Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 72 - STATE COMPREHENSIVE EMERGENCY MEDICAL SERVICES SYSTEM › Subchapter 1 - GENERAL PROVISIONS › Section 11-72-2 - Definitions

Current through June, 2024
Whenever used in this chapter, unless the context otherwise
					 provides:
* "Advanced life support" or "ALS" means initiating basic
					 life support care as well as physician-authorized invasive patient care
					 designed to stabilize and support a patient's condition due to sudden illness
					 or injury. The care rendered, excluding basic life support, constitutes the
					 practice of medicine.
* "Advanced life support personnel" or "ALS personnel"
					 means individuals currently certified by the state board of medical examiners
					 as Mobile Intensive Care Technicians or MICTs.
* "Ambulance" means any privately or publicly owned ground
					 motor vehicle, watercraft, or aircraft that is specially designed or
					 constructed, equipped pursuant to section
					 11-72-29
					 intended to be used for and maintained or operated for the transportation of
					 patients with medical conditions unable to use other means of transportation,
					 except any such ground motor vehicle, watercraft, or aircraft owned or operated
					 under the direct control of the United States.
* "Ambulance service" means the business or regular
					 activity, whether for profit or not, of transporting either emergency or
					 nonemergency sick, injured, or otherwise medically or psychologically
					 incapacitated individuals by ambulances staffed by BLS or ALS personnel.
"Alternative destination" means a health care facility as
					 defined in section
					 323D-2, HRS, other
					 than a hospital-based emergency department, that has been designated by the
					 department of health, in accordance with subchapter
					 9, to receive and treat patients who
					 have been assessed by emergency medical services personnel as having injuries
					 or conditions that may be safely and appropriately treated by the alternative
					 destination. Alternative destination types may include, but not be limited to,
					 urgent care clinics, crisis or subacute stabilization units, and sobering
					 centers.
* "Basic life support" or "BLS" means initiating
					 noninvasive emergency patient care designed to optimize the patient's chances
					 of surviving the emergency situation. The care rendered consists of all
					 first-aid procedures needed, but does not include invasive procedures or other
					 procedures which constitute the practice of medicine.
* "Basic life support personnel" or "BLS personnel" means
					 individuals currently certified by the state board of medical examiners as
					 Emergency Medical Technicians or EMTs. "Cardiopulmonary Resuscitation" or "CPR"
					 means an emergency first-aid procedure that consists of opening and maintaining
					 a patient's airway, ventilating the patient, and providing artificial
					 circulation by means of external cardiac compression, as indicated.
"Community paramedicine" or "community paramedicine
					 program" means an enhanced and expanded service in the state comprehensive
					 emergency medical services system that allows state-licensed health care
					 professionals, and community health workers, to assist with public health,
					 primary care, and prevention services, including services through
					 telehealth.
"Community paramedic visit" means a scheduled visit in
					 which an emergency medical services professional certified under section
					 453-32,
					 HRS, assists with public health, primary care, and prevention services,
					 including services through telehealth.
* "Communications system" means all equipment, personnel,
					 and procedures established and operated to provide a means for accepting calls
					 for emergency medical services, for dispatching and coordinating emergency
					 medical personnel and vehicles, and for conducting medical communications, such
					 as that between emergency medical services personnel and a licensed physician
					 in a hospital emergency room approved by the. director.
* "Director" means the director of health or the
					 designated representative of the director of health.
* "Disaster situation" includes "mass casualties",
					 "national emergency", "natural disaster", or person-caused disaster.
* "Emergency ambulance call" means a request that is not
					 prearranged for assistance requiring an ambulance unit to be dispatched to
					 provide immediate prehospital medical care to each patient who is sick,
					 injured, or otherwise medically or psychologically incapacitated.
* "Emergency medical services" or "EMS" means the services
					 utilized in responding to a perceived need for immediate medical care in order
					 to prevent loss of life or aggravation of physiological or psychological
					 sickness, injury, or incapacitating condition.
* "Mass casualties" means so many persons being injured,
					 incapacitated, made ill, or killed that ordinary resources for emergency
					 treatment are strained beyond capacity.
* "Medical attendant" means a State of Hawaii licensed
					 physician, State of Hawaii licensed registered nurse, state certified BLS
					 personnel, or state certified ALS personnel.
* "Medical direction off-line" means a system of medical
					 support which includes the review and monitoring of prehospital emergency
					 services,. this support being provided by physicians experienced in the conduct
					 and the delivery of prehospital emergency medical services.
* "Medical direction on-line" means advice, assistance,
					 supervision, and control provided from a state designated regional medical
					 facility staffed by emergency physicians supplying professional support through
					 radio, telephonic, or any written or oral communication for on-site and in-
					 transit basic and advanced life support services given by prehospital field
					 personnel.
* "Person-caused disaster" means accidents caused by
					 persons including, but not limited to fire, explosion, radiation, and hazardous
					 material spills that result in hazard, illness, injury, or death to large
					 numbers of citizens, or that presents a potential for such hazard, illness,
					 injury, or death.
* "Phased emergency response system" means the equipment,
					 supplies, medications, transportation, personnel, and procedures arranged to
					 provide the coordinated delivery of prehospital emergency medical services by
					 identified private individuals, public safety personnel, and state and private
					 and other agencies in a timely pattern that progresses from the CPR or first
					 aid trained individual to more advanced levels of emergency medical care in
					 order to provide a continuum of emergency medical care to a patient, from the
					 time of occurrence of an emergency incident until admission for treatment in
					 the emergency room or medical facility.
* "State comprehensive prehospital emergency medical
					 services system" means the state program established to provide for the
					 arrangement of personnel, facilities, and equipment for the effective and
					 coordinated delivery of health care services under emergency conditions
					 throughout the State, whether occurring as a result of a patient's condition or
					 of natural disasters or other causes. The state comprehensive medical services
					 system is designed to provide services on the islands of Oahu, Hawaii, Kauai,
					 Maui Lanai, and Molokai.
"Transport to an alternative destination" means a patient
					 is provided emergency medical services and transported by emergency ground
					 ambulance to an alternative destination.
"Treat/no transport" means a patient is provided advanced
					 life support or basic life support by emergency medical services personnel but
					 is not transported.