THE PLT WAS 'UNCOMFORTABLE' WITH THE PHRASEOLOGY THE CTLR USED TO ASCERTAIN THE VFR FLT WAS IN FACT 'CLRED' INTO CLASS B AIRSPACE.

Narrative

ON AN AIR AMBULANCE FLT FROM PZO TO PHX WITH CRITICALLY ILL PATIENT ABOARD WITH FLT FOLLOWING FROM ZAB WE WERE HANDED OFF TO LUKE APCH 40-50 MI W NW OF PHX. WE ASKED LUKE TO COORDINATE OUR CLASS B CLRNC WITH PHX SINCE WE HAD A CRITICAL PATIENT AND WERE 'IN A HURRY.' LUKE APCH SAID THEY'D 'HANDLE IT' -- I THEN HEARD WE 'WERE CLRING' (NOT PROPER TERMINOLOGY); THEN WE ASSIGNED AN ALT AND HDG THAT PUT US IN CLASS B SPACE N OF GLENDALE ARPT FOLLOWED BY A FREQ CHANGE TO PHX APCH. BOTH FREQS TOO BUSY TO CONFIRM THE CLRNC AND TERMINOLOGY WITHOUT EXITING THE AREA AND PHX WAS ALREADY VECTORING US FOR A DOWNWIND AT SKY HARBOR (RWY 26R) NOBODY AT PHX APCH OR TWR INDICATED THAT WE WEREN'T CLRED -- BUT THAT'S NOT COMFORTABLE IN RETROSPECT. I HAVE EXPERIENCED A HISTORY OF UNCLR COORD BTWN LUKE AND PHX; WITH THE FACILITIES SO CLOSE THEY ARE GOING TO TURN ME OR SOMEONE ELSE INTO CLASS B SPACE WHERE THERE'S GOING TO BE A CHOICE BTWN A TFC CONFLICT OR A CLASS B 'BUST' -- NOT A CHOICE! WE NOW FILE IFR INTO PHX ACROSS THIS AREA EVEN IF IT MEANS DELAYING A CRITICAL MEDICAL TRANSPORT. THERE IS TOO MUCH FREQ CONGESTION COMBINED WITH POOR COORD. WE FEEL THIS PROB ACUTELY BECAUSE WE MAY INITIATE A MEDICAL FLT FROM A REMOTE LOCATION WITH NO FACILITIES OR COM AND BE IN CLASS B SPACE IN 30 MINS.