Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 131 - Emergency Medical Services-providers-initial Certification-renewal and Reactivation-authority-complaints and Investigations › Rule 641-131.2 - 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"
or
"AEMT"
means an individual who has successfully completed a
				course of study based on the United States Department of Transportation's
				Advanced Emergency Medical Technician Instructional Guidelines (January 2009),
				has passed the psychomotor and cognitive examinations for the AEMT, and is
				currently certified by the department as an AEMT.
"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.
"CAPCE"
means the Commission on Accreditation
				for Prehospital Continuing Education. CAPCE is an accrediting body charged with
				the review and accreditation of EMS continuing education.
"CEH"
means continuing education hour, which
				is based upon a minimum of 50 minutes of training per hour.
"Certification"
or
"certificate"
means a document issued by the department
				authorizing a person to practice as an emergency medical care provider in
				Iowa.
"Certification period"
means the length of
				time an emergency medical care provider certificate is valid. The certification
				period shall be for two years from initial issuance or from renewal, unless
				otherwise specified on the certificate or unless sooner suspended or
				revoked.
"Certification status"
means the status of an
				individual EMS certificate holder.
1. "Active" means the holder of the certification has the
				authority to function as an emergency medical care provider at the level
				certified in accordance with subrule 131.5(1).
2. "Probation," which is an active certification, means the
				holder of the certification has the authority to function as an emergency
				medical care provider at the level certified in accordance with subrule
				131.5(1) and under the conditions of probation.
3. "Denied" means the certificate is inactive and the holder of
				the certification has no authority to function as an emergency medical care
				provider.
4. "Inactive" means the certificate is inactive and the holder
				of the certification has no authority to function as an emergency medical care
				provider.
5. "Revoked" means the certification is inactive and the holder
				of the certification has no authority to function as an emergency medical care
				provider.
6. "Surrendered" means the certification is inactive and the
				holder of the certification has no authority to function as an emergency
				medical care provider.
7. "Suspended" means the certification is inactive and the
				holder of the certification has no authority to function as an emergency
				medical care provider.
"Certified"
means being officially recognized
				as meeting department-approved testing and training standards and being issued
				a certificate by the department in accordance with Iowa Code chapters 272C and
				147A to practice as an emergency medical care provider in the state of
				Iowa.
"Cognitive examination"
or
"written
				examination"
means the portion of the NREMT certification examination
				process evaluating the candidate's level of EMS knowledge.
"Compact"
means the emergency medical services
				personnel licensure interstate compact according to Iowa Code chapter 147D. The
				compact facilitates the day-to-day movement of emergency medical services
				personnel across state boundaries in the performance of emergency medical
				services duties and authorizes the department to afford immediate permission to
				practice to emergency medical services personnel licensed in a member
				state.
"Complete criminal record"
includes the
				complaint and judgment of conviction for each offense of which the applicant
				has been convicted, regardless of whether the offense is classified as a felony
				or a misdemeanor, and regardless of the jurisdiction in which the offense
				occurred.
"Conviction"
means a finding, plea, or verdict
				of guilt made or returned in a criminal proceeding, even if the adjudication of
				guilt is deferred, withheld, or not entered. "Conviction" includes Alford pleas
				and pleas of nolo contendere.
"Core continuing education"
means education
				obtained during a certification period to renew certification. Core continuing
				education shall have an assigned sponsor number from CAPCE, an authorized EMS
				training program, the board of nursing, the board of medicine or the
				department.
"Critical care paramedic"
or
"CCP"
means a currently certified paramedic who has
				successfully completed a critical care course of instruction approved by the
				department and has received endorsement from the department as a critical care
				paramedic.
"Department"
means the Iowa department of
				public health.
"Director"
means the director of the Iowa
				department of public health.
"Disqualifying offense"
means a conviction
				directly related to the duties and responsibilities of the profession. A
				conviction is directly related to the duties and responsibilities of the
				profession if either (1) the actions taken in furtherance of an offense are
				actions customarily performed within the scope of practice of a certified
				profession, or (2) the circumstances under which an offense was committed are
				circumstances customary to a certified profession.
"Emergency medical care"
means any medical
				procedure authorized by Iowa Code chapter 147A and these rules.
"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 care student"
means an
				individual registered with the department and enrolled in an EMS training
				program with an active EMS student registration.
"Emergency medical responder"
or
"EMR"
means an individual who has successfully completed a
				course of study based on the United States Department of Transportation's
				Emergency Medical Responder Instructional Guidelines (January 2009), has passed
				the psychomotor and cognitive examinations for the EMR, and is currently
				certified by the department as an EMR.
"Emergency medical services"
or
"EMS"
means an integrated medical care delivery system to
				provide emergency and nonemergency medical care at the scene or during
				out-of-hospital patient transportation in an ambulance.
"Emergency medical technician"
or
"EMT"
means an individual who has successfully completed a
				course of study based on the United States Department of Transportation's
				Emergency Medical Technician Instructional Guidelines (January 2009), has
				passed the psychomotor and cognitive examinations for the EMT, and is currently
				certified by the department as an EMT.
"Emergency medical technician-defibrillation"
or
"EMT-D"
means an individual who has successfully completed
				an approved program and is currently certified by the department as an
				EMT-D.
"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.
"EMS instructor"
or
"EMS-I"
means an individual who has successfully completed an EMS instructor curriculum
				approved by the department and is currently endorsed by the department as an
				EMS-I.
"Endorsement"
or
"endorsed"
means an approval granted by the department authorizing an individual to serve
				as an EMS-I or CCP.
"Fees"
means those fees received pursuant to
				Iowa Code chapters 147A and 147D.
"First responder"
or
"FR"
means an individual who has successfully completed an approved program and is
				currently certified by the department as an FR.
"First responder-defibrillation"
or
"FR-G"
means an individual who has successfully completed an
				approved program and is currently certified by the department as a FR-G.
"NREMT"
means the National Registry of
				Emergency Medical Technicians. The NREMT provides a valid, uniform process to
				assess the knowledge and skills required for competent practice by EMS
				professionals.
"Paramedic"
or
"PM"
means an
				individual who has successfully completed a course of study based on the United
				States Department of Transportation's Paramedic Instructional Guidelines
				(January 2009), has passed the psychomotor and cognitive examinations for the
				paramedic, and is currently certified by the department as a paramedic.
"Patient"
means an individual who is sick,
				injured, or otherwise incapacitated and has been evaluated or provided
				treatment by an emergency medical care provider.
"Patient abandonment"
means a termination of
				the provider/patient relationship at a time when a continuous level of care is
				needed. Patient abandonment does not occur when a scene is unsecured,
				deteriorates or becomes too dangerous for the emergency medical care provider
				to safely function. Patient abandonment does not occur when patient care is
				transferred to another emergency medical care provider following assessment or
				triage.
"Physician"
means an individual licensed under
				Iowa Code chapter 148.
"Physician assistant"
or
"PA"
means an individual licensed pursuant to Iowa Code chapter 148C.
"Protocols"
means written directions and
				orders approved by a service program's medical director utilizing the EMS
				clinical guidelines.
"Psychomotor examination"
or
"practical examination"
means the portion of the
				department-approved or NREMT certification examination process that evaluates
				the skill and procedure capabilities of the candidate.
"Registered nurse"
or
"RN"
means an individual licensed pursuant to Iowa Code chapter 152.
"Service program"
or
"service"
means any transport service or nontransport service,
				inclusive of associated satellites and service program affiliates, that has
				received full or conditional authorization from the department.