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Arizona Administrative Code (Last Updated: November 17, 2016) |
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Title 9. HEALTH SERVICES |
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Chapter 25. DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES |
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Article 5. MEDICAL DIRECTION PROTOCOLS FOR EMERGENCY MEDICAL CARE TECHNICIANS |
Table 5.2. Eligibility for Authorization to Administer, Monitor, and Assist in Patient Self-administration of Agents by EMCT Classification; Administration Requirements; and Minimum Supply Requirements for Agents
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-
KEY:
A
=
Authorized to administer the agent
SVN
=
Agent shall be administered by small volume nebulizer
MDI
=
Agent shall be administered by metered dose inhaler
*
=
Authorized to assist in patient self-administration
[ ] = Minimum supply required if an EMS provider chooses to make the optional agent available for EMCT administra- tion
AGENT
MINIMUM SUPPLY
EMT
AEMT
EMT-I (99)
Paramedic
Adenosine
18 mg
-
-
A
A
Albuterol Sulfate SVN or MDI (sulfite free)
10 mg
A
A
A
A
Amiodarone or Lidocaine
300 mg or
3 prefilled syringes, total of 300 mg and 1 g vials or pre- mixed infusion, total of 2 g
-
-
-
-
- A
A A
Aspirin
324 mg
A
A
A
A
Atropine Sulfate
3 prefilled syringes, total of 3 mg
-
-
A
A
Atropine Sulfate
Optional [8 mg multidose vial (1)]
-
-
A
A
Atropine Sulfate Auto-Injector
None
A
A
A
A
Atropine Sulfate and Pralidoxime Chlo- ride (Combined) Auto-Injector
None
A
A
A
A
Calcium Chloride
1 g
-
-
-
A
Calcium Gluconate, 2.5% topical gel
Optional [50 g]
A
A
A
A
Charcoal, Activated (without sorbitol)
Optional [50 g]
A
A
A
A
Cyanokit
Optional [5 g]
-
-
-
A
Dexamethasone
Optional [8 mg]
-
-
A
A
Dextrose
50 g
-
A
A
A
Dextrose, 5% in H2O
Optional [250 mL bag (1)]
A
A
A
A
Diazepam
20 mg
-
-
A
A
or
Lorazepam
8 mg
-
-
A
A
or
Midazolam
10 mg
-
-
A
A
Diazepam Rectal Delivery Gel
Optional [20 mg]
-
-
A
A
Diltiazem
25 mg
-
-
-
A
or
Verapamil HCl
10 mg
-
-
-
A
Diphenhydramine HCl
50 mg
-
-
A
A
Dopamine HCl
400 mg
-
-
-
A
Epinephrine Auto-Injector
Optional
[2 adult auto-injectors
2 pediatric auto-injectors]
A
A
A
A
Epinephrine HCl, 1:1,000
2 mg
-
A
A
A
Epinephrine HCl, 1:1,000
Optional [30 mg multidose vial (1)]
-
A
A
A
Epinephrine HCl, 1:10,000
5 mg
-
-
A
A
Etomidate
Optional [40 mg]
-
-
-
A
Furosemide
Optional [100 mg]
-
-
A
A
or
Bumetanide
Optional [4 mg]
-
-
A
A
Glucagon
2 mg
-
A
A
A
Glucose, oral
Optional [30 gm]
A
A
A
A
Hemostatic Agents
Optional
A
A
A
A
Hydrocortisone Sodium Succinate
Optional
-
*
*
*
Immunizing Agent
Optional
-
-
A
A
Ipratropium Bromide 0.02% SVN or MDI
5 mL
-
-
A
A
Ketamine
Optional [200 mg]
-
-
-
A
Lactated Ringers
1 L bag (2)
A
A
A
A
Magnesium Sulfate
5 g
-
-
-
A
Methylprednisolone Sodium Succinate
250 mg
-
-
A
A
Morphine Sulfate or
Fentanyl
20 mg
200 mcg
-
-
A
-
A
A
A
A
Nalmefene HCl
Optional [4 mg]
-
A
A
A
Naloxone HCl
10 mg
-
A
A
A
Naloxone HCl
Optional [Prefilled atomizers or auto-injectors; 2 doses]
A
A
A
A
Nitroglycerin Sublingual Spray
1 bottle
*
A
A
A
or
Nitroglycerin Tablets
1 bottle
*
A
A
A
Normal Saline
1 L bag (2)
Optional [250 mL bag (1)]
Optional [50 mL bag (2)]
A
A
A
A
Ondansetron HCl
Optional [4 mg]
-
-
A
A
Oxygen
13 cubic feet
A
A
A
A
Oxytocin
Optional [10 units]
-
-
A
A
Phenylephrine Nasal Spray 0.5%
Optional 1 bottle
-
-
A
A
Pralidoxime Chloride Auto-Injector
None
A
A
A
A
Proparacaine Ophthalmic
Optional [1 bottle]
-
-
A
A
Rocuronium
Optional [100 mg]
-
-
-
A
Sodium Bicarbonate 8.4%
Optional [100 mEq]
-
-
A
A
Succinylcholine
Optional [400 mg]
-
-
-
A
Thiamine HCl
100 mg
-
-
A
A
Tuberculin PPD
Optional [5 mL]
-
-
A
A
Vasopressin
Optional [40 units]
-
-
-
A
Historicial Note
Table 5.2 made 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).