Ariz. Admin. Code § tit. 9, ch. 25, art. 5, tbl. 5.1

Current through Register Vol. 30, No. 50, December 13, 2024

Table 5.1 - [Effective until 12/31/2024] Arizona Scope of Practice Skills

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]

Ariz. Admin. Code tit. 9, ch. 25, art. 5, tbl. 5.1

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 20 A.A.R. 3554, effective 1/1/2015. Amended by exempt rulemaking at 21 A.A.R. 3237, effective 11/24/2015. Amended by final exempt rulemaking at 23 A.A.R. 1161, effective 4/19/2017. Amended by final exempt rulemaking at 24 A.A.R. 2957, effective 9/24/2018. Amended by exempt rulemaking at 27 A.A.R. 1385, effective 8/9/2021. Amended by exempt rulemaking at 28 A.A.R. 3321, effective 9/22/2022.