Ariz. Admin. Code § R9-25-1006
2. Wide-bore tubing, rigid pharyngeal curved suction tip and flexible suction catheters in the following French sizes:
1. The following intravenous solution administration sets:
7. The following syringes:
| The Department classifies defects on a ground ambulance vehicle as major or minor as follows: | ||
| INSPECTION ITEM | MAJOR DEFECT | MINOR DEFECT |
| EXTERIOR: | ||
| Emergency warning lights | Lack of 360° of conspicuity | Cracked, broken, or missing lens Inoperative lamps |
| Ground ambulance vehicle body | Damage or rust to the exterior of the ground ambulance vehicle, which interferes with the operation of the ground ambulance vehicle Damage resulting in a hole in the driver’s compartment or the patient compartment Holes that may allow exhaust or dust to enter the patient compartment Bolts attaching body to chassis loose, broken, or missing | Damage resulting in cuts or rips to the exterior of the ground ambulance vehicle |
| Marking | Missing company identification Incorrect size or location | |
| Mirrors or other optical devices allowing monitoring of the area surrounding the ground ambulance vehicle | Exterior rear vision or wide vision mirrors missing or An optical device not functioning according to manufacturer’s specifications | Cracked mirror glass Loose mounting bracket bolts or screws Broken mirrors Loose or broken mounting brackets Missing mounting bracket bolts or screws |
| Windshield | Unrepaired starred cracks or line cracks extending more than 1 inch from the bottom or side of the windshield Unrepaired starred cracks or line cracks extending more than 2 inches from the top of the windshield | |
| Windows | Placement of nontransparent materials which obstruct view Cracked or broken | |
| Fuel caps | Fuel caps missing or of a type not specified by the manufacturer | |
| Bumpers | Loose or missing bumper | |
| Patient compartment doors | Completely or partially missing window panel Two means of egress missing or inoperative | Inoperative open door securing devices Cracked window panels |
| Padding over exit areas | Missing padding over exits in the patient compartment Deterioration of padding | |
| Fire extinguisher | Absent or non-functional | Not at full charge Expired inspection tag |
| Exhaust system | Exhaust fumes in the patient or driver compartment | Muffler not securely attached to the chassis and tailpipe Exhaust pipe brackets not securely attached to the chassis and tailpipe End of tailpipe pinched or bent |
| Wheels | Loose or missing lug nuts Broken lugs Cracked or bent rims | |
| Tires | Tires on each axle are not of equal size, equal ply ratings, and equal type Bumps, knots, or bulges on any tire Exposed ply or belting on any tire Flat tire on any wheel | Tread groove depth less than 4/32” measured in a tread groove on any tire Not properly inflated |
| EXTERIOR LIGHTING: | ||
| Head lamps | Inoperative | High beam inoperative Low beam inoperative Inoperative dimmer switch |
| Brake lamps | Both inoperative | One inoperative |
| Parking lamps | Inoperative | |
| Back-up lamps | Inoperative Cracked, broken, or missing lens | |
| Tail lamps | Both inoperative | One inoperative Cracked, broken, or missing lens |
| Turn signal lamps | Any turn signal lamp inoperative Cracked, broken, or missing lens | |
| Side marker lamps | Inoperative Cracked, broken, or missing lens | |
| Hazard lamps | Inoperative | |
| Loading lamps | Inoperative Cracked, broken, or missing lens | |
| ENGINE COMPARTMENT AND BATTERY: | ||
| Engine compartment | Inoperative hood latch Deterioration of hoses, belts, or wiring Air cooling and heater hoses not secured Fluid leaks other than engine cooling system | |
| Battery | Not secured For a vehicle powered by an electric motor, not meeting manufacturer’s guidelines for use | Deterioration of battery hold-down clamps Corrosive acid buildup on battery terminals Incapable of generating voltage in compliance with R9-25-1005(B)(4)(b) |
| Electrical system | Does not comply with R9-25-1005(B)(7) | |
| Engine compartment wiring system | Does not comply with R9-25-1005(B)(5) | |
| Engine cooling system | Does not comply with R9-25-1005(B)(3) | Leaks in system Inadequate fluid in reservoir |
| Engine intake air cleaner | Does not comply with R9-25-1005(B)(1) | |
| DRIVER’S COMPARTMENT: | ||
| Air cooling system | Does not maintain temperature required according to R9-25-1005(B)(17) | Unsecured hoses |
| Instrument panel | Inoperative gauges, switches, or illumination | |
| Global positioning monitoring device | Except if under a waiver granted under R9-25-1005(E), lack of operative equipment | |
| Horn | Inoperative | |
| Siren | Inoperative | |
| Steering wheel bracing | Steering wheel bracing cracked | |
| Windshield-washer system | Does not comply with R9-25-1005(B)(41) | |
| Windshield defroster/defogger | Inoperative Ventilation system openings partially blocked | |
| Windshield wipers | Inoperative wiper on driver’s side | Inoperative speed control Split or cracked wiper blade Inoperative wiper on passenger’s side |
| Windshield | Windshield that is obstructed Placement of nontransparent materials that obstruct view | |
| Equipment | Inability to secure equipment | |
| Occupant restraint system | Absence of an occupant restraint system or inoperative occupant restraint system in the driver’s compartment | Frayed material on the occupant restraint system |
| Spot lamp in driver’s compartment | Inoperative | |
| Exhaust system | Exhaust fumes in the driver’s compartment | |
| PATIENT COMPARTMENT: | ||
| Air cooling system | Does not maintain temperature required according to R9-25-1005(B)(17) | Unsecured hoses |
| Heating system | Unsecured hoses Does not maintain minimum temperature required in R9-25-1005(B)(23) | |
| Equipment | Inability to secure oxygen tanks Inability of fixed oxygen tank to hold pressure | Inability to secure other equipment Inability of portable oxygen tank to hold pressure |
| Interior wall and floor coverings and seat upholstery | Visible blood, body fluids, or tissue | Unrepaired cuts or holes in seats Missing pieces of floor covering Upholstery, floor, walls, or ceiling not capable of being disinfected |
| Occupant restraint systems and securing belts | More than one inoperative occupant restraint system in the patient compartment Absence of securing belts on a stretcher | Frayed material on the occupant restraint system or securing belt One inoperative occupant restraint system in the patient compartment |
| Stretcher fastener | Does not comply with R9-25-1005(B)(38) | |
| Hangers | Supports or hangers protruding more than 2” when not being used | |
| Edges | Presence of exposed sharp edges | |
| Patient Compartment interior lamps | All lamps inoperative | Inoperative individual lamps Missing lens |
| Stretcher | Does not comply with R9-25-1005(B)(37) | |
| Exhaust system | Exhaust fumes in the patient compartment | |
| COMMUNICATION EQUIPMENT: | ||
| Communication capability between an ambulance attendant and the dispatch center | Lack of operative communication equipment | |
| Communication capability between an ambulance attendant and the physician proving on-line medical direction | Lack of operative communication equipment | |
| GENERAL SYSTEMS: | ||
| Frame | Cracks in frame | |
| Suspension | Broken suspension parts U-bolts loose or missing | Bent suspension parts Leaking shock absorbers Cracks or breaks in shock absorber mounting brackets |
| Side insulation | Missing or settled insulation | Inadequate insulation |
| Parking brake | Inoperative | |
| Vehicle brakes | Inoperative | Fluid leaks |
| Steering system | Inoperative | Power steering belts slipping Power steering belts cracked or frayed Fluid leaks Fluid does not fill the reservoir between the full level and the add level indicator on the dipstick |
New Table 10.1 made by final rulemaking at 30 A.A.R. 581 (March 29, 2024), with an immediate effective date of March 7, 2024 (Supp. 24-1).
| 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 |
| 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 reservoir/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” to 3.25” 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, defibrillator 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 |
| 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 |
| 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 |
New Table 10.2 made by final rulemaking at 30 A.A.R. 581 (March 29, 2024), with an immediate effective date of March 7, 2024 (Supp. 24-1).
New Section adopted by final rulemaking at 7 A.A.R. 1098, effective February 13, 2001 (Supp. 01-1). Repealed by final rulemaking at 30 A.A.R. 581 (March 29, 2024), with an immediate effective date of March 7, 2024 (Supp. 24-1).