Ariz. Admin. Code § tit. 9, ch. 25, art. 10, tbl. 10.2
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 |
Ariz. Admin. Code tit. 9, ch. 25, art. 10, tbl. 10.2