue operation of the aircraft and then take the necessary steps to obtain the approved data for the installation. Condition for Safe Operation: The condition of the Aircraft and its Components as related to wear and deterioration. This does not apply to cargo (carry- on baggage). It is ok to have a piece of medical equipment as carry-on baggage. The crew can secure it in the aircraft with an approved seat belt or tie down and it is perfectly legal. However, as soon as that same piece of medical equipment is attached to the aircraft in any other manner clamped or locked into a track etc… It becomes an Alteration to the Aircraft and the Approved Data must exist for the Installation! Often as Aircraft Maintenance Professionals, we are asked to modify or alter an aircraft. For example change this equipment mount to another equipment mount, add this light in the cabin, move this seat or piece of equipment to that location, or can we add this pouch at that location! This is where proceeding with caution is an understatement. If we alter an aircraft without the supporting Approved Data we 8 Air Waves is published quarterly by Air Methods’ Central Region. We encourage article contributions, content ideas, and feedback. Please direct inquiries/comments/suggestions to Chris Payton at 913-397-9335 or cpayton@airmethods.com.