Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 5 - MEDICAL DIRECTION PROTOCOLS FOR EMERGENCY MEDICAL CARE TECHNICIANS › Table 5.1 - Arizona Scope of Practice Skills

Current through Register Vol. 30, No. 28, July 12, 2024
KEY:
[TICK] = Arizona Scope of Practice skill
STR = STR skill
* = With training in
				  R9-25-505
A.
							 Airway/Ventilation/Oxygenation
EMT
AEMT
EMT-I(99)
Paramedic
1.
Airway - nasal
[TICK]
[TICK]
[TICK]
[TICK]
2.
Airway - oral
[TICK]
[TICK]
[TICK]
[TICK]
3.
Airway - supraglottic
STR
[TICK]
[TICK]
[TICK]
4.
Airway obstruction - dislodgement by direct
							 laryngoscopy
-
-
[TICK]
[TICK]
5.
Airway obstruction - manual dislodgement
							 techniques
[TICK]
[TICK]
[TICK]
[TICK]
6.
Automated transport ventilator
-
STR
[TICK]
[TICK]
7.
Bag-valve-mask (BVM)
[TICK]
[TICK]
[TICK]
[TICK]
8.
BiPAP
-
-
-
[TICK]
9.
CPAP
STR
[TICK]
[TICK]
[TICK]
10.
Chest decompression - needle
-
-
[TICK]
[TICK]
11.
Chest tube placement - assist only
-
-
-
[TICK]
12.
Chest tube monitoring and management
-
-
-
[TICK]
13.
Cricothyrotomy
-
-
-
[TICK]
14.
End tidal CO2 monitoring and interpretation of
							 waveform capnography
STR
[TICK]
[TICK]
[TICK]
15.
Gastric decompression - NG tube
-
-
[TICK]
[TICK]
16.
Gastric decompression - OG tube
-
-
[TICK]
[TICK]
17.
Head-tilt chin lift
[TICK]
[TICK]
[TICK]
[TICK]
18.
Intubation - endotracheal
-
-
[TICK]
[TICK]
19.
Intubation - nasotracheal
-
[TICK]
20.
Jaw-thrust
[TICK]
[TICK]
[TICK]
[TICK]
21.
Medication Assisted Intubation
							 (paralytics)
-
-
-
STR
22.
Mouth-to-barrier
[TICK]
[TICK]
[TICK]
[TICK]
23.
Mouth-to-mask
[TICK]
[TICK]
[TICK]
[TICK]
24.
Mouth-to-mouth
[TICK]
[TICK]
[TICK]
[TICK]
25.
Mouth-to-nose
[TICK]
[TICK]
[TICK]
[TICK]
26.
Mouth-to-stoma
[TICK]
[TICK]
[TICK]
[TICK]
27.
Oxygen therapy - high flow nasal
							 cannula
-
-
-
[TICK]
28.
Oxygen therapy - humidifiers
[TICK]
[TICK]
[TICK]
[TICK]
29.
Oxygen therapy - nasal cannula
[TICK]
[TICK]
[TICK]
[TICK]
30.
Oxygen therapy - non-rebreather mask
[TICK]
[TICK]
[TICK]
[TICK]
31.
Oxygen therapy - partial rebreather
							 mask
[TICK]
[TICK]
[TICK]
[TICK]
32.
Oxygen therapy - simple face mask
[TICK]
[TICK]
[TICK]
[TICK]
33.
Oxygen therapy - Venturi mask
[TICK]
[TICK]
[TICK]
[TICK]
34.
Pulse oximetry
[TICK]
[TICK]
[TICK]
[TICK]
35.
Suctioning - upper airway
[TICK]
[TICK]
[TICK]
[TICK]
36.
Suctioning - tracheobronchial of an intubated
							 patient
-
[TICK]
[TICK]
[TICK]
B.
							 Cardiovascular/Circulation
EMT
AEMT
EMT-I (99)
Paramedic
1.
Cardiac monitoring - 12-lead ECG
							 (interpretive)
-
-
[TICK]
[TICK]
2.
Cardiac monitoring - 12-lead ECG acquisition and
							 transmission
[TICK]
[TICK]
[TICK]
[TICK]
3.
Cardiopulmonary resuscitation
[TICK]
[TICK]
[TICK]
[TICK]
4.
Cardioversion - electrical
-
-
[TICK]
[TICK]
5.
Defibrillation -
							 automated/semi-automated
[TICK]
[TICK]
[TICK]
[TICK]
6.
Defibrillation - manual
-
-
[TICK]
[TICK]
7.
Hemorrhage control - direct pressure
[TICK]
[TICK]
[TICK]
[TICK]
8.
Hemorrhage control - tourniquet
[TICK]
[TICK]
[TICK]
[TICK]
9.
Hemorrhage control - wound packing
[TICK]
[TICK]
[TICK]
[TICK]
10.
Mechanical CPR device
[TICK]
[TICK]
[TICK]
[TICK]
11.
Telemetric monitoring devices and transmission of
							 clinical data, including video data
[TICK]
[TICK]
[TICK]
[TICK]
12.
Transcutaneous pacing
-
-
[TICK]
[TICK]
13.
Transvenous cardiac pacing - monitoring and
							 maintenance
-
-
[TICK]
[TICK]
C. Splinting/Spinal Motion Restriction/Patient
							 Restraint
EMT
AEMT
EMT-I (99)
Paramedic
1.
Cervical collar
[TICK]
[TICK]
[TICK]
[TICK]
2.
Long spine board
[TICK]
[TICK]
[TICK]
[TICK]
3.
Manual cervical stabilization
[TICK]
[TICK]
[TICK]
[TICK]
4.
Seated spinal motion restriction (KED,
							 etc.)
[TICK]
[TICK]
[TICK]
[TICK]
5.
Extremity stabilization - manual
[TICK]
[TICK]
[TICK]
[TICK]
6.
Extremity splinting
[TICK]
[TICK]
[TICK]
[TICK]
7.
Splint-traction
[TICK]
[TICK]
[TICK]
[TICK]
8.
Mechanical patient restraint
[TICK]
[TICK]
[TICK]
[TICK]
9.
Emergency moves for endangered
							 patients
[TICK]
[TICK]
[TICK]
[TICK]
D. Medication Administration - routes/agent
							 types
EMT
AEMT
EMT-I (99)
Paramedic
1.
Aerosolized/nebulized
[TICK]
[TICK]
[TICK]
[TICK]
2.
Endotracheal tube
-
-
[TICK]
[TICK]
3.
Inhaled
[TICK]
[TICK]
[TICK]
[TICK]
4.
Intradermal
-
-
-
[TICK]
5.
Intramuscular
STR
[TICK]
[TICK]
[TICK]
6.
Intramuscular - autoinjector
[TICK]
[TICK]
[TICK]
[TICK]
7.
Intranasal
[TICK]
[TICK]
[TICK]
[TICK]
8.
Intraosseous - initiation, pediatric or
							 adult
-
[TICK]
[TICK]
[TICK]
9.
Intravenous
-
[TICK]
[TICK]
[TICK]
10.
Mucosal/Sublingual
[TICK]
[TICK]
[TICK]
[TICK]
11.
Nasogastric
-
-
-
[TICK]
12.
Oral
[TICK]
[TICK]
[TICK]
[TICK]
13.
Rectal
-
-
-
[TICK]
14.
Subcutaneous
-
[TICK]
[TICK]
[TICK]
15.
Topical
-
-
-
[TICK]
16.
Transdermal
-
-
-
[TICK]
17.
Use/monitoring of infusion pump for agent
							 administration during interfacility transports
-
-
STR
STR
18.
Use/monitoring of agents specified in
Table 3
							 - Special Agents Eligible for Administration and Monitoring
,
							 established according to A.R.S. §
													36-2204 and
							 available through the Department at
www.azdhs.gov/ems-regula-tory-references
-
-
STR
STR
19.
Epinephrine anaphylaxis-prepared kit; only for
							 anaphylaxis when no auto-injector is available
STR
[TICK]
[TICK]
[TICK]
20.
Immunizations
-
-
[TICK]*
[TICK]*
21.
Thrombolytics
-
-
-
STR
D. Medication Administration - routes/agent
							 types
EMT
AEMT
EMT-I (99)
Paramedic
1.
Access indwelling catheters and implanted central IV
							 ports
-
-
-
[TICK]
2.
Central line - monitoring
-
-
-
[TICK]
3.
Intraosseous - initiation, pediatric or
							 adult
-
[TICK]
[TICK]
[TICK]
4.
Intravenous access
STR
[TICK]
[TICK]
[TICK]
5.
Intravenous initiation - peripheral
STR
[TICK]
[TICK]
[TICK]
6.
Intravenous- maintenance of medicated IV
							 fluids
-
-
[TICK]
[TICK]
7.
Intravenous- maintenance of nonmedicated IV
							 fluids
STR
[TICK]
[TICK]
[TICK]
8.
Intravenous initiation - ultrasound guided IV in a
							 hospi-
-
-
-
STR
tal setting
F. Miscellaneous
EMT
AEMT
EMT-I (99)
Paramedic
1.
Assisted delivery (childbirth)
[TICK]
[TICK]
[TICK]
[TICK]
2.
Assisted complicated delivery
							 (childbirth)
[TICK]
[TICK]
[TICK]
[TICK]
3.
Blood chemistry analysis
-
-
-
[TICK]
4.
Blood glucose monitoring
[TICK]
[TICK]
[TICK]
[TICK]
5.
Blood pressure- automated
[TICK]
[TICK]
[TICK]
[TICK]
6.
Blood pressure- manual
[TICK]
[TICK]
[TICK]
[TICK]
7.
Eye irrigation
[TICK]
[TICK]
[TICK]
[TICK]
8.
Eye irrigation hands-free irrigation using sterile
							 eye irrigation device
-
-
-
[TICK]
9.
Urinary catheterization
STR
STR
STR
STR
10.
Venous blood sampling
STR
[TICK]
[TICK]
[TICK]