Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 132 - Emergency Medical Services-service Program Authorization › Rule 641-132.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions shall
				apply:
"Advanced emergency medical technician level
				service"
or
"AEMT level service"
means a service
				program that provides emergency medical care that does not exceed the scope of
				practice of a certified AEMT provider as outlined in 641-subrule
				131.5(2).
"Advanced registered nurse practitioner"
or
"ARNP"
means a nurse licensed pursuant to
				655-7.1 (152) with current
				licensure as a registered nurse in Iowa who is registered in Iowa to practice
				in an advanced role.
"Ambulance"
means any privately or publicly
				owned ground vehicle equipped with life-support systems and specifically
				designed to transport the sick or injured who require emergency medical
				care.
"Applicant"
means an owner of a transport or
				nontransport program or service program that is applying to the department for
				authorization as a service program or renewal of current authorization as a
				service program.
"Biohazardous sharp"
means any object that has
				the potential to puncture the skin and may be contaminated with a biological
				material that is an infectious disease transmission risk.
"Biomedical hazardous waste"
means waste
				product such as a biohazardous sharp or other material that may be contaminated
				with a biological material that is an infectious disease transmission
				risk.
"Bureau"
or
"BETS"
means the
				bureau of emergency and trauma services, the bureau designated by the
				department as the lead agency for coordinating and implementing the provision
				of emergency medical services in this state.
"Communication system"
means but is not
				limited to a telecommunication system, radio communication system, or mobile
				data communication system.
"Conditional service level authorization"
means an enhanced service program authorization under which a service program
				may provide an advanced level of service from that routinely provided under the
				service program's full authorization level, on an intermittent basis with
				department and medical director approval.
"Continuous quality improvement"
or
"CQI"
means a program that is an ongoing process to monitor
				standards at all EMS operational levels.
"Credentialing"
means a clinical determination
				that is the responsibility of a physician medical director It is the employer
				or affiliating organization's responsibility to act on the clinical
				credentialing status of EMS personnel in making employment or deployment
				decisions.
"Critical care transport"
or
"CCT"
means a paramedic level service program that has
				received an endorsement from the department to provide specialty care patient
				transportation and that is staffed by one or more paramedics with a critical
				care paramedic endorsement from the department or that is staffed by other
				health care professionals in an appropriate specialty area.
"Deficiency"
means noncompliance with Iowa
				Code chapter 147A or these administrative rules.
"Department"
means the Iowa department of
				public health.
"Director"
means the director of the Iowa
				department of public health.
"Emergency medical care"
means any medical
				procedure authorized by Iowa Code chapter 147A and 641-Chapter 131.
"Emergency medical care provider"
means an
				individual who has been trained to provide emergency and nonemergency medical
				care at the EMR, EMT, AEMT, paramedic, or other certification level recognized
				by the department before 2011 and has been issued a certificate by the
				department, or a person practicing in accordance with Iowa Code chapter
				147D.
"Emergency medical responder level service"
or
"EMR level service"
means a nontransport service program that
				provides emergency medical care that does not exceed the scope of practice of a
				certified EMR provider as outlined in 641-subrule 131.5(2).
"Emergency medical services"
or
"EMS"
means an integrated medical care delivery system to
				provide emergency and nonemergency medical care at the scene or out-of-hospital
				during patient transportation in an ambulance.
"Emergency medical technician level service"
or
"EMT level service"
means a service program that provides
				emergency medical care that does not exceed the scope of practice of a
				certified EMT provider as outlined in 641-subrule 131.5(2).
"Emergency medical transportation"
means
				transportation of a patient by an ambulance.
"EMS clinical guidelines"
or
"minimum
				EMS clinical guidelines"
means a minimum clinical standard approved by
				the department upon which a service program's medical director shall base
				service program protocols.
"Emergency vehicle driver"
or
"driver"
means a currently licensed driver rostered with the
				service program or other emergency response personnel with emergency vehicle
				driving training.
"Endorsement"
means an approval granted by the
				department authorizing a paramedic level service program to provide critical
				care transport (CCT).
"First response vehicle"
means any privately
				or publicly owned vehicle that is not an ambulance and that is used solely for
				the transportation of personnel and equipment to and from the scene of an
				emergency.
"Full authorization"
means a service program
				authorization under which a service is authorized to provide and routinely
				provides a specific level of emergency medical care for initial 911 or
				emergency calls 24 hours per day, seven days per week.
"Hospital"
means any hospital licensed under
				the provisions of Iowa Code chapter 135B.
"Iowa EMS Registry Data Dictionary"
means
				reportable EMS data elements and definitions determined by the department and
				adopted by reference.
"Medical direction"
means direction, advice,
				or orders provided by a medical director, supervising physician, PA, or ARNP to
				emergency medical care personnel.
"Medical director"
means a physician
				designated by the service program and responsible for providing medical
				direction and overall supervision of the medical aspects of the service
				program.
"Nontransport service"
means any privately or
				publicly owned service program which does not provide patient transportation
				and provides emergency medical care at the scene of an emergency.
"Paramedic level service"
or
"PM level
				service"
means a service program that provides emergency medical care
				that does not exceed the scope of practice of a certified paramedic provider as
				outlined in 641-subrule 131.5(2).
"Patient care report"
or
"PCR"
means a report that documents the assessment and
				management of the patient by the emergency care provider
"Physician"
means an individual licensed under
				Iowa Code chapter 148.
"Physician assistant"
or
"PA"
means an individual licensed pursuant to Iowa Code chapter 148C.
"Primary response ambulance"
means any
				ambulance utilized by a service program and dispatched as the initial ambulance
				response to a 911 or emergency call.
"Protocols"
means written directions and
				orders approved by a service program's medical director utilizing the EMS
				clinical guidelines.
"Registered nurse"
or
"RN"
means an individual licensed pursuant to Iowa Code chapter 152.
"Service director"
means an individual
				designated by the service program who is responsible for the operation and
				administration of a service program.
"Service program"
or
"service"
means any transport service or nontransport service,
				inclusive of associated satellites, that has received full or conditional
				authorization from the department.
"Service program affiliate"
or
"affiliate"
means an independently owned service program
				affiliated with one or more service programs or a separate management
				entity.
"Service program affiliate agreement"
or
"affiliate agreement"
means a written agreement executed
				between one or more service programs or one or more management entities and
				filed with the department that clearly defines the responsibilities of each
				service program to ensure compliance with these rules.
"Service program base of operation"
means the
				physical location from which a service program responds and at which the
				service program houses emergency medical care personnel and equipment.
"Service program ownership"
means the legal
				owner of the service program responsible for providing emergency medical care
				and compliance with Iowa Code chapter 147A and these rules.
"Service program satellite"
or
"satellite"
means one or more additional service program
				locations owned by the same service program.
"Tiered response"
means a rendezvous between
				service programs to allow the transfer, continuation, or enhancement of patient
				care.
"Transport agreement"
means a written
				agreement executed between two or more service programs and filed with the
				department that ensures response and transportation for initial 911 or
				emergency calls. A transport agreement may be a component of an affiliate
				agreement.
"Transport service"
means any privately or
				publicly owned service program which utilizes ambulances in order to provide
				patient transportation.