Arizona Administrative Code (Last Updated: November 17, 2016) |
Title 9. HEALTH SERVICES |
Chapter 25. DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES |
Article 5. MEDICAL DIRECTION PROTOCOLS FOR EMERGENCY MEDICAL CARE TECHNICIANS |
Table 1. Repealed
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Historical Note
Table 1 adopted by exempt rulemaking at 13 A.A.R. 27, effective January 6, 2007 (Supp. 06-4). Amended by exempt rulemaking at 13 A.A.R. 578, effective January 31, 2007 (Supp. 07-1). Historical note added to Table 1; amended by exempt rulemaking 14 A.A.R. 3491, effec- tive August 14, 2008 (Supp. 08-3). Amended by exempt
rulemaking at 15 A.A.R. 234, effective January 2, 2009 (Supp. 09-1). Amended by exempt rulemaking at 14
A.A.R. 3491, effective August 14, 2008 (Supp. 08-3). Amended by exempt rulemaking at 15 A.A.R. 234, effec- tive January 2, 2009 (Supp. 09-1). Amended by exempt
rulemaking at 16 A.A.R. 2116, effective October 15,
2010 (Supp. 10-4). Amended by exempt rulemaking at 18
A.A.R. 102, effective January 1, 2012 (Supp. 11-4). Table 1 repealed by exempt rulemaking at 19 A.A.R. 4032,
effective December 1, 2013 (Supp. 13-4).
Airway/Ventilation/Oxygenation |
EMT |
AEMT |
EMT-I(99) |
Paramedic |
|
|
Airway- esophageal |
STR |
ü |
ü |
ü |
|
Airway- supraglottic |
STR |
ü |
ü |
ü |
|
Airway- nasal |
ü |
ü |
ü |
ü |
|
Airway- oral |
ü |
ü |
ü |
ü |
|
Automated transport ventilator |
STR |
STR |
ü |
ü |
|
Bag-valve-mask (BVM) |
ü |
ü |
ü |
ü |
|
BiPAP/CPAP |
|
|
|
ü |
|
Chest decompression- needle |
|
|
ü |
ü |
|
Chest tube placement- assist only |
|
|
|
STR |
|
Chest tube monitoring and management |
|
|
|
STR |
|
Cricoid pressure (Sellick’s maneuver) |
ü |
ü |
ü |
ü |
|
Cricothyrotomy- needle |
|
|
STR |
ü |
|
Cricothyrotomy- percutaneous |
|
|
STR |
ü |
|
Cricothyrotomy- surgical |
|
|
STR |
STR |
|
Demand valve- manually triggered ventilation |
ü |
ü |
ü |
ü |
|
End tidal CO2 monitoring/capnography |
|
|
ü |
ü |
|
Gastric decompression- NG tube |
|
|
ü |
ü |
|
Gastric decompression- OG tube |
|
|
ü |
ü |
|
Head-tilt chin lift |
ü |
ü |
ü |
ü |
|
Intubation- nasotracheal |
|
|
STR |
ü |
|
|
Intubation- orotracheal |
STR |
STR |
ü |
ü |
|
|
Jaw-thrust |
ü |
ü |
ü |
ü |
|
|
Jaw-thrust – modified (trauma) |
ü |
ü |
ü |
ü |
|
|
Medication Assisted Intubation (paralytics) |
|
|
|
STR |
|
|
Mouth-to-barrier |
ü |
ü |
ü |
ü |
|
|
Mouth-to-mask |
ü |
ü |
ü |
ü |
|
|
Mouth-to-mouth |
ü |
ü |
ü |
ü |
|
|
Mouth-to-nose |
ü |
ü |
ü |
ü |
|
|
Mouth-to-stoma |
ü |
ü |
ü |
ü |
|
|
Obstruction- direct laryngoscopy |
|
|
ü |
ü |
|
|
Obstruction- manual |
ü |
ü |
ü |
ü |
|
|
Oxygen therapy - humidifiers |
ü |
ü |
ü |
ü |
|
|
Oxygen therapy - nasal cannula |
ü |
ü |
ü |
ü |
|
|
Oxygen therapy - non-rebreather mask |
ü |
ü |
ü |
ü |
|
|
Oxygen therapy - partial rebreather mask |
ü |
ü |
ü |
ü |
|
|
Oxygen therapy - simple face mask |
ü |
ü |
ü |
ü |
|
|
Oxygen therapy - venturi mask |
ü |
ü |
ü |
ü |
|
|
PEEP - therapeutic |
|
|
ü |
ü |
|
|
Pulse oximetry |
ü |
ü |
ü |
ü |
|
|
Suctioning - upper airway |
ü |
ü |
ü |
ü |
|
|
Suctioning - tracheobronchial |
|
ü* |
ü |
ü |
|
Cardiovascular/Circulation |
EMT |
AEMT |
EMT-I (99) |
Paramedic |
||
|
Cardiac monitoring - multiple lead (interpretive) |
|
|
ü |
ü |
|
|
Cardiac monitoring - single lead (interpretive) |
|
|
ü |
ü |
|
|
Cardiac - multiple lead acquisition (non-interpretive) |
STR |
STR |
ü |
ü |
|
|
Cardiopulmonary resuscitation |
ü |
ü |
ü |
ü |
|
|
Cardioversion - electrical |
|
|
ü |
ü |
|
|
Carotid massage – (=17 years) |
|
|
STR |
STR |
|
|
Defibrillation - automatic/semi-automatic |
ü |
ü |
ü |
ü |
|
|
Defibrillation - manual |
|
|
ü |
ü |
|
|
Hemorrhage control - direct pressure |
ü |
ü |
ü |
ü |
|
|
Hemorrhage control - tourniquet |
ü |
ü |
ü |
ü |
|
|
Internal; cardiac pacing - monitoring only |
|
|
ü |
ü |
|
|
Mechanical CPR device |
STR |
STR |
STR |
STR |
|
|
Transcutaneous pacing - manual |
|
|
ü |
ü |
|
Immobilization |
EMT |
AEMT |
EMT-I (99) |
Paramedic |
||
|
Spinal immobilization - cervical collar |
ü |
ü |
ü |
ü |
|
|
Spinal immobilization - long board |
ü |
ü |
ü |
ü |
|
|
Spinal immobilization - manual |
ü |
ü |
ü |
ü |
|
Spinal immobilization - seated patient (KED, etc.) |
ü |
ü |
ü |
ü |
|
Spinal immobilization - rapid manual extrication |
ü |
ü |
ü |
ü |
|
Extremity stabilization - manual |
ü |
ü |
ü |
ü |
|
Extremity splinting |
ü |
ü |
ü |
ü |
|
Splint- traction |
ü |
ü |
ü |
ü |
|
Mechanical patient restraint |
ü |
ü |
ü |
ü |
|
Emergency moves for endangered patients |
ü |
ü |
ü |
ü |
Medication administration - routes |
EMT |
AEMT |
EMT-I (99) |
Paramedic |
|
|
Aerosolized/nebulized (beta agonist) |
STR |
ü |
ü |
ü |
|
Assisting patient with his/her own prescribed medica- tions (aerosolized/nebulized) |
ü |
ü |
ü |
ü |
|
Assisting patient with his/her own prescribed medica- tions (ASA/Nitro) |
ü |
ü |
ü |
ü |
|
Assisting patient with his/her own prescribed medica- tions (auto-injector) |
ü |
ü |
ü |
ü |
|
Assisting patient with his/her own prescribed medica- tions (hydrocortisone sodium succinate) |
|
ü |
ü |
ü |
|
Auto-injector |
STR |
ü |
ü |
ü |
|
Buccal |
STR |
ü |
ü |
ü |
|
Endotracheal tube |
|
|
ü |
ü |
|
Inhaled self-administered (nitrous oxide) |
|
ü |
ü |
ü |
|
Intradermal |
|
|
STR |
STR |
|
Intramuscular |
|
ü |
ü |
ü |
|
Intranasal |
STR |
ü |
ü |
ü |
|
Intravenous push |
|
ü |
ü |
ü |
|
Intravenous piggyback |
|
|
ü |
ü |
|
Intraosseous |
|
STR |
ü |
ü |
|
Nasogastric |
|
|
|
ü |
|
Oral |
ü |
ü |
ü |
ü |
|
Rectal |
|
STR |
ü |
ü |
|
Small volume nebulizer |
STR |
ü |
ü |
ü |
|
Subcutaneous |
|
ü |
ü |
ü |
|
Sublingual |
|
ü |
ü |
ü |
IV initiation/maintenance fluids |
EMT |
AEMT |
EMT-I (99) |
Paramedic |
|
|
Access indwelling catheters and implanted central IV ports |
|
|
|
ü |
|
Central line- monitoring |
|
|
|
ü |
|
Intraosseous- initiation |
|
ü |
ü |
ü |
|
Intravenous access |
|
ü |
ü |
ü |
|
Intravenous initiation- peripheral |
STR |
ü |
ü |
ü |
|
Intravenous- maintenance of non-medicated IV fluids or capped access |
ü |
ü |
ü |
ü |
|
Intravenous- maintenance of medicated IV fluids |
|
|
ü |
ü |
|
Umbilical initiation |
|
|
|
STR |
Miscellaneous |
EMT |
AEMT |
EMT-I (99) |
Paramedic |
|
|
Assisted delivery (childbirth) |
ü |
ü |
ü |
ü |
|
Assisted complicated delivery (childbirth) |
ü |
ü |
ü |
ü |
|
Blood glucose monitoring |
ü |
ü |
ü |
ü |
|
Blood pressure- automated |
ü |
ü |
ü |
ü |
|
Blood pressure- manual |
ü |
ü |
ü |
ü |
|
Eye irrigation |
ü |
ü |
ü |
ü |
|
Eye irrigation (Morgan lens) |
|
|
|
STR |
|
Thrombolytic therapy- initiation |
|
|
|
STR |
|
Urinary catheterization |
|
|
|
STR |
|
Venous blood sampling |
|
|
ü |
ü |
|
Blood chemistry analysis |
|
|
|
STR |
|
Use/monitoring of agents specified in Table 5.4 during interfacility transports |
|
|
STR |
STR |
|
Use/monitoring of infusion pump for agent adminis- tration during interfacility transports |
|
|
STR |
STR |
Historical Note
Table 5.1 made by exempt rulemaking at 19 A.A.R. 282, effective January 28, 2013 (Supp. 13-1). Amended by exempt rulemaking at 19 A.A.R. 4032, effective December 1, 2013 (Supp. 13-4). Amended by final exempt rulemaking, pursuant to Laws 2014, Ch. 233, § 5 at 20 A.A.R. 3554, effective January 1, 2015 (Supp. 14-4). Amended by final exempt rulemaking, pursuant to Laws 2015,
Ch. 222, § 3, at 21 A.A.R. 3241, effective November 24, 2015 (Supp. 15-4).