Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 11 - Drugs in Emergency Medical Service Programs › Rule 657-11.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of this chapter, the following definitions
				shall apply:
"Adulterated"
means any drug or device that
				consists in whole or in part of any filthy, putrid, or decomposed
				substance.
"Ambulance service"
means any privately or
				publicly owned service program that utilizes ambulances, including air
				transport vehicles, in order to provide patient transportation and emergency
				medical services.
"Authorized prescriber"
means any provider who
				has prescriptive authority in the state of Iowa.
"Board"
means the board of pharmacy.
"Bureau "
means the Iowa department of public
				health, bureau of emergency and trauma services (BETS).
"Controlled substance "
means any drug that is
				identified in Schedules I through V of Iowa Code chapter 124, the Iowa uniform
				controlled substances Act.
"CSA registration"
means a registration issued
				by the board pursuant to Iowa Code chapter 124, the Iowa uniform controlled
				substances Act.
"DEA "
means the U.S. Department of Justice,
				Drug Enforcement Administration.
"DEA registration"
means a registration issued
				by the DEA pursuant to 21 CFR Part 1301.
"Department"
means the Iowa department of
				public health.
"Drug"
means a substance as defined in Iowa
				Code section
				155A.3(13)
				 but does not include nonmedicated
				intravenous solutions such as saline.
"Emergency medical care provider"
means an
				emergency medical care provider as defined in
				641-131.1
				(147A).
"Emergency medical services"
or
"EMS"
means an integrated medical care delivery system to
				provide emergency and nonemergency medical care.
"Emergency medical technician "
or
"EMT"
means any emergency medical technician or EMT as
				defined in
				641-131.1
				(147A).
"Medical direction"
means direction, advice,
				or orders provided, in accordance with written parameters and protocols, to
				emergency medical care personnel by a medical director, supervising physician,
				or physician designee.
"Medical director"
means any physician
				licensed under Iowa Code chapter 148, 150, or 150A who shall be responsible for
				overall medical direction of the service program and who has completed a
				medical director workshop, sponsored by the department, within one year of
				assuming duties.
"Medical director-based"
means that ownership
				of the drugs maintained in and used by the service program remains with the
				medical director.
"Patient care report"
means a computerized or
				written report that documents the assessment and management of the patient by
				the emergency medical care provider.
"Pharmacy-based"
means that ownership of the
				drugs maintained in and used by the service program remains with the
				pharmacy.
"Physician "
means any individual licensed
				under Iowa Code chapter 148, 150, or 150A.
"Physician assistant"
or
"PA "
means any individual licensed under Iowa Code chapter 148C.
"Primaryprogram site"
means the physical
				location from which the service program is operated and at which stock supplies
				of prescription drugs may be maintained and distributed to a program vehicle
				and a program substation.
"Program substation "
means the physical
				location from which a service program is operated as a branch or extension of a
				primary program site, at which an emergency kit or supply of prescription drugs
				is maintained, and at which a stock supply of prescription drugs is not
				maintained.
"Protocols"
means written direction and
				orders, consistent with the department's standard of care, that are to be
				followed by an emergency medical care provider in emergency and nonemergency
				situations. Protocols shall be approved by the service program's medical
				director and shall address the care of both adult and pediatric
				patients.
"Responsible individual"
means the individual
				who maintains legal responsibility of the prescription drugs and devices.
				"Responsible individual" includes the medical director in a medical
				director-based service program or the pharmacist in charge in a pharmacy-based
				service program.
"Service "
or
"service program
				"
means any medical care ambulance service or nontransport service
				that has received authorization from the department.
"Service director "
means the individual who
				is responsible for the operation and administration of a service
				program.
"Supervisingphysician "
means any physician
				licensed under Iowa Code chapter 148, 150, or 150A who supervises and is
				responsible for medical direction of emergency medical care personnel when such
				personnel are providing emergency medical care.