Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE › Subpart A - GENERAL PROVISIONS › Section 515.100 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
Act - the Emergency Medical Services (EMS) Systems Act [210
				  ILCS 50].
Acute Stroke-Ready Hospital
or ASRH
- a hospital that has been designated by the Department as meeting the
				  criteria for providing emergent stroke care. Designation may be provided after
				  a hospital has been certified or through application and designation
				  as
an Acute Stroke-Ready Hospital
.
(Section 3.116 of
				  the Act)
Advanced Emergency Medical Technician or A-EMT - a
				  person who has successfully completed a course in basic and limited advanced
				  emergency medical care as approved by the Department, is currently licensed by
				  the Department in accordance with standards prescribed by the Act and
this Part
, and practices within an Intermediate or Advanced Life
				  Support EMS System.
(Section 3.50(b-5) of the Act)
Advanced Life Support Services
or
ALS Services
-
an advanced level of pre-hospital and
				  inter-hospital emergency care and non-emergency medical services that includes
				  basic life support care, cardiac monitoring, cardiac defibrillation,
				  electrocardiography, intravenous therapy, administration of medications, drugs
				  and solutions, use of adjunctive medical devices, trauma care, and other
				  authorized techniques and procedures as outlined in the National EMS Education
				  Standards relating to Advanced Life Support and any modifications to that
				  curriculum
or those standards
specified in
this Part.
				  (Section
				  3.10(a)
				  of the Act)
Advanced Practice Registered Nurse or APRN - a person
				  currently licensed as an advanced practice registered nurse under the Illinois
				  Nurse Practice Act by the Illinois Department of Financial and Professional
				  Regulation.
Aeromedical Crew Member or Watercraft Crew Member or Off-road
				  Specialized Emergency Medical Services Vehicle (SEMSV) Crew Member - an
				  individual, other than an EMS pilot, who has been approved by an SEMSV Medical
				  Director for specific medical duties in a helicopter or fixed-wing aircraft, on
				  a watercraft, or on an off-road SEMSV used in a Department-certified SEMSV
				  Program.
Alternate EMS Medical Director or Alternate EMS MD - the
				  physician who is designated by the Resource Hospital to direct the
				  ALS/Advanced/ILS/BLS operations in the absence of the EMS Medical
				  Director.
Alternate Response Vehicle - ambulance assist vehicles and
				  non-transport vehicles as defined in Section
				  515.825
				  and Section
				  515.827.
Ambulance
-
any publicly or
				  privately owned on-road vehicle that is specifically designed, constructed or
				  modified and equipped
for
, and is intended to be used for, and
				  is maintained or operated for
,
the emergency transportation of
				  persons who are sick, injured, wounded or otherwise incapacitated or helpless,
				  or the non-emergency medical transportation of persons who require the presence
				  of medical personnel to monitor the individual's condition or medical apparatus
				  being used on such individuals.
(Section 3.85 of the Act)
Ambulance Assistance Vehicle Provider
-
a provider of ambulance assistance vehicles that is licensed under the
				  Act and serves a population within the State.
(Section 3.88(a) of the
				  Act)
Ambulance Service Provider and Vehicle Service Provider
				  Upgrades - Rural Population - a practice that allows an ambulance, alternate
				  response vehicle, specialized emergency medical services vehicle or vehicle
				  service provider that serves a population of 7,500 or fewer to upgrade the
				  level of service of the provider vehicle using pre-approved System personnel
				  and equipment.
Ambulance Service Provider - any individual, group of
				  individuals, corporation, partnership, association, trust, joint venture, unit
				  of local government or other public or private ownership entity that owns and
				  operates a business or service using one or more ambulances or EMS vehicles for
				  the transportation of emergency patients.
Applicant - an individual or entity applying for a
				  Department-issued license or certification.
Associate Hospital - a hospital participating in an approved
				  EMS System in accordance with the EMS System Program Plan, fulfilling the same
				  clinical and communications requirements as the Resource Hospital. This
				  hospital has neither the primary responsibility for conducting education
				  programs nor the responsibility for the overall operation of the EMS System
				  program. The Associate Hospital must have a basic or comprehensive emergency
				  department with 24-hour physician coverage. It shall have a functioning
				  Intensive Care Unit or a Cardiac Care Unit.
Associate Hospital EMS Coordinator - the paramedic or
				  registered professional nurse at the Associate Hospital who shall be
				  responsible for duties in relation to the EMS System, in accordance with the
				  Department-approved EMS System Program Plan.
Associate Hospital EMS Medical Director - the physician at
				  the Associate Hospital who shall be responsible for the day-to-day operations
				  of the Associate Hospital in relation to the EMS System, in accordance with the
				  Department-approved EMS System Program Plan.
Basic Emergency Department - a classification of a hospital
				  emergency department where at least one physician is available in the emergency
				  department at all times; physician specialists are available in minutes; and
				  ancillary services, including laboratory, x-ray and pharmacy, are staffed or
				  are "on-call" at all times in accordance with Section
				  250.710 of
				  the Hospital Licensing Requirements.
Basic Life Support
or BLS
Services
-
a basic level of pre-hospital and
				  inter-hospital emergency care and non-emergency medical services that includes
				  medical monitoring, clinical observation, airway management, cardiopulmonary
				  resuscitation (CPR), control of shock and bleeding and splinting of fractures,
				  as outlined in the National EMS Education Standards relating to Basic Life
				  Support and any modifications to that curriculum
or
standards
				  specified in
this Part. (Section
				  3.10(c)
				  of the Act)
Board Eligible in Emergency Medicine - completion of a
				  residency in Emergency Medicine in a program approved by the Residency Review
				  Committee for Emergency Medicine or the Council on Postdoctoral Training (COPT)
				  for the American Osteopathic Association (AOA).
Continuing Education or CE - ongoing emergency medical
				  education after licensure that is designated to maintain, update or upgrade
				  medical knowledge and skills.
Certified Registered Nurse Anesthetist or CRNA - a licensed
				  registered professional nurse who has had additional education beyond the
				  registered professional nurse requirements at a school/program accredited by
				  the National Council on Accreditation; who has passed the certifying exam given
				  by the National Council on Certification; and who, by participating in 40 hours
				  of continuing education every two years, has been recertified by the National
				  Council on Recertification.
Child Abuse and Neglect - see the definitions of "abused
				  child" and "neglected child" in Section 3 of the Abused and Neglected Child
				  Reporting Act.
Child Life Specialist - a person whose primary role is to
				  minimize the adverse effects of children's experiences by facilitating coping
				  and the psychosocial adjustment of children and their families through the
				  continuum of care.
Clinical Nurse Specialist - a person who is currently
				  licensed as an APRN and who has met all qualifications for a clinical nurse
				  specialist. For out-of-state facilities that have Illinois recognition under
				  the EMS, trauma, or pediatric program, the clinical nurse specialist shall have
				  an unencumbered license in the state in which he or she practices.
Clinical Observation
-
ongoing
				  observation of a patient's condition by a licensed health care professional
				  utilizing a medical skill set while continuing assessment and care.
(Section 3.5 of the Act)
Comprehensive Emergency Department - a classification of a
				  hospital emergency department where at least one licensed physician is
				  available in the emergency department at all times; physician specialists shall
				  be available in minutes; ancillary services, including laboratory and x-ray,
				  are staffed at all times; and the pharmacy is staffed or "on-call" at all times
				  in accordance with Section
				  250.710 of
				  the Hospital Licensing Requirements.
Comprehensive Stroke Center
or CSC
-
				  a hospital that has been certified and has been designated as
a
				  Comprehensive Stroke Center under Subpart K. (Section 3.116 of the Act)
CPR for Healthcare Providers - a course in cardiopulmonary
				  resuscitation that meets or exceeds the American Heart Association course "BLS
				  for Healthcare Providers".
Critical Care Transport or CCT or Specialty Care Transport or
				  SCT -
pre-hospital or inter-hospital transportation of a critically
				  injured or ill patient by a vehicle service provider, including the provision
				  of medically necessary supplies and services, at a level of service beyond the
				  scope of the paramedic. When medically indicated for a patient, as determined
				  by a physician licensed to practice medicine in all of its branches, an APRN,
				  or a physician assistant, in compliance with Section 3.155(b) and (c)
				  of
the
Act.
(Section 3.10(f-5).
Department
or IDPH -
the Illinois
				  Department of Public Health.
(Section 3.5 of the Act)
Director
-
the Director of the
				  Illinois Department of Public Health
or his/her designee. (Section 3.5
				  of the Act)
Door-to-_____ - the time from patient arrival at the health
				  care facility until the specified result, procedure or intervention
				  occurs.
Dysrhythmia - a variation from the normal electrical rate and
				  sequences of cardiac activity, also including abnormalities of impulse
				  formation and conduction.
Electrocardiogram or EKG - a single lead graphic recording of
				  the electrical activity of the heart by a series of deflections that represent
				  certain components of the cardiac cycle.
Emergency
-
a medical condition of
				  recent onset and severity that would lead a prudent layperson, possessing an
				  average knowledge of medicine and health, to believe that urgent or unscheduled
				  medical care is required.
(Section 3.5 of the Act)
Emergency Communications Registered Nurse or
				  ECRN
-
a
registered professional nurse
				  licensed under the Nurse Practice Act who has successfully completed
				  supplemental education in accordance with
this Part
and who is
				  approved by an EMS Medical Director to monitor telecommunications from and give
				  voice orders to EMS System personnel, under the authority of the EMS Medical
				  Director and in accordance with System protocols.
(Section
				  3.80 of
				  the Act) For out-of-state facilities that have Illinois recognition under the
				  EMS, trauma, or pediatric program, the professional shall have an unencumbered
				  license in the state in which he or she practices.
Emergency Department Approved for Pediatrics or EDAP - a
				  hospital participating in an approved EMS System and designated by the
				  Department pursuant to Section
				  515.4000
				  of this Part as being capable of providing optimal emergency department care to
				  pediatric patients 24 hours per day.
Emergency Medical Dispatch Priority Reference System or
				  EMDPRS - an EMS System's organized approach to the receipt, management and
				  disposition of a request for emergency medical services.
Emergency Medical Dispatcher
or EMD -
a person who has successfully completed a training course in emergency
				  medical dispatching in accordance with
this Part,
who accepts
				  calls from the public for emergency medical services and dispatches designated
				  emergency medical services personnel and vehicles.
(Section
				  3.70
				  of the Act)
Emergency Medical Responder or EMR (AKA First Responder) - a
				  person who has successfully completed a course of instruction for the Emergency
				  Medical Responder as approved by the Department, who provides Emergency Medical
				  Responder services prior to the arrival of an ambulance or specialized
				  emergency medical services vehicle, in accordance with the level of care
				  established in the National EMS Educational Standards for Emergency Medical
				  Responders as modified by the Department.
Emergency Medical Responder Services
-
a preliminary level of pre-hospital emergency care that includes
				  cardiopulmonary resuscitation (CPR), monitoring vital signs and control of
				  bleeding, as outlined in the
Emergency Medical Responder (EMR)
				  curriculum
of the National EMS Education standards and any
				  modifications to that curriculum
(standards)
specified
				  in
this Part. (Section
				  3.10(d)
				  of the Act)
Emergency Medical Services Personnel or EMS
Personnel
- persons licensed as an Emergency Medical Responder (EMR)
				  (First Responder), Emergency Medical Dispatcher (EMD), Emergency Medical
				  Technician (EMT), Emergency Medical Technician-Intermediate (EMT-I), Advanced
				  Emergency Medical Technician (A-EMT), Paramedic, Emergency Communications
				  Registered Nurse (ECRN), or Pre-Hospital Registered Nurse (PHRN).
(Section 3.5 or the Act)
Emergency Medical Services System
or EMS
				  System or System -
an organization of hospitals, vehicle service
				  providers and personnel approved by the Department in a specific geographic
				  area, which coordinates and provides pre-hospital and inter-hospital emergency
				  care and non-emergency medical transports at a BLS, ILS and/or ALS level
				  pursuant to a System Program Plan submitted to and approved by the Department,
				  and pursuant to the EMS Region Plan adopted for the EMS Region in which the
				  System is located.
(Section
				  3.20(a)
				  of the Act)
Emergency Medical Services System Survey - a questionnaire
				  that provides data to the Department for the purpose of compiling annual
				  reports.
Emergency Medical Technician or EMT (AKA
				  EMT-B)
-
a person who has successfully completed a course in
				  basic life support as approved by the Department, is currently licensed by the
				  Department in accordance with standards prescribed by
the
Act
				  and
this Part
and practices within an EMS System.
(Section
				  3.50(a)
				  of the Act)
Emergency Medical Technician-Coal Miner - for purposes of the
				  Coal Mine Medical Emergencies Act, an EMT, A-EMT, EMT-I or Paramedic who has
				  received additional education emphasizing extrication from a coal mine.
Emergency Medical Technician-Intermediate or
				  EMT-I
-
a person who has successfully completed a course in
				  intermediate life support as approved by the Department, is currently licensed
				  by the Department in accordance with the standards prescribed in
this
				  Part
and practices within an Intermediate or Advanced Life Support EMS
				  System.
(Section
				  3.50(b)
				  of the Act)
Emergent Stroke Care - emergency medical care that
				  includes diagnosis and emergency medical treatment of
suspected or
				  known
acute stroke patients.
(Section 3.116 of the Act)
Emergent Stroke Ready Hospital - a hospital that has
				  been designated by the Department as meeting the
criteria for
				  providing emergent stroke care
as set forth in the Act and Section
				  515.5060.
				  (Section 3.116 of the Act)
EMS - emergency medical services.
EMS Administrative Director - the administrator,
				  appointed by the Resource Hospital
in consultation with the EMS
				  Medical Director, in accordance with
this Part,
responsible
				  for the administration of the EMS System
. (Section 3.35 of the
				  Act)
EMSC - Emergency Medical Services for Children.
EMS Lead Instructor or LI
-
a person
				  who has successfully completed a course of education as approved by the
				  Department
in this Part,
and who is currently approved by the
				  Department to coordinate or teach education, training and continuing education
				  courses, in accordance with
this Part. (Section 3.65(a) of the
				  Act)
EMS Medical Director or EMS MD - the physician, appointed by
				  the Resource Hospital, who has the responsibility and authority for total
				  management of the EMS System.
EMS Regional Plan - a plan established by the EMS Medical
				  Director's Committee in accordance with Section
				  3.30 of the
				  Act.
EMS System Coordinator - an individual responsible to the EMS
				  Medical Director and EMS Administrative Director for coordination of the
				  educational and functional aspects of the System program.
EMS System Program Plan - the document prepared by the
				  Resource Hospital and approved by the Department that describes the EMS System
				  program and directs the program's operation.
Fixed-Wing Aircraft - an engine-driven aircraft that is
				  heavier than air, and is supported in-flight by the dynamic reaction of the air
				  against its wings.
Full-Time - on duty a minimum of 36 hours a week.
Half-Duplex Communications - a radio or device that transmits
				  and receives signals in only one direction at a time.
Health Care Facility
-
a hospital,
				  nursing home, physician's office or other fixed location at which medical and
				  health care services are performed. It does not include "pre-hospital emergency
				  care settings"
that
utilize EMS Personnel to render
				  pre-hospital emergency care prior to the arrival of a transport vehicle, as
				  defined in
the
Act
and this Part. (Section 3.5 of the
				  Act)
Helicopter or Rotorcraft - an aircraft that is capable of
				  vertical take offs and landings, including maintaining a hover.
Helicopter Shopping - the practice of calling various
				  operators until a helicopter emergency medical services (HEMS) operator agrees
				  to take a flight assignment, without sharing with subsequent operators that the
				  previously called operators declined the flight, or the reasons why the flight
				  was declined.
Hospital -
has the meaning ascribed to that term
				  in
Section 3 of the
Hospital Licensing Act
. (Section
				  3.5 of the Act)
Hospitalist - a physician who primarily provides
				  unit-based/in-hospital services.
In-Field Service Level Upgrade - a practice that allows the
				  delivery of advanced care from a lower level service provider by a licensed
				  higher level of care ambulance, alternate response vehicle, or specialized
				  emergency medical services vehicle according to a pre-approved written plan
				  approved by the local EMS Medical Director.
Instrument Flight Rules or IFR - the operation of an aircraft
				  in weather minimums below the minimums for flight under visual flight rules
				  (VFR). (See General Operating and Flight Rules,
				  14 CFR
				  91.115 through
				  91.129.)
Instrument Meteorological Conditions or IMC - meteorological
				  conditions expressed in terms of visibility, distance from clouds and ceiling,
				  which require Instrument Flight Rules.
Intermediate Life Support Services
or
ILS Services
-
an intermediate level of pre-hospital
				  and inter-hospital emergency care and non-emergency medical services that
				  includes basic life support care plus intravenous cannulation and fluid
				  therapy, invasive airway management, trauma care, and other authorized
				  techniques and procedures as outlined in the Intermediate Life
				  Support
national curriculum
of the United
				  States Department of Transportation and any modifications to that curriculum
				  specified in
this Part. (Section
				  3.10 of the Act)
Level I Trauma Center - a hospital participating in an
				  approved EMS System and designated by the Department pursuant to Section
				  515.2030
				  to provide optimal care to trauma patients and to provide all essential
				  services in-house, 24 hours per day.
Level II Trauma Center - a hospital participating in an
				  approved EMS System and designated by the Department pursuant to Section
				  515.2040
				  to provide optimal care to trauma patients, to provide some essential services
				  available in-house 24 hours per day, and to provide other essential services
				  readily available 24 hours a day.
Licensee - an individual or entity to which the Department
				  has issued a license.
Limited Operation Vehicle
-
a
				  vehicle which is licensed by the Department to provide basic, intermediate or
				  advanced life support emergency or non-emergency medical services that are
				  exclusively limited to specific events or locales.
(Section 3.85 of
				  the Act)
Local System Review Board - a group established by the
				  Resource Hospital to hear appeals from EMS Personnel or other providers who
				  have been suspended or have received notification of suspension from the EMS
				  Medical Director.
Medical Monitoring
-
the performance
				  of medical tests and physical exams to evaluate an individual's on-going
				  exposure to a factor that could negatively impact that person's
				  health.
This
includes close surveillance or supervision of
				  patient's liable to suffer deterioration in physical or mental health and
				  checks of various parameters such as pulse rate, temperature, respiration rate,
				  the condition of the pupils, the level of consciousness and awareness, the
				  degree of appreciation of pain, and blood gas concentrations such as oxygen and
				  carbon dioxide.
(Section 3.5 of the Act)
Mobile Radio - a two-way radio installed in an EMS vehicle,
				  which may not be readily removed.
Morbidity - a negative outcome that is the result of the
				  original medical or trauma condition or treatment rendered or omitted.
911 - an emergency answer and response system in which the
				  caller need only dial 9-1-1 on a telephone or mobile device to obtain emergency
				  services, including police, fire, medical ambulance and rescue.
Non-emergency Medical Care
-
medical
				  care, clinical observation, or medical monitoring rendered to patients whose
				  conditions do not meet
the
Act's definition of emergency,
				  before or during transportation of such patients to or from health care
				  facilities visited for the purpose of obtaining medical or health care
				  services
that
are not emergency in nature, using a vehicle
				  regulated by
the
Act
and this Part. (Section
				  3.10(g)
				  of the Act)
Nurse Practitioner - a person who is currently licensed as an
				  APRN and who has met all qualifications for a nurse practitioner. For
				  out-of-state facilities that have Illinois recognition under the EMS, trauma,
				  or pediatric program, the nurse practitioner shall have an unencumbered license
				  in the state in which he or she practices.
Off-Road Specialized Emergency Medical Services Vehicle or
				  Off-Road SEMSV or Off-Road SEMS Vehicle - a motorized cart, golf cart,
				  all-terrain vehicle (ATV), or amphibious vehicle that is not intended for use
				  on public roads.
Paramedic
or EMT-P
- a person who
				  has successfully completed a course in advanced life support care as approved
				  by the Department, is currently licensed by the Department in accordance with
				  standards prescribed by
the
Act and
this Part
and practices within an Advanced Life Support EMS System.
(Section
				  3.50 of the
				  Act)
Participating Hospital - a hospital participating in an
				  approved EMS System in accordance with the EMS System Program Plan, which is
				  not a Resource Hospital or an Associate Hospital.
Pediatric Critical Care Center or PCCC - a hospital
				  participating in an approved EMS System and designated by the Department as
				  being capable of providing optimal critical and specialty care services to
				  pediatric patients, and of providing all essential services either in-house or
				  readily available 24 hours per day.
Pediatric Patient - patient from birth through 15 years of
				  age.
Physician - any person licensed to practice medicine in all
				  of its branches under the Illinois Medical Practice Act of 1987. For
				  out-of-state facilities that have Illinois recognition under the EMS, trauma,
				  or pediatric program, the physician shall have an unencumbered license in the
				  state in which he or she practices.
Physician Assistant or PA - a person who is licensed under
				  the Physician Assistant Practice Act. For out-of-state facilities that have
				  Illinois recognition under the EMS, trauma, or pediatric program, the PA shall
				  have an unencumbered license in the state in which he or she practices.
Pilot or EMS Pilot - a pilot certified by the Federal
				  Aviation Administration who has been approved by an SEMSV Medical Director to
				  fly a helicopter or fixed-wing aircraft used in a Department-certified SEMSV
				  Program.
Police Dog
-
a
specially
				  trained
dog owned or used by a law enforcement department or agency in
				  the course of the department's or agency's
official
work,
				  including a search and rescue dog, service dog, accelerant detection canine, or
				  other dog that is in use by a county, municipal, or State law enforcement
				  agency
for official duties
.
(Section 3.55(e) of the
				  Act)
Practitioner Order for Life-Sustaining Treatment on POLST or
				  Do Not Resuscitate or DNR - an authorized practitioner order that reflects an
				  individual's wishes about receiving cardiopulmonary resuscitation (CPR) and
				  life-sustaining treatments, including medical interventions and artificially
				  administered nutrition.
Pre-Hospital Advanced Practice Registered Nurse or PHAPRN -
				  an APRN, with an unencumbered APRN license in Illinois, who has successfully
				  completed supplemental education in accordance with this Part and who is
				  approved by an Illinois EMS Medical Director to practice within an EMS System
				  for pre-hospital and inter-hospital emergency care and non-emergency medical
				  transports.
Pre-Hospital Care
-
those medical
				  services rendered to patients for analytic, resuscitative, stabilizing, or
				  preventive purposes, precedent to and during transportation of such patients to
				  healthcare facilities.
(Section
				  3.10(e)
				  of the Act)
Pre-Hospital Care Participants - Any EMS Personnel, Ambulance
				  Service Provider, EMS Vehicle, Associate Hospital, Participating Hospital, EMS
				  Administrative Director, EMS System Coordinator, Associate Hospital EMS
				  Coordinator, Associate Hospital EMS Medical Director, ECRN, Resource Hospital,
				  Emergency Dispatch Center or physician serving on an ambulance or non-transport
				  vehicle or giving voice orders for an EMS System and who are subject to
				  suspension by the EMS Medical Director of that System in accordance with the
				  policies of the EMS System Program Plan approved by the Department.
Pre-Hospital Physician Assistant or PHPA
-
a
				  graduate PA, with an unencumbered Illinois Physician Assistant License, who has
				  successfully completed supplemental education in accordance with this Part and
				  who is approved by an Illinois EMS Medical Director to practice within an EMS
				  System for pre-hospital and inter-hospital emergency care and non-emergency
				  medical transports.
Pre-Hospital Registered Nurse or
PHRN -
a
registered professional nurse, with an unencumbered
				  registered professional nurse license in the state in which he or she practices
				  who has successfully completed supplemental education in accordance
				  with
this Part
and who is approved by an Illinois EMS Medical
				  Director to practice within an EMS System for pre-hospital and inter-hospital
				  emergency care and non-emergency medical transports.
(Section
				  3.80 of
				  the Act) For out-of-state facilities that have Illinois recognition under the
				  EMS, trauma, or pediatric program, the professional shall have an unencumbered
				  license in the state in which he or she practices.
Primary Stroke Center
or PSC
- a
				  hospital that has been certified by a Department-approved, nationally
				  recognized certifying body and designated as
a Primary Stroke Center
by the Department.
(Section 3.116 of the Act)
Provisional EMR - a person who is at least 16 years of age,
				  who has successfully completed a course of instruction for emergency medical
				  responders as prescribed by the Department and passed the exam, and who
				  functions within an approved EMS System pursuant to Section
				  515.715.
Regional EMS Advisory Committee
-
a
				  committee formed within an Emergency Medical Services Region to advise the
				  Region's EMS Medical Directors Committee and to select the Region's
				  representative to the State Emergency Medical Services Advisory Council,
				  consisting of at least the members of the Region's EMS Medical Directors
				  Committee, the Chair of the Regional Trauma Committee, the EMS System
				  Coordinators from each Resource Hospital within the Region, one administrative
				  representative from an Associate Hospital within the Region, one administrative
				  representative from a Participating Hospital within the Region, one
				  administrative representative from the vehicle service provider which responds
				  to the highest number of calls for emergency service within the Region, one
				  administrative representative of a vehicle service provider from each System
				  within the Region, one individual from each level of license provided
by the
Act, one pre-hospital registered nurse practicing within the
				  Region, and one
registered professional nurse currently
				  practicing in an emergency department within the Region. Of the
two
administrative representatives of vehicle service providers, at least
				  one shall be an administrative representative of a private vehicle service
				  provider. The Department's Regional EMS Coordinator for each Region shall serve
				  as a non-voting member of that Region's EMS Advisory Committee.
(Section 3.25 of the Act)
Regional EMS Coordinator - the designee of the Chief,
				  Division of Emergency Medical Services and Highway Safety, Illinois Department
				  of Public Health.
Regional EMS Medical Directors Committee - a group
comprised of the Region's EMS Medical Directors, along with the medical
				  advisor to a fire department vehicle service provider. For regions that include
				  a municipal fire department serving a population of over 2,000,000 people, that
				  fire department's medical advisor shall serve on the Committee. For other
				  regions, the fire department vehicle service providers shall select which
				  medical advisor to serve on the Committee on an annual basis.
(Section
				  3.25 of the Act)
Regional Stroke Advisory Subcommittee - a
				  subcommittee formed within each Regional EMS Advisory Committee to advise the
				  Director and the Region's EMS Medical Directors Committee on the triage,
				  treatment, and transport of possible acute stroke patients and to select the
				  Region's representative to the State Stroke Advisory Subcommittee.
(Section 3.116 of the Act) The composition of the Subcommittee shall be as set
				  forth in Section 3.116 of the Act.
Regional Trauma Advisory Committee
-
a committee formed within an Emergency Medical Services Region, to
				  advise the Region's Trauma Center Medical Directors Committee, consisting of at
				  least the Trauma Center Medical Directors and Trauma Coordinators from each
				  trauma center within the Region, one EMS Medical Director from a Resource
				  Hospital within the Region, one EMS System Coordinator from another Resource
				  Hospital within the Region, one representative each from a public and private
				  vehicle service provider which transports trauma patients within the Region, an
				  administrative representative from each trauma center within the Region, one
				  EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, or PHRN representing the highest
				  level of EMS Personnel practicing within the Region, one emergency physician
				  and one trauma nurse specialist currently practicing in a trauma center. The
				  Department's Regional EMS Coordinator for each Region shall serve as a
				  non-voting member of that Region's Trauma Advisory Committee.
(Section
				  3.25 of the Act)
Registered Nurse or Registered Professional Nurse or RN - a
				  person who is licensed as an RN under the Illinois Nurse Practice Act. For
				  out-of-state facilities that have Illinois recognition under the EMS, trauma,
				  or pediatric program, the registered professional nurse shall have an
				  unencumbered license in the state in which he or she practices.
Resource Hospital - the hospital with the authority and the
				  responsibility for an EMS System as outlined in the Department-approved EMS
				  System Program Plan. The Resource Hospital, through the EMS Medical Director,
				  assumes responsibility for the entire program, including the clinical aspects,
				  operations and education programs. This hospital agrees to replace medical
				  supplies and provide for equipment exchange for participating EMS
				  vehicles.
Rural Ambulance Service Provider
-
an ambulance service provider licensed under
the
Act
				  that serves a rural population of 7,500 or fewer inhabitants.
(Section
				  3.87(a) of the Act)
Rural In-Field Service Level Upgrade - a practice that allows
				  the delivery of advanced care for a lower level service provider that serves a
				  rural population of 7,500 or fewer inhabitants, through use of EMS System
				  approved EMS personnel.
Rural Vehicle Service Provider
-
an
				  entity that serves a rural population of 7,500 or fewer inhabitants and is
				  licensed by the Department to provide emergency or non-emergency medical
				  services in compliance with
the
Act
, this Part
and an operational plan approved by the entity's EMS System, utilizing
				  at least an ambulance, alternate response vehicle as defined by the Department
				  in
this Part,
or specialized emergency medical services
				  vehicle.
(Section 3.87(a) of the Act)
Screening - a preliminary procedure or assessment, such as a
				  test or examination, to detect the most characteristic sign or signs of a
				  disorder or condition that may require further investigation (for example,
				  assessing for potential abuse or neglect through interview responses and
				  behavioral/physical symptom clues).
SEMSV Medical Control Point or Medical Control Point - the
				  communication center from which the SEMSV Medical Director or his or her
				  designee issues medical instructions or advice to the aeromedical, watercraft,
				  or off-road SEMSV crew members.
SEMSV Medical Director or Medical Director - the physician
				  appointed by the SEMSV Program who has the responsibility and authority for
				  total management of the SEMSV Program, subject to the requirements of the EMS
				  System of which the SEMSV Program is a part.
SEMSV Program or Specialized Emergency Medical Services
				  Vehicle Program - a program operating within an EMS System, pursuant to a
				  program plan submitted to and certified by the Department, using specialized
				  emergency medical services vehicles to provide emergency transportation to sick
				  or injured persons.
Special-Use Vehicle
-
any publicly
				  or privately owned vehicle that is specifically designed, constructed or
				  modified and equipped, and is intended to be used for, and is maintained or
				  operated solely for, the emergency or non-emergency transportation of a
				  specific medical class or category of persons who are sick, injured, wounded or
				  otherwise incapacitated or helpless (e.g., high-risk obstetrical patients,
				  neonatal patients).
(Section 3.85 of the Act)
Specialized Emergency Medical Services Vehicle or
				  SEMSV
-
a vehicle or conveyance, other than those owned or
				  operated by the federal government, that is primarily intended for use in
				  transporting the sick or injured by means of air, water, or ground
				  transportation, that is not an ambulance as defined in
the
Act. The term includes watercraft, aircraft and special purpose ground
				  transport vehicles not intended for use on public roads.
(Section 3.85
				  of the Act) "Primarily intended", for the purposes of this definition, means
				  one or more of the following:
Over 50 percent of the vehicle's operational (i.e.,
				  in-flight) hours are devoted to the emergency transportation of the sick or
				  injured;
The vehicle is owned or leased by a hospital or ambulance
				  provider and is used for the emergency transportation of the sick or
				  injured;
The vehicle is advertised as a vehicle for the emergency
				  transportation of the sick or injured;
The vehicle is owned, registered or licensed in another state
				  and is used on a regular basis to pick up and transport the sick or injured
				  within or from within this State; or
The vehicle's structure or permanent fixtures have been
				  specifically designed to accommodate the emergency transportation of the sick
				  or injured.
Standby Emergency Department - a classification of a hospital
				  emergency department where at least one of the RNs on duty in the hospital is
				  available for emergency services at all times, and a licensed physician is
				  "on-call" to the emergency department at all times in accordance with Section
				  250.710 of
				  the Hospital Licensing Requirements.
Standby Emergency Department Approved for Pediatrics or SEDP
				  - a hospital participating in an approved EMS System and designated by the
				  Department, pursuant to Section
				  515.4010,
				  as being capable of providing optimal standby emergency department care to
				  pediatric patients and to have transfer agreements and transfer mechanisms in
				  place when more definitive pediatric care is needed.
State EMS Advisory Council - a group that advises the
				  Department on the administration of the Act and this Part whose members are
				  appointed in accordance with Section
				  3.200
				  of the Act.
Stretcher Van - a vehicle used by a licensed stretcher van
				  provider to transport non-emergency passengers in accordance with the Act and
				  this Part.
Stretcher Van Provider - an entity licensed by the
				  Department to provide non-emergency transportation of passengers on a stretcher
				  in compliance with
the
Act
and this Part
,
				  utilizing stretcher vans.
(Section 3.86 of the Act)
Stroke Network - a voluntary association of hospitals,
				  including a hospital with a board eligible or board certified neurosurgeon or
				  neurologist, that may, among other activities, share stroke protocols; provide
				  medical consultations on possible or known acute stroke patients or on
				  inter-facility transfers of possible or known acute stroke patients; or provide
				  education specific to improving acute stroke care. Participating hospitals in a
				  stroke network may be in-state or out-of-state.
Substantial Compliance - meeting requirements except for
				  variance from the strict and literal performance that results in unimportant
				  omissions or defects given the particular circumstances involved.
Substantial Failure - the failure to meet requirements other
				  than a variance from the strict and literal performance that results in
				  unimportant omissions or defects given the particular circumstances
				  involved.
Sustained Hypotension - two systolic blood pressures of 90
				  mmHg five minutes apart or, in the case of a pediatric patient, two systolic
				  blood pressures of 80 mmHg five minutes apart.
System Participation Suspension - the suspension from
				  participation within an EMS System of an individual or individual provider, as
				  specifically ordered by that System's EMS Medical Director.
Telecommunications Equipment - a communication system capable
				  of transmitting and receiving voice and electrocardiogram (EKG) signals.
Telemetry - the transmission of data through a communication
				  system to a receiving station for recording, interpretation and
				  analysis.
Trauma
-
any significant injury
				  which involves single or multiple organ systems.
(Section 3.5 of the
				  Act)
Trauma Category I - a classification of trauma patients in
				  accordance with Appendix C and Appendix F.
Trauma Category II - a classification of trauma patients in
				  accordance with Appendix C and Appendix F.
Trauma Center
-
a hospital which:
				  within designated capabilities provides optimal care to trauma patients;
				  participates in an approved EMS System; and is duly designated pursuant to the
				  provisions of
the
Act.
(Section
				  3.90 of the
				  Act)
Trauma Center Medical Director or Trauma Center MD - the
				  trauma surgeon appointed by a Department-designated Trauma Center who has the
				  responsibility and authority for the coordination and management of patient
				  care and trauma services at the Trauma Center. He or she must have 24-hour
				  independent operating privileges and shall be board certified in surgery with
				  at least one year of experience in trauma care.
Trauma Center Medical Directors Committee - a group composed
of the Region's Trauma Center Medical Directors.
(Section 3.25
				  of the Act)
Trauma Coordinator - an RN working in conjunction with the
				  Trauma Medical Director. The Trauma Coordinator is responsible for the
				  organization of service and systems necessary for a multidisciplinary approach
				  throughout the continuum of trauma care.
Trauma Nurse Specialist or TNS
-
an
				  RN licensed under the Nurse Practice Act who has successfully completed
				  supplemental education and testing requirements as prescribed by the
				  Department, and is licensed in accordance with
this Part. (Section
				  3.75 of the Act) For out-of-state facilities that have Illinois recognition
				  under the EMS, trauma, or pediatric program, the professional shall have an
				  unencumbered license in the state in which he or she practices.
Trauma Nurse Specialist Course Coordinator or TNSCC - an RN
				  appointed by the Chief Executive Officer of a hospital designated as a TNS
				  education site, who meets the requirements of Section
				  515.750.
Trauma Service - an identified hospital surgical service in a
				  Level I or Level II Trauma Center functioning under a designated trauma
				  director in accordance with Sections
				  515.2030(c)
				  and
				  515.2040(c).
Unit Identifier - a number assigned by the Department for
				  each EMS vehicle in the State to be used in radio communications.
Vehicle Service Provider
-
an entity
				  licensed by the Department to provide emergency or non-emergency medical
				  services in compliance with
the
Act
and this Part
and an operational plan approved by its EMS Systems, utilizing at least
				  ambulances or specialized emergency medical service vehicles (SEMSV).
(Section 3.85(a) of the Act)
Watercraft - a nautical vessel, boat, airboat, hovercraft or
				  other vehicle that operates in, on or across water.