Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part XXXVIII - Emergency Medical Services Professionals › Subpart 1 - Rules of Procedure › Chapter 5 - Disciplinary Proceedings; Alternative to Disciplinary Proceedings › Section XXXVIII-519 - Definition of Terms Applying to EMS Practice as Used in This Chapter

Current through Register Vol. 50, No. 6, June 20, 2024
Accountability
-being answerable for one's
					 actions or inactions. The certified EMS professional answers to self, patient,
					 agency, medical director, profession and society for the effectiveness and
					 quality of EMS care rendered. It is the personal responsibility of each
					 individual to maintain competency in practice. If the assigned EMS professional
					 does not possess the specialized EMS knowledge, skills and abilities required
					 to provide the required care, said professional shall notify the appropriate
					 supervisory EMS personnel.
Additional Acts
-activities beyond those
					 taught in basic EMS education programs. Additional acts are authorized by the
					 commission through rules and regulations or declaratory statements interpreting
					 the legal definition of EMS. Certified EMS professional are accountable for
					 attaining and maintaining competency when performing approved additional
					 acts.
Assessment
-identifying human responses,
					 which indicate existing, or potential abnormal condition through the patient
					 history, physical examination, and observation, in accordance with the
					 standards of EMS of practice.
Assignment
-designating EMS activities to
					 be performed by an individual consistent with his scope of practice.
Carrying Out the Medical Orders of a Physician
					 Licensed in Louisiana
-
1.
				  certified EMS professionals may, based on their individual judgment of each
				  situation, accept verbal orders initiated by a licensed physician, provided the
				  order is related to the said practitioner's scope of practice;
2. certified EMS professionals may execute
				  standing orders of a licensed physician.
Collaborating
-a process involving two or
					 more health care professionals working together, though not necessarily in each
					 other's presence, each contributing one's respective area of expertise to
					 provide more comprehensive care than one alone can offer.
Delegating EMS Interventions
-committing or
					 entrusting the performance of selected EMS tasks by the certified EMS
					 professional to other competent EMS personnel in selected situations. The
					 certified EMS professional retains the accountability for the total EMS care of
					 the individual.
EMS Services
-activities designed to
					 resolve, diminish, or prevent the needs that are inferred from the individual's
					 problem; includes the planning, implementation and evaluation of said
					 activities in accordance with the Standards of EMS practice.
Expanded Scope of Practice
-those
					 functions, procedures and activities which are currently not part of the
					 approved National EMS curriculum, but have been approved by the EMS
					 Certification Commission as appropriate for the various levels of EMS
					 professionals.
Field Diagnosis
-prehospital evaluation of
					 the patient's condition and its causes.
Maintaining EMS Care Rendered Directly or
					 Indirectly
-preserving the continuity of safe and effective EMS care,
					 including the delegated EMS activities.
Managing and Supervising the Practice of EMS
-those activities which serve to fulfill the accountability of the
					 certified EMS professional for the total EMS care of the individual when tasks
					 in the EMS care are delegated to other EMS personnel. These activities
					 include:
1. judging the priority of
				  EMS needs of the individual(s);
2.
				  determining actions required to meet the needs;
3. assigning personnel, including self,
				  qualified to implement the prescribed EMS care components of that
				  care;
4. providing information
				  needed by personnel for the implementation of the assigned EMS care and
				  ascertaining the assimilation of same information;
5. directing the EMS care and evaluating the
				  outcomes of that care;
6.
				  determining and initiating changes in EMS care or in assignment of EMS
				  personnel.
Medical Diagnosis
-the conclusion reached
					 in identification of the patient's disease, especially the art of
					 distinguishing among several possibilities with the intent of prescribing
					 relevant treatment.
Medical Interventions
- all functions,
					 activities, medications and medical treatments of therapeutic or corrective
					 nature approved by the Bureau of EMS and the EMS Certification
					 Commission.
Preventive Instruction
-those EMS measures
					 that provide health information and explanation to the public to reduce the
					 incidence of death and injury.
Scope of Practice
-the range of duties and
					 skills EMS professionals are expected to perform.
Specialized Knowledge and Skills
-required
					 for the practice of EMS means the current theory and practice taught in basic
					 EMS education programs preparing persons for EMS professional certification as
					 well as information in the biological, physical and behavioral sciences.
Specialty Care Transport Paramedic
-those
					 individuals who have met the requirements as approved by the EMS Certification
					 Commission.
Student EMS Professional
-a person who is
					 engaged in learning experiences in a program of study leading to candidacy for
					 certification to practice as a certified EMS professional. The term applies
					 only when the person is participating in an integral part of the program of
					 study.
Teaching of EMS
-instructing EMS
					 professional students and providing continuing EMS education to certified EMS
					 professionals.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 40:2017.10.