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MCCCD EMT 104 - Study Guide

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BEMS ASA noticeBureau of Emergency Medical ServicesBEMS Epi noticeBureau of Emergency Medical ServicesDivision of Public Health Services Office of the Assistant Director Public Health Preparedness Services Bureau of Emergency Medical Services 150 N. 18th Avenue, Suite 540 JANET NAPOLITANO, GOVERNOR Phoenix, Arizona 85007 CATHERINE R. EDEN, DIRECTOR (602) 364-3150 / 1-800-200-8523 (602) 364-3568 FAX Notice of Exempt Rulemaking Change Adopting A.A.C. R9-25-510, Protocol for EMT-B Carrying and Administration of Aspirin, Effective April 1, 2005 Since June 2002, when the Arizona Department of Health Services (ADHS) added the EMT-Basic (EMT-B) Drug List in A.A.C. R9-25-803, Exhibit 1 (now A.A.C. R9-25-503, Exhibit 1), there has been some confusion within the emergency medical services community about EMT-Bs’ authority to carry aspirin and to administer aspirin to prehospital patients. Through an Exempt Rulemaking effective April 1, 2005, ADHS is adopting a new A.A.C. R9-25-510, Protocol for EMT-B Carrying and Administration of Aspirin. A.A.C. R9-25-510 is intended to clarify EMT-Bs’ authority to carry aspirin and to administer aspirin to prehospital patients. The rule clarifies that: • An EMT-B is authorized to carry aspirin, • An EMT-B is authorized to administer aspirin only to an adult patient suffering from chest pain, and • Administration of aspirin to an adult patient suffering from chest pain is not an advanced procedure that requires an EMT-B to have administrative medical direction and on-line medical direction. The changes are consistent with recommendations made to ADHS in January 2002 by the Medical Direction Commission, the statutory committee created by A.R.S. § 36-2203.01, and in April 2002 by the Emergency Medical Services Council, the statutory committee created by A.R.S. § 36-2203. The rule states the following: R9-25-510. Protocol for EMT-B Carrying and Administration of Aspirin (A.R.S. §§ 36-2202, 36-2204, 36-2205, and 36-2209) A. An EMT-B is authorized to carry aspirin for administration as described in subsection (B). B. An EMT-B is authorized to administer aspirin only to an adult patient who is suffering from chest pain. C. An EMT-B’s administration of aspirin to an adult patient who is suffering from chest pain is not an advanced procedure that requires the EMT-B to have administrative medical direction and on-line medical direction. D. For purposes of this Section, “adult” means 18 years of age or older. The Notice of Exempt Rulemaking will be published in the Arizona Administrative Register (AAR) on April 22, 2005. A link to the AAR will be available on the ADHS website at http://www.azdhs.gov/diro/admin_rules/exempt.htm shortly thereafter. In addition, for your convenience, links to copies of the new A.A.C. R9-25-510 and this notice document are available on the ADHS website at http://www.azdhs.gov/bems/new.htm. If you have any questions about this Exempt rulemaking, please contact Gene Wikle at [email protected] or (602) 364-3150. Leadership for a Healthy ArizonaDivision of Public Health Services Office of the Assistant Director Public Health Preparedness Services Bureau of Emergency Medical Services 150 N. 18th Avenue, Suite 540 JANET NAPOLITANO, GOVERNOR Phoenix, Arizona 85007 SUSAN GERARD, DIRECTOR (602) 364-3150 / 1-800-200-8523 (602) 364-3568 FAX Notice of Exempt Rulemaking and New Drug Profiles, Effective June 8, 2005 Through an Exempt Rulemaking effective June 8, 2005, the Arizona Department of Health Services (ADHS) is: • Amending the drug lists in Exhibit 1 to A.A.C. R9-25-503 to add epinephrine auto-injectors to the EMT-Basic (EMT-B) Drug List and to eliminate virtually all drug dosage or concentration requirements; • Adopting A.A.C. R9-25-509, Protocol for EMT-B Administration of Epinephrine by Auto-injector, to authorize an EMT-B to administer an epinephrine auto-injector after completing mandatory training; and • Amending A.A.C. R9-25-510, Protocol for EMT-B Carrying and Administration of Aspirin, to elaborate on the patients to whom an EMT-B is authorized to administer aspirin. To accompany the Exempt Rulemaking, ADHS is also adopting as Guidance Documents the following new Drug Profiles, effective June 8, 2005: • GD-065-PHS-EMS: Drug Profile for Epinephrine Auto-Injector, and • GD-066-PHS-EMS: Drug Profile for EMT-B Administration of Aspirin. These Drug Profiles present ADHS’s recommendations for the administration of these drugs by EMT-Bs in the prehospital setting. ADHS intends for these Drug Profiles to be useful training tools. The Exempt Rulemaking and the new Drug Profiles are consistent with recommendations made to ADHS by the Medical Direction Commission; the Emergency Medical Services Council; and the Protocols, Medications, and Devices Committee. Information about the history of these recommendations is included in the Preamble of the Notice of Exempt Rulemaking. The Notice of Exempt Rulemaking (NER) and two Notices of Guidance Document (NGD) will be published in the Arizona Administrative Register (AAR) on June 24, 2005. Links to the Notices in the AAR will be available on the ADHS website shortly thereafter at http://www.azdhs.gov/diro/admin_rules/exempt.htm (for the NER) and http://www.azdhs.gov/diro/admin_rules/guidance.htm (for the NGD). For your convenience, copies of the amended Exhibit 1 to A.A.C. R9-25-503, new A.A.C. R9-25-509, amended A.A.C. R9-25-510, and new Drug Profiles are currently available on the ADHS website at http://www.azdhs.gov/bems/new.htm. Exhibit 1 and the Drug Profiles are also available at http://www.azdhs.gov/bems/drugs.htm. If you have any questions about the Exempt rulemaking or new Drug Profiles, please contact Gene Wikle at [email protected] or (602) 364-3150. Leadership for a Healthy


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MCCCD EMT 104 - Study Guide

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