1. 1. “Administer” or “administration” means to directly apply or the direct application of an agent to the body of a patient by injection, inhalation, ingestion, or any other means and includes adjusting the administration rate of an agent.
2. 2. “AEMT” has the same meaning as “advanced emergency medical technician” in A.R.S. § 36-2201.
3. 3. “Agent” means a chemical or biological substance that is administered to a patient to treat or prevent a medical condition.
4. 4. “ALS” has the same meaning as “advanced life support” in A.R.S. § 36-2201.
5. 5. “ALS base hospital” has the same meaning as “advanced life support base hospital” in A.R.S. § 36-2201.
6. 6. “Applicant” means a person requesting certification, licensure, approval, or designation from the Department under this Chapter.
7. 7. “BLS” has the same meaning as “basic life support” in A.R.S. § 36-2201.

8. 8. “Chain of custody” means the transfer of physical control of and accountability for an item from one individual to another individual, documented to indicate the:

   1. a. Date and time of the transfer,
   2. b. Integrity of the item transferred, and
   3. c. Signatures of the individual relinquishing and the individual accepting physical control of and accountability for the item.

9. 9. “Chief administrative officer” means:

   1. a. For a hospital, the same as in A.A.C. R9-10-101; and
   2. b. For a training program, an individual assigned to act on behalf of the training program by the body organized to govern and manage the training program.
10. 10. “Clinical training” means experience and instruction in providing direct patient care in a health care institution.
11. 11. “Controlled substance” has the same meaning as in A.R.S. § 32-1901.
12. 12. “Course” means didactic instruction and, if applicable, hands-on practical skills training, clinical training, or field training provided by a training program to prepare an individual to become or remain EMR or an EMCT.
13. 13. “Course session” means an offering of a course, during a period of time designated by a training program certificate holder, for a specific group of students.
14. 14. “Current” means up-to-date and extending to the present time.
15. 15. “Day” means a calendar day.
16. 16. “Document” or “documentation” means signed and dated information in written, photographic, electronic, or other permanent form.
17. 17. “Drug” has the same meaning as in A.R.S. § 32-1901.
18. 18. “Electronic signature” has the same meaning as in A.R.S. § 44-7002.
19. 19. “EMCT” has the same meaning as “emergency medical care technician” in A.R.S. § 36-2201.
20. 20. “EMR” has the same meaning as “emergency medical responder” in A.R.S. § 36-2201.
21. 21. “EMT” has the same meaning as “emergency medical technician” in A.R.S. § 36-2201.

22. 22. “EMT-I(99)” means an individual, other than a Paramedic, who:

    1. a. Was certified as an EMCT by the Department before January 28, 2013 to perform ALS, and
    2. b. Has continuously maintained the certification.
23. 23. “EMS” has the same meaning as “emergency medical services” subsections (18)(a) through (d) in A.R.S. § 36-2201.
24. 24. “Field training” means emergency medical services experience and training outside of a health care institution or a training program facility.
25. 25. “General hospital” has the same meaning as in A.A.C. R9-10-101.
26. 26. “Health care institution” has the same meaning as in A.R.S. § 36-401.
27. 27. “Hospital” has the same meaning as in A.A.C. R9-10-101.
28. 28. “In use” means in the immediate physical possession of an EMCT and readily accessible for potential imminent administration to a patient.
29. 29. “Infusion pump” means a device approved by the U.S. Food and Drug Administration that, when operated mechanically, electrically, or osmotically, releases a measured amount of an agent into a patient’s circulatory system in a specific period of time.
30. 30. “Interfacility transport” means an ambulance transport of a patient from one health care institution to another health care institution.
31. 31. “IV” means intravenous.
32. 32. “Locked” means secured with a key, including a magnetic, electronic, or remote key, or combination so that opening is not possible except by using the key or entering the combination.
33. 33. “Medical direction” means administrative medical direction or on-line medical direction.
34. 34. “Medical record” has the same meaning as in A.R.S. § 36-2201.
35. 35. “Minor” means an individual younger than 18 years of age who is not emancipated.
36. 36. “Monitor” means to observe the administration rate of an agent and the patient’s response to the agent and may include discontinuing administration of the agent.
37. 37. “On-line medical direction” means emergency medical services guidance or information provided to an EMCT by a physician through two-way voice communication.
38. 38. “Patient” means an individual who is sick, injured, or wounded and who requires medical monitoring, medical treatment, or transport.
39. 39. “Pediatric” means pertaining to a child.
40. 40. “Person” has the same meaning as in A.R.S. § 1-215 and includes governmental agencies.
41. 41. “Physician assistant” has the same meaning as in A.R.S. § 32-2501.
42. 42. “Practical nurse” has the same meaning as in A.R.S. § 32-1601.
43. 43. “Practicing emergency medicine” means acting as an emergency medicine physician in a hospital emergency department.
44. 44. “Prehospital incident history report” has the same meaning as in A.R.S. § 36-2220.
45. 45. “Refresher challenge examination” means a test given to an individual to assess the individual’s knowledge, skills, and competencies compared with the national education standards established for the applicable EMCT classification level.
46. 46. “Refresher course” means a course intended to reinforce and update the knowledge, skills, and competencies of an individual who has previously met the national educational standards for a specific level of EMS personnel.
47. 47. “Registered nurse” has the same meaning as in A.R.S. § 32-1601.
48. 48. “Registered nurse practitioner” has the same meaning as in A.R.S. § 32-1601.
49. 49. “Scene” means the location of the patient to be transported or the closest point to the patient at which an ambulance can arrive.
50. 50. “Special hospital” has the same meaning as in A.A.C. R9-10-101.
51. 51. “STR skill” means “Specialty Training Requirement skill,” a medical treatment, procedure, or technique or administration of a medication for which an EMCT needs specific training beyond the training required in 9 A.A.C. 25, Article 4 in order to perform or administer.
52. 52. “Transfer of care” means to relinquish to the control of another person the ongoing medical treatment of a patient.
53. 53. “Transport agent” means an agent that an EMCT at a specified level of certification is authorized to administer only during interfacility transport of a patient for whom the agent’s administration was started at the sending health care institution.

In addition to the definitions in A.R.S. § 36-2201, the following definitions apply in this Chapter, unless otherwise specified:

Historical Note

Adopted effective October 15, 1996 (Supp. 96-4). Amended by exempt rulemaking at 7 A.A.R. 4888, effective November 1, 2001 (Supp. 01-4). Amended by final rulemaking at 9 A.A.R. 5372, effective January 3, 2004 (Supp. 03-4). Amended by final rulemaking at 12 A.A.R. 4404, effective January 6, 2007 (Supp. 06-4). Amended by exempt rulemaking at 19 A.A.R. 4032, effective December 1, 2013 (Supp. 13-4). Amended by final rulemaking at 30 A.A.R. 581 (March 29, 2024), with an immediate effective date of March 7, 2024 (Supp. 24-1). Amended by final rulemaking at 31 A.A.R. 332 (January 24, 2025), with an immediate effective date of December 31, 2024 (Supp. 24-4).