333-264-0010 Definitions (1) "Advanced Emergency Medical Technician (AEMT or Advanced EMT)" means a person who is licensed by the Oregon Health Authority (Authority) as an Advanced Emergency Medical Technician. (2) "Ambulance service" means a person, governmental unit, or other entity that operates ambulances and holds itself out as providing prehospital care or medical transportation to persons who are ill or injured or who have disabilities. (3) "Authority" means the Emergency Medical Services and Trauma Systems Program, within the Oregon Health Authority, Public Health Division. (4) "Business day" means Monday through Friday when the Authority is open for business, excluding holidays. (5) "Clinical experience (clinical)" means learning in a medical, social service, residential, psychological, public health or other care setting that aligns with learning competencies, objectives, or outcomes in an EMS provider course. (6) "Competency-based assessment (CBA) program" means an assessment system specified by the Authority used to verify achievement of student performance outcomes in an EMS provider course. (7) "Course director" means the designated primary instructor of an EMS provider course. (8) "Direct visual supervision" means that a person qualified to supervise is at the patient's side to monitor the emergency medical services provider in training. (9) "Educational institution" means a degree-granting community college, college or university or a licensed vocational school accredited by the Northwest Commission on Colleges and Universities (NWCCU) or other institutional accrediting body, and that is authorized or licensed by the Oregon Higher Education Coordinating Commission to administer degree and certificate programs. (10) "Emergency care" means the performance of acts or procedures under emergency conditions in the observation, care and counsel of persons who are ill or injured or who have disabilities; in the administration of care or medications as prescribed by a licensed physician or naturopathic physician, insofar as any of these acts is based upon knowledge and application of the principles of biological, physical and social science as required by a completed course utilizing an approved curriculum in prehospital emergency care. However, "emergency care" does not include acts of medical diagnosis or prescription of therapeutic or corrective measures. (11) "EMS" means Emergency Medical Services. (12) "EMS medical director" has the same meaning as "supervising physician" in ORS 682.025. (13) "Emergency Medical Responder (EMR)" means a person who is licensed by the Authority as an Emergency Medical Responder. (14) "Emergency Medical Services (EMS) agency" means any person, governmental agency or unit, or other entity that utilizes emergency medical services providers to provide prehospital emergency or nonemergency care. An EMS agency may be either an ambulance service or a nontransporting service. (15) "Emergency Medical Services provider (EMS provider)" means a person who has received formal training in prehospital and emergency care, and is licensed to attend to any person who is ill or injured or who has a disability. Police officers, fire fighters, funeral home employees and other persons serving in a dual capacity, one of which meets the definition of "emergency medical services provider" are "emergency medical services providers" within the meaning of ORS chapter 682. (16) " EMS provider course" means a course of instruction approved by the Authority presenting the combination of learning activities, experiences, and assessments used to achieve content standards and student performance outcomes that are required in the initial training of an EMS provider. (17) "Emergency Medical Technician (EMT)" means a person who is licensed by the Authority as an Emergency Medical Technician. (18) "EMT-Intermediate" means a person who is licensed by the Authority as an EMT-Intermediate. (19) " Field experience" means student learning at an ambulance service or EMS agency that occurs under direct visual supervision and aligns with course objectives and student performance outcomes within an EMS provider course. (20) "Field internship" means student learning with a preceptor at an advanced life support ambulance service that operates within a 911 system. (21) "Governmental unit" means the state or any county, municipality or other political subdivision or any department, board or other agency of any of them. (22) "In good standing" means a person who is currently licensed and who does not have any restrictions placed on their license, or who is not on probation with a licensing agency or the National Registry for any reason. (23) " Instruction" means the facilitation and assessment of student learning that meets course objectives and student performance outcomes in an EMS provider course. (24) " Instructor" means a person who assists the course director with teaching activities in an EMS provider course. (25) "National Registry" means the National Registry of Emergency Medical Technicians. (26) "Nonemergency care" means the performance of acts or procedures on a patient who is not expected to die, become permanently disabled or suffer permanent harm within the next 24-hours, including but not limited to observation, care and counsel of a patient and the administration of medications prescribed by a physician licensed under ORS chapter 677, or naturopathic physician licensed under ORS chapter 685, insofar as any of those acts are based upon knowledge and application of the principles of biological, physical and social science and are performed in accordance with scope of practice rules adopted by the Oregon Medical Board in the course of providing prehospital care as defined by this rule. (27) "Nurse practitioner" means a person licensed by the Oregon State Board of Nursing in accordance with ORS chapter 678. (28) "Paramedic" means a person who is licensed by the Authority as a Paramedic. (29) "Patient" means a person who is ill or injured or who has a disability and who receives emergency or nonemergency care from an EMS provider. (30) "Prehospital care" means care rendered by EMS providers as an incident of the operation of an ambulance and care rendered by EMS providers as incidents of other public or private safety duties, and includes, but is not limited to "emergency care" as defined in this rule. (31) "Preceptor" means a person at an ambulance service who is licensed as a Paramedic or higher and who is in good standing with their state regulatory agency. The preceptor is appointed and approved by the educational institution, and supervises and evaluates the performance of an EMS provider student during the field internship of an EMS provider course. (32) "Protocols" has the same meaning as standing orders. (33) “Physician” means a person licensed by the Oregon Medical Board in accordance with ORS chapter 677. (34) “Physician associate” means a person licensed by the Oregon Medical Board in accordance with ORS 677.505 to ORS 677.525. (35) “Registered nurse” means a person licensed with the Oregon State Board of Nursing in accordance with ORS chapter 678. (36) "Scope of practice" means the maximum level of emergency or non-emergency care that an EMS provider may provide as set forth in rules adopted by the Oregon Medical Board. (37) "Standing orders" means the written protocols that an EMS provider follows to treat patients when direct contact with a physician is not maintained. (38) "These rules" means OAR 333-264-0000 through OAR 333-264-0140. Statutory/Other Authority: ORS 682.017 & ORS 682.208 Statutes/Other Implemented: ORS 682.017, ORS 682.208 & ORS 682.216 History: PH 78-2024, adopt filed 10/31/2024, effective 11/01/2024