Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 25 - DEPARTMENT OF HEALTH SERVICES - EMERGENCY MEDICAL SERVICES › Article 10 - GROUND AMBULANCE VEHICLE REGISTRATION › Table 10.2 - Minimum Equipment and Supplies for Ground Ambulance Vehicles (Authorized by A.R.S. Section 36-2202(A)(5))

Current through Register Vol. 30, No. 28, July 12, 2024
An applicant for a certificate of registration or a
				  certificate holder shall ensure that a ground ambulance vehicle contains, at a
				  minimum, the following operational equipment and supplies based on the level of
				  service of use:
MINIMUM EQUIPMENT AND
							 SUPPLIES
BLS
ALS
A. Ventilation and Airway
							 Equipment
1. Portable and fixed suction
							 apparatus
X
X
2. Wide-bore tubing, rigid pharyngeal curved suction
							 tip and flexible suction catheters in the following French sizes:
a. Two in 6, 8, or 10; and
b. Two in 12, 14, or 16
X
X
3. One fixed oxygen cylinder or equivalent with a
							 minimum capacity of 106 cubic feet, a minimum pressure of 500 p.s.i., and a
							 variable flow regulator
X
X
4. One portable oxygen cylinder with a minimum
							 capacity of 13 cubic feet, a minimum pressure of 500 p.s.i., and a variable
							 flow regulator
X
X
5. Oxygen administration equipment, including
							 tubing; non-rebreathing masks (adult, pediatric, and infant sizes); and nasal
							 cannulas (adult. Pediatric, and infant sizes)
X
X
6. Bag-valve mask, with hand-operated,
							 self-reexpanding bag (adult size), with oxygen reser-voir/accumulator; mask
							 (adult, pediatric, infant, and neonate sizes); and valve
X
X
7. Airways, nasal (adult, pediatric, and infant
							 sizes), one each in French sizes 16 to 34
X
X
8. Airways, oropharyngeal, two each in adult,
							 pediatric, and infant sizes
X
X
9. Laryngoscope handle, adult and pediatric, with,
							 if applicable, extra batteries and bulbs
-
X
10. Laryngoscope blades, one each in sizes 0, 1, and
							 2, straight; sizes 3 and 4, straight and curved
-
X
11. Endotracheal tubes, sizes 2.5-5.5 mm cuffed or
							 uncuffed and 6.0-9.0 mm cuffed
-
X
12. Endotracheal tube cuff pressure
							 manometer
-
X
13. Stylettes for Endotracheal tubes, one each in
							 adult and pediatric sizes
-
X
14. One type of supraglottic airway
							 device
-
X
15. Two 10 mL straight-tip syringes
-
X
16. Two long, large-bore needles for needle chest
							 decompression, 2" to3.25" long and 14-16G
-
X
17. Hand-held nebulizer(s)
-
X
18. Aerosol masks, one each adult and
							 pediatric
-
X
19. Magill forceps, adult and
							 pediatric
-
X
20. Nasogastric tubes, sizes 5F and 8F, Salem sump
							 sizes 14F and 18F
-
X
21. End-tidal CO2 detectors, quantitative, with
							 capability for adult and pediatric patients
-
X
22. Non-Invasive Positive Pressure Ventilation
							 (NIPPV) device with one mask in each available size
-
X
23. In-line viral/bacterial filter
-
X
B. Monitoring and
							 Defibrillation
1. Automatic external defibrillator
X
-
2. One portable, battery-operated
							 monitor/defibrillator, with tape write-out/recorder, defibril lator pads, adult
							 and pediatric paddles or hands-free patches, ECG leads, and adult and pediatric
							 chest attachment electrodes
-
X
3. Transcutaneous cardiac pacemaker, either
							 stand-alone unit or integrated into monitor/ defibrillator, including pediatric
							 pads and cables
-
X
C. Stretchers and Immobilization
							 Devices
1. One stair chair or another mechanism for safely
							 moving a patient in an upright sitting position
X
X
2. Cervical immobilization devices, rigid,
							 adjustable or two each in small, medium, and large sizes
X
X
3. Head immobilization device, either firm padding
							 or another commercial device
X
X
4. Lower extremity (femur) traction device,
							 including lower extremity, limb support slings, padded ankle hitch, padded
							 pelvic support, and traction strap (one adult-sized and one
							 child-sized)
X
X
5. Two upper and two lower extremity immobilization
							 splints in each of small, medium and large sizes
X
X
6. Two full-length spine boards
X
X
7. Supplies to secure a patient to a spine board,
							 including at least three appropriate restraint straps (not using a single chin
							 strap for head immobilization)
X
X
8. One cervical-thoracic spinal immobilization
							 device for extrication
X
X
D. Bandages
1. Burn pack, including standard package, two
							 sterile burn sheets
X
X
2. Dressings, including sterile multi-trauma
							 dressings (various large and small sizes, including three sized 10" x 12" or
							 larger)
X
X
3. Two abdominal pads, 10" x 12" or
							 larger
X
X
4. Fifty non-sterile 4" x 4" gauze
							 sponges
X
X
5. Two triangular bandages
X
X
6. Four gauze rolls, sterile (4" or
							 larger)
X
X
7. Ten soft roller bandages, non-sterile (4" or
							 larger)
X
X
8. Four occlusive dressing, sterile, 3" x 8" or
							 larger
X
X
9. Adhesive or self-adhesive tape, including various
							 sizes (1" or larger) hypoallergenic adhesive and two various sizes (1" or
							 larger) adhesive or self-adhesive
X
X
E. Obstetrical
1. Sterile obstetrical kit, including towels, 4" x
							 4" dressing, umbilical tape, sterile scissors or other cutting utensil, bulb
							 suction, clamps for cord, sterile gloves, blankets, and a head
							 cover
X
X
2. An alternate portable patient heat source or 2
							 heat packs
X
X
F. Miscellaneous
1. Sphygmomanometer (infant, pediatric, and adult
							 regular and large sizes)
X
X
2. Stethoscope
X
X
3. Pediatric equipment sizing reference
							 guide
-
X
4. Thermometer with low temperature
							 capability
X
X
5. Paramedic or trauma shears capable of cutting
							 heavy bandages, clothing, belts, and boots
X
X
6. Cold packs
X
X
7. Two flashlights with extra batteries or
							 recharger, as applicable
X
X
8. Two blankets
X
X
9. One blanket with head cover made of
							 heat-reflective material
X
X
10. Two sheets
X
X
11. Two cloth towels, each at least 12" by 12" in
							 size
X
X
12. Five disposable emesis bags or
							 basins
X
X
13. Lubricating jelly (water
							 soluble)
X
X
14. Glucometer or blood glucose measuring device
							 with reagent strips
X
X
15. Pulse oximeter with pediatric and adult
							 probes
X
X
16. Automatic blood pressure monitor
-
X
17. Trauma arterial tourniquet
X
X
18. One scalpel
-
X
19. Mass casualty triage sorting capability for at
							 least 50 individuals (triage tags)
X
X
20. Beginning April 2024, a method to electronically
							 document patient information and treatment that is capable of being
							 transferred
X
X
G. Infection Control (Latex-free equipment
							 shall be available)
1. Two sets of eye protection (full peripheral
							 glasses or goggles, face shield)
X
X
2. Two masks, at least as protective as a National
							 Institute for Occupational Safety and Health-approved N-95 respirator, which
							 are fit-tested
X
X
3. Two pairs of gloves, non-sterile, and three pairs
							 of non-latex gloves
X
X
4. Two jumpsuits or gowns
X
X
5. Two pairs of shoe covers
X
X
6. Disinfectant hand wash, commercial antimicrobial
							 (towelette, spray, or liquid)
X
X
7. Disinfectant solution for cleaning
							 equipment
X
X
8. Standard sharps containers
X
X
9. Disposable red trash bags
X
X
10. Ten protective facemasks or cloth face coverings
							 for patients
X
X
H. Injury Prevention
							 Equipment
1. Safety vest or other garment with reflective
							 material for each personnel member
X
X
2. Hazardous material reference
							 guide
X
X
3. Hearing protection for personnel
X
X
I. Vascular Access
1. The following intravenous solution administration
							 sets:
a. Four intravenous solution administration sets,
							 capable of delivering 10 drops per cc
b. Four intravenous solution administration sets
							 capable of delivering 60 drops per cc
-
X
2. Antiseptic solution (alcohol wipes and
							 povidone-iodine wipes)
X
X
3. Intravenous pressure infuser device or mechanical
							 capability
-
X
4. Intravenous catheters, one each of 14, 16, 18,
							 20, 22, and 24 G
-
X
5. Two intraosseous needles, each capable of use in
							 adult and pediatric patients
-
X
6. Venous tourniquet
-
X
7. The following syringes:
a. Two 1 mL tuberculin,
b. Four 3 mL,
c. Four 5 mL,
d. Four 10-12 mL,
e. Two 20 mL, and
f. Two 50-60 mL
-
X
8. Three 5 micron filter needles
-
X
9. Assorted sizes of non-filter
							 needles
-
X
10. Intravenous arm boards, adult and
							 pediatric
-
X
J. Medications
1. Agents specified in a table of agents,
							 established according to A.R.S. §
													36-2204 and available through the
							 Department at
www.azdhs.gov/ems-regulatory-references
,
							 that an administrative medical director may authorize for use based on the EMCT
							 classification
X
X
2. Sterile saline for irrigation
X
X