reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 132 - Emergency Medical Services-service Program Authorization › Rule 641-132.3 - Service Program Operations

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Ownership.
a. Each service program will have a unique
			 authorization number assigned by the department.
b. A service program with satellites will
			 have a single authorization number assigned by the department for all
			 locations.
c. A service program
			 owner shall ensure compliance with Iowa Code chapter 147A and these
			 rules.
d. A service program shall
			 report any change in ownership to the department at least seven days prior to
			 the change.
e. A service program
			 changing ownership shall apply to the department at least seven days prior to
			 the change in ownership for initial authorization in accordance with
			 132.2(1).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 132 - Emergency Medical Services-service Program Authorization › Rule 641-132.4 - Waivers

Current through Register Vol. 47, No. 3, July 24, 2024
If during a period of authorization, a service program is
				unable to maintain compliance with Iowa Code chapter 147A and these rules, the
				department may grant a waiver.
(1)
			 Waivers of these rules may be granted by the department to a currently
			 authorized service program.
(2)
			 Requests for waivers shall apply only to the service program requesting the
			 waiver and shall apply only to those requirements and standards for which the
			 department is responsible.
(3) A
			 service program shall apply for a waiver in accordance with 641-Chapter
			 178.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 133 - White Flashing Light Authorization › Rule 641-133.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions shall
				apply:
"Ambulance"
means ambulance as defined in
				641-132.1
				(147A).
"Ambulance service"
means ambulance service as
				defined in
				641-132.1
				(147A).
"Authorization certificate "
means a permit
				issued to an emergency medical care provider which authorizes the use of a
				white flashing light.
"Authorized vehicles"
means any vehicles owned
				by members of the service program that are authorized by the department to use
				flashing white lights.
"Department"
means Iowa department of public
				health.
"Emergency medical care provider"
means
				emergency medical care provider as defined in
				641-131.1
				(147A).
"First response vehicle"
means first response
				vehicle as defined in
				641-132.1
				(147A).
"Medical director"
means medical director as
				defined in
				641-132.1
				(147A).
"Member"
means any individual utilized by an
				ambulance or nontransport service to provide emergency medical care.
"Nontransportservice"
means nontransport
				service as defined in
				641-132.1
				(147A).
"Rescue vehicle"
means rescue vehicle as
				defined in
				641-132.1
				(147A).
"Service director"
means service director as
				defined in
				641-132.1
				(147A).
"Service program"
or
"service"
means service program as defined in
				641-132.1
				(147A).
"White light"
means a white or clear rotating,
				flashing, or strobe lighting device utilized for identification purposes only.
				Any such lighting device shall not display a constant white or clear light to
				the rear of the vehicle.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 133 - White Flashing Light Authorization › Rule 641-133.2 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Flashing white
			 lights may be used on emergency vehicles or other authorized vehicles utilized
			 by emergency medical care providers and service programs for identification
			 purposes only.
(2) Flashing white
			 lights shall be used only on an authorized vehicle and shall not be used except
			 in any of the following circumstances:
a. When
			 responding to an emergency in the line of duty requiring the services of the
			 member
b. When at the scene of an
			 emergency.
c. When transporting a
			 patient during a disaster situation.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 133 - White Flashing Light Authorization › Rule 641-133.3 - Application

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Authorization
			 certificates shall be issued by the service director for service vehicles and
			 vehicles owned by emergency medical care providers who are members in good
			 standing with the service. Authorization certificates are available through the
			 Iowa Department of Public Health, Bureau of EMS, Lucas State Office Building,
			 Des Moines, Iowa 50319-0075, or the bureau of EMS Web site (
www.idph.state.ia.us/ems
). Vehicle
			 authorization shall be limited to:
a. Vehicles
			 owned or exclusively operated by the ambulance or nontransport
			 service.
b. Vehicles owned or
			 operated by emergency medical care provider members of the ambulance or
			 nontransport service.
c. Vehicles
			 owned or operated by the service program's medical director.
d. One authorization certificate per
			 vehicle.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 133 - White Flashing Light Authorization › Rule 641-133.4 - Approval, Denial, Probation, Suspension and Revocation of Authorization

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The service
			 director or the department may approve or deny an application and the
			 department may place on probation, suspend or revoke an authorization
			 certificate if the service director or the department finds reason to believe
			 that the applicant or certificate holder:
a.
			 Has failed to meet all applicable requirements of these rules.
b. Has been convicted of a moving violation
			 while using flashing white lights.
c. Has utilized a white flashing light
			 without obtaining an authorization certificate.
d. Does not have a valid driver's
			 license.
e. Does not have a current
			 vehicle registration.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 134 - Trauma Care Facility Categorization and Verification › Rule 641-134.2 - Trauma Care Facility Categorization and Verification

Current through Register Vol. 47, No. 3, July 24, 2024
Categorization and verification of trauma care facilities shall
				be made by the department based upon the trauma care facilities' resources
				available for providing trauma care services.
(1) Categorization.
a. Categorization as a trauma care facility
			 shall be determined by the department from self-reported information provided
			 to the department by a hospital or emergency care facility through a
			 self-assessment categorization application provided by the
			 department.
b. Categorization
			 applications shall be submitted by all hospitals. New hospitals shall submit a
			 categorization application no later than 90 days after licensing by the
			 department of inspections and appeals, health facilities division.
			 Categorization applications may be submitted by emergency care facilities. New
			 emergency care facilities may submit a categorization application no later than
			 90 days after opening or reopening.
c. Categorization applications may be
			 obtained from the department upon written request to: Iowa Department of Public
			 Health, Bureau of Emergency and Trauma Services, Lucas State Office Building,
			 Des Moines, Iowa 50319-0075.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 135 - Trauma Triage and Transfer Protocols › Rule 641-135.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions
				shall apply:
"Department"
means the Iowa department of
				public health.
"Director "
means the director of the Iowa
				department of public health.
"Out-of-Hospital Trauma Triage Destination Decision
				Protocol"
means written directives to assist in the decision making,
				established and approved by the department, that address the method of
				transport and trauma care facility destination to be followed by the service
				program.
"Service program"
or
"service"
means any medical care ambulance service or nontransport service that has
				received authorization by the department.
"Transfer "
means the process of a patient
				being transferred from the scene of an injury to a trauma care facility or from
				one trauma care facility to another.
"Trauma care facility"
means a hospital or
				emergency care facility which provides trauma care and has been verified by the
				department as having Resource (Level I), Regional (Level II), Area (Level III)
				or Community (Level IV) care capabilities and has been issued a certificate of
				verification pursuant to Iowa Code section
				147A.23,
				subsection 2, paragraph
"c. "
"Trauma system advisory council"
means an
				advisory council established pursuant to Iowa Code section
				147A.24
				to advise the department on issues and strategies to achieve optimal trauma
				care delivery throughout the state.
"Trauma triage and transfer"
means to
				determine trauma care facility destination and mode of transportation.
"TSAC"
means trauma system advisory
				council.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 135 - Trauma Triage and Transfer Protocols › Rule 641-135.2 - Trauma Triage and Transfer Protocols

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Trauma triage and transfer protocols
			 approved by the department shall be utilized to assist personnel from each
			 service program and trauma care facility. This requirement shall not preclude
			 service programs or trauma care facilities from making emergency revisions of
			 the approved triage and transfer protocols when an incident overburdens medical
			 care resources causing unnecessary delay in patient care.
a. Adoption by reference. The
			 "Out-of-Hospital Trauma Triage Destination Decision Protocol" (Adult, 2013) and
			 the "Out-of-Hospital Trauma Triage Destination Decision Protocol" (Pediatric,
			 2013) are incorporated by reference and adopted as the out-of-hospital trauma
			 triage destination decision protocols. For any differences which may occur
			 between the adopted references and these administrative rules, the
			 administrative rules shall prevail.
b. The protocols adopted by reference in
			 paragraph 135.2(1)"a" are available through the Iowa Department of Public
			 Health, Bureau of EMS, Lucas State Office Building, Des Moines, Iowa
			 50319-0075, or the bureau of EMS website
(idph.iowa.gov/BETS/Trauma).
c. Revisions and modifications to the
			 protocols adopted by reference in paragraph 135.2(1)
"a"
may be
			 made upon recommendation to the department from the trauma system advisory
			 council (TSAC). Revisions and modifications shall be approved by the
			 department.
d. The director,
			 pursuant to rule, may grant a waiver from the requirements of rules adopted
			 under this chapter for any hospital, emergency care facility, or service
			 program provided that the waiver is related to undue hardships in complying
			 with this chapter or the rules adopted pursuant to this chapter.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 136 - Trauma Registry › Rule 641-136.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purposes of these rules, the following definitions
				shall apply:
"Cases"
means trauma patients that meet the
				trauma registry inclusion criteria.
"Department"
means the Iowa department of
				public health.
"Director"
means the director of the Iowa
				department of public health.
"Health care providers"
for the purpose of
				this chapter includes licensed physicians, nurse practitioners, physician
				assistants, and registered nurses.
"Inclusion criteria"
means criteria determined
				by the department and adopted by reference to determine which trauma patients
				are to be included in the trauma registry.
"Reportablepatient data"
means data and
				definitions determined by the department and adopted by reference to be
				reported to the trauma registry on trauma patients meeting the inclusion
				criteria.
"Trauma care facility"
means a hospital or
				emergency care facility which provides trauma care and has been verified by the
				department as having Level I, Level II, Level III or Level IV care capabilities
				and has been issued a certificate of verification pursuant to Iowa Code section
				147A.23(2)
"c."
"Traumapatient"
means a victim of an external
				cause of injury that results in major or minor tissue damage or destruction
				caused by intentional or unintentional exposure to thermal, mechanical,
				electrical or chemical energy, or by the absence of heat or oxygen as defined
				in the "Iowa Trauma Patient Data Dictionary" as established in
				136.2(1)
"a."
"Trauma registry"
means the data repository
				operated by the department to collect and analyze reportable patient data on
				the incidence, severity, and causes of trauma, including the central registry
				for brain and spinal cord injuries (rule
				641-21.1 (135)) and
				farm-related injuries.
"Trauma survey team"
means a group of health
				care providers contracted by the department to assist in verifying trauma care
				facilities' compliance with trauma criteria adopted by reference in 641-subrule
				134.2(3).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 136 - Trauma Registry › Rule 641-136.2 - Trauma Registry

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
			 Adoption by reference.
a. "Iowa Trauma Patient
			 Data Dictionary" (January 2017) is incorporated by reference for inclusion
			 criteria and reportable patient data to be reported to the trauma registry. For
			 any differences which may occur between the adopted reference and this chapter,
			 the administrative rules shall prevail.
b. "Iowa Trauma Patient Data Dictionary"
			 (January 2017) is available through the Iowa Department of Public Health,
			 Bureau of Emergency and Trauma Services (BETS), Lucas State Office Building,
			 Des Moines, Iowa 50319-0075, or the BETS website
idph.iowa.gov/Portals/l/userfiles/43/Trauma Patient Registry Data
			 Dictionary.pdf
.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 137 - Trauma Education and Training › Rule 641-137.2 - Initial Trauma Education Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
Trauma education is required of physicians, physician
				assistants, advanced registered nurse practitioners, registered nurses, and
				licensed practical nurses who are identified or defined as trauma team members
				by a trauma care facility and who participate directly in the initial
				resuscitation of the trauma patient.
(1) General requirements for initial trauma
			 education.
a. Completion of initial trauma
			 education shall be done within three years of the trauma care facility's
			 initial verification or within one year of the practitioner's joining the
			 trauma care facility's trauma team.
b. Trauma nursing course objectives (2007)
			 are incorporated and adopted by reference for all trauma care facilities. For
			 any differences which may occur between the adopted references and these
			 administrative rules, the administrative rules shall prevail.
c. Trauma nursing course objectives are
			 available from the Department of Public Health, Bureau of Emergency and Trauma
			 Services (BETS), Lucas State Office Building, Des Moines, Iowa 50319-0075, or
			 the BETS Web site (
http://idph.iowa.gov/BETS/Trauma
).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 137 - Trauma Education and Training › Rule 641-137.3 - Continuing Trauma Education Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
Continuing trauma education is required every four years of
				physicians, physician assistants, advanced registered nurse practitioners,
				registered nurses, and licensed practical nurses who are identified or defined
				as trauma team members by a trauma care facility and who participate directly
				in the initial resuscitation of the trauma patient.
(1) Specific requirements for continuing
			 trauma education for each provider category are as follows:
a. Physicians, PAs and ARNPs shall comply
			 with education criteria specific to the level for which the trauma care
			 facility is verified according to the "Resources for Optimal Care of the
			 Injured Patient 2014" (6th edition) published by the American College of
			 Surgeons Committee on Trauma.
b. RN
			 and LPN: 16 hours of continuing trauma education is required, with a minimum of
			 4 hours as formal education.
c. RN
			 and LPN: Sustainment of training using trauma nursing course objectives (2007)
			 recommended by TSAC. Continuing education hours earned sustaining trauma nurse
			 course objectives may be applied to continuing education requirements
			 identified in paragraph 137.3(1)
"b."
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 138 - Trauma System Advisory Council › Rule 641-138.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions shall
				apply:
"Department"
means the Iowa department of
				public health.
"Director "
means the director of the Iowa
				department of public health.
"Emergency medical care provider"
means
				emergency medical care provider as defined in rule
				641-131.1
				(147A).
"Trauma care system"
means an organized
				approach to providing personnel, facilities, and equipment for effective and
				coordinated trauma care.
"TSAC"
means the trauma system advisory
				council established pursuant to Iowa Code section
				147A.24.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 138 - Trauma System Advisory Council › Rule 641-138.2 - Purpose and Duties

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The TSAC
			 shall advise the department on issues and strategies to achieve optimal trauma
			 care delivery throughout the state.
(2) Duties of the TSAC shall include, but not
			 be limited to:
a. Annually reviewing Iowa
			 Administrative Code rules related to the trauma care system to make
			 recommendations to the department for changes to further promote optimal trauma
			 care, including but not limited to review of this chapter and the following
			 chapters:
(1) 641-Chapter 134, Trauma Care
			 Facility Categorization and Verification.
(2) 641-Chapter 135, Trauma Triage and
			 Transfer Protocols.
(3) 641-Chapter
			 136, Trauma Registry.
(4)
			 641-Chapter 137, Trauma Education and Training.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 138 - Trauma System Advisory Council › Rule 641-138.3 - Appointment and Membership

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
			 The seven members of the TSAC shall be appointed by the director from the
			 recommendations of the organizations listed in subrule 138.3(4).
(2) Appointments shall be for two-year
			 staggered terms, which shall expire on June 30.
(3) Vacancies shall be filled in the same
			 manner in which the original appointments were made for the balance of the
			 unexpired term.
(4) Membership. The
			 voting membership of the TSAC shall be comprised of seven members, appointed by
			 the director, who are selected from the pool of individuals recommended from
			 the following organizations or entities:
a.
			 American Academy of Pediatrics.
b.
			 American College of Emergency Physicians, Iowa chapter.
c. American College of Surgeons, Iowa
			 chapter.
d. Department of public
			 health.
e. Governor's traffic
			 safety bureau.
f. Iowa Academy of
			 Family Physicians.
g. Iowa
			 Emergency Medical Services Association.
h. Iowa Emergency Nurses
			 Association.
i. Iowa Hospital
			 Association representing rural hospitals.
j. Iowa Hospital Association representing
			 urban hospitals.
k. Iowa Medical
			 Society.
l. Iowa Osteopathic
			 Medical Society.
m. Iowa Physician
			 Assistant Society.
n. Iowa Society
			 of Anesthesiologists.
o. Orthopedic
			 System Advisory Council of the American Academy of Orthopedic Surgeons, Iowa
			 representative.
p. Rehabilitation
			 services delivery representative.
q. Iowa's Medicare quality improvement
			 organization.
r. State medical
			 examiner.
s. Trauma nurse
			 coordinator representing a trauma registry hospital.
t. University of Iowa, Injury Prevention
			 Research Center.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 138 - Trauma System Advisory Council › Rule 641-138.4 - Officers

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Officers of the
			 TSAC shall consist of a chairperson and a vice chairperson, who shall be
			 elected at the first meeting of each fiscal year.
a. Officers may serve no more than three
			 consecutive terms as chairperson or vice chairperson.
b. Vacancies in the office of chairperson
			 shall be filled by elevation of the vice chairperson.
c. Vacancies in the office of vice
			 chairperson shall be filled by election at the next meeting after the vacancy
			 occurs.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 138 - Trauma System Advisory Council › Rule 641-138.5 - Meetings

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The TSAC shall
			 establish a meeting schedule on an annual basis to conduct its business. There
			 shall be a minimum of four meetings per year.
a. Meetings may be scheduled as business
			 requires, but notice to members must be given at least five working days prior
			 to the meeting date.
b. Notice
			 given four weeks in advance is encouraged to accommodate the schedules of
			 professional members.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 138 - Trauma System Advisory Council › Rule 641-138.7 - Confidentiality

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The data
			 collected by and furnished to the department pursuant to Iowa Code section
			 147A.26 are
			 confidential records of the condition, diagnosis, care, or treatment of
			 patients or former patients, including outpatients, and shall not be public
			 record under Iowa Code chapter 22. The confidentiality of patients is to be
			 protected, and the laws of this state shall apply with regard to patient
			 confidentiality.
(2) Proceedings,
			 records, and reports reviewed or developed pursuant to Iowa Code section
			 147A.24
			 constitute peer review records under Iowa Code section
			 147.135
			 and are not subject to discovery by subpoena or admissible as evidence. All
			 information and documents received from a hospital or emergency care facility
			 under Iowa Code chapter 147A shall be confidential pursuant to Iowa Code
			 section
			 272C.6(4).
(3) TSAC or subcommittees of TSAC may enter
			 into closed session proceeding pursuant to Iowa Code section
			 21.5.
(4) All council and subcommittee members
			 shall sign a confidentiality agreement not to divulge or discuss information
			 obtained during a TSAC or subcommittee closed session proceeding. The signed
			 confidentiality statements shall be kept on file at the department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 138 - Trauma System Advisory Council › Rule 641-138.8 - Documentation

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The department,
			 pursuant to Iowa Code section
			 21.3,
			 shall keep minutes of open session proceedings.
(2) The department, pursuant to Iowa Code
			 section
			 21.5, shall also
			 maintain minutes and tape recordings of closed session proceedings.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 139 - Emergency Medical Services-training Programs-students-complaints and Investigations › Rule 641-139.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
This chapter establishes the standards and requirements for
				authorization of emergency medical care training programs in the state of Iowa;
				establishes the requirements of the training program related to preparing
				students for emergency medical provider certification in the state of Iowa; and
				describes the authority of the department to impose disciplinary sanctions
				against a training program.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 139 - Emergency Medical Services-training Programs-students-complaints and Investigations › Rule 641-139.3 - Initial Application, Renewal Application, Inspection and Approval

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Initial
			 application, inspection and approval.
a. An applicant seeking initial authorization
			 as an EMS training program shall complete and submit to the department an Iowa
			 EMS training program self-assessment application. The application can be
			 downloaded from the BETS website at
idph.iowa.gov/BETS/EMS
.
b. An applicant seeking initial authorization
			 shall submit, along with the Iowa EMS training program self-assessment
			 application, a needs assessment that justifies the need for the training
			 program.
c. The department shall
			 perform an on-site inspection of the applicant's facilities and clinical
			 resources. The purpose of the inspection is to examine educational objectives,
			 patient care practices, facilities and administrative practices.
d. Following the on-site inspection, the
			 department will provide the applicant an application report detailing the
			 status of the application.
e. The
			 department will approve the application and authorize the training program,
			 determine timelines for the correction of deficiencies in the application, or
			 deny the application. If the deficiencies are not corrected within the time
			 period established by the department, the application will be denied.
f. A training program's initial
			 authorization shall not exceed one year.
g. No person shall interfere with the
			 inspection activities of the department or its agents. Interference with or
			 failure to allow an inspection may be cause for denial of
			 authorization.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 139 - Emergency Medical Services-training Programs-students-complaints and Investigations › Rule 641-139.4 - Training Program Standards, Student Requirements and Waivers

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Education standards.
A training program shall:
a. Have a sponsoring institution that has
			 received authorization from the department to conduct emergency medical care
			 services training.
b. Use the
			 United States Department of Transportation's Instructional Guidelines (January
			 2009) for any courses leading to Iowa certification.
c. Use the Iowa CCP curriculum (January 2016)
			 for courses leading to the CCP endorsement.
d. Be accredited by, or have submitted a
			 self-study application to, the CAAHEP if graduating students at the paramedic
			 certification level.
e. Document
			 equivalent training and what portions of any course have been waived for
			 equivalency. A training program may waive portions of the required emergency
			 medical care provider training for students currently certified as emergency
			 medical care providers or licensed in other health care professions, including
			 but not limited to nursing, physician assistant, respiratory therapist,
			 dentistry, and military.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 139 - Emergency Medical Services-training Programs-students-complaints and Investigations › Rule 641-139.5 - Out-of-state Training Programs

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Application, inspection and
			 approval.
a. An out-of-state
			 training program shall complete and submit to the department for review and
			 approval the out-of-state training program self-assessment application. The
			 application can be downloaded from the BETS website at
idph.iowa.gov/BETS/EMS
.
b. An out-of-state training program's
			 approval by the department shall not exceed four years.
c. An out-of-state training program seeking
			 initial or renewal approval and graduating students at the paramedic level must
			 also be accredited by, or must have submitted a self-study application to, the
			 CAAHEP.
d. An out-of-state training
			 program shall be limited to utilization of clinical sites or field sites, or
			 both, within Iowa.
e. An authorized
			 out-of-state training program shall provide the department with a current
			 roster of students who will be participating in the clinical or field
			 experience within the state of Iowa and, for each program, the sites where the
			 students will be participating. This roster will be provided prior to
			 commencement of any clinical or field experience.
f. An out-of-state training program shall
			 provide documentation of liability insurance for each student participating in
			 the clinical or field setting within the state of Iowa.
g. Failure to comply with these requirements
			 may lead to disciplinary action or denial of utilization of clinical or field
			 sites in Iowa.
h. The department
			 may perform an on-site inspection of the out-of-state training program's
			 facilities and clinical and field resources as part of the initial or renewal
			 review process.
i. The department
			 without prior notification may make inspections at times, places and under such
			 circumstances as it deems necessary to ensure compliance with Iowa Code chapter
			 147A and these rules.
j. No person
			 shall interfere with the inspection activities of the department or its
			 agents.
k. Interference with or
			 failure to allow an inspection may be cause for disciplinary action regarding
			 training program approval.
l.
			 Representatives of the training program may be required to meet with the
			 department at the time the application and inspection report are
			 discussed.
m. A written report of
			 department action and the department inspection report shall be sent to the
			 training program.
n. A training
			 program shall notify the department, in writing, of any change in ownership or
			 control within 30 days.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 139 - Emergency Medical Services-training Programs-students-complaints and Investigations › Rule 641-139.6 - Failure to Comply With Rules

Current through Register Vol. 47, No. 3, July 24, 2024
Failure of a training program to comply with these rules may
				result in disciplinary action according to rule
				641-139.9(147A).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 139 - Emergency Medical Services-training Programs-students-complaints and Investigations › Rule 641-139.7 - Temporary Waivers

Current through Register Vol. 47, No. 3, July 24, 2024
If during a period of authorization there is some occurrence
				that temporarily causes a training program to be in noncompliance with these
				rules, the department may grant a temporary waiver.
(1) Waivers of these rules may be granted by
			 the department to a currently authorized training program.
(2) Requests for waivers shall apply only to
			 the training program requesting the waiver and shall apply only to those
			 requirements and standards for which the department is responsible.
(3) A training program shall apply for a
			 waiver in accordance with 641-Chapter 178.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 139 - Emergency Medical Services-training Programs-students-complaints and Investigations › Rule 641-139.8 - Continuing Education Providers-approval, Record Keeping and Inspection

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A training
			 program may conduct continuing education courses utilizing training program
			 instructors.
(2) Each training
			 program shall assign a sponsor number to each core continuing education course
			 using an assignment system approved by the department.
(3) Course approval shall be completed prior
			 to the course's being offered.
(4)
			 Each training program shall maintain a participant record that includes, as a
			 minimum:
a. Name.
b. Address.
c. Certification number
d. Course sponsor number
e. Course instructor
f. Date of course.
g. CEHs awarded.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 139 - Emergency Medical Services-training Programs-students-complaints and Investigations › Rule 641-139.9 - Discipline-denial, Citation and Warning, Probation, Suspension, or Revocation of Training Program Approval or Renewal

Current through Register Vol. 47, No. 3, July 24, 2024
(1) This rule is not subject to waiver
			 pursuant to 641-Chapter 178 or any other provision of law.
(2) Method of discipline. The department has
			 the authority to impose the following disciplinary sanctions against a training
			 program:
a. Issue a citation and
			 warning.
b. Impose a period of
			 probation under specific conditions.
c. Prohibit permanently, until further order
			 of the department, or for a specific period, a program's ability to engage in
			 specific procedures, methods, acts or activities incident to the practice of
			 the profession.
d. Suspend an
			 authorization until further order of the department or for a specific
			 period.
e. Deny an application for
			 authorization.
f.  Revoke an
			 authorization.
g. Impose such other
			 sanctions as allowed by law and as may be appropriate.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 140 - Emergency Medical Services System Development Grants Fund › Rule 641-140.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions shall
				apply:
"Ambulance service"
means ambulance service as
				defined in
				641-132.1
				(147A).
"CEHs"
means CEH as defined in
				641-131.1
				(147A).
"Continuing education"
means continuing
				education as defined in
				641-131.1
				(147A).
"County EMS association "
means a countywide
				group of EMS providers and various agency and organization representatives and
				consumers who provide leadership for the local EMS system on needs and
				objectives. The county EMS association should also include representatives of
				services located in a neighboring county if service is provided on a regular
				basis to residents of the county receiving funding.
"Department"
means the Iowa department of
				public health.
"Director "
means the director of the Iowa
				department of public health.
"Emergency medical care provider"
means
				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 at the scene or during
				out-of-hospital patient transportation in an ambulance.
"EMS course "
means a course for emergency
				medical care personnel pursuant to Iowa Code section
				147A.4,
				subsection 2.
"Fiscal year"
means the 12-month period
				beginning July 1 and ending June 30.
"Infrastructure"
means those elements that
				make up an EMS system.
"Nontransport service"
means nontransport
				service as defined in
				641-132.1
				(147A).
"Regional EMS council"
means a multicounty
				nonprofit corporation whose purpose is to facilitate EMS development on a
				regional basis.
"Service program "
means service program as
				defined in
				641-131.1
				(147A).
"Strategic plan "
means a document produced
				via a multiagency effort to evaluate and define needs and goals to improve the
				local EMS system.
"Training"
means EMS-related courses designed
				and intended for EMS providers and includes any item used in training
				including, but not limited to, slides, films, mannequins, emergency care
				devices, books and other items pertinent and necessary for training
				purposes.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 140 - Emergency Medical Services System Development Grants Fund › Rule 641-140.3 - County Ems Associations

Current through Register Vol. 47, No. 3, July 24, 2024
Each county shall have a county EMS association, council or
				board to develop and maintain the countywide EMS system strategic plan and to
				provide leadership on related EMS system development funding needs and
				objectives.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 140 - Emergency Medical Services System Development Grants Fund › Rule 641-140.4 - County Ems System Development Grants

Current through Register Vol. 47, No. 3, July 24, 2024
Grants for EMS system development proposals at the regional,
				county, and local level are available through a grant process from the
				department to county boards of supervisors or local boards of health for
				equipment, training, and support of infrastructure needs as identified in the
				countywide EMS strategic plan and the department system standards. County
				boards of supervisors or local boards of health may not take any administrative
				fee from these funds to support their work under this rule. County recipients
				of funds may subcontract work under this agreement to a county EMS association.
				Funds for training will be used to train members of a service program that
				provides service on a regular basis to residents of the county being funded.
				Funds for equipment require a $1 match of regional, county, or local funds for
				each $1 of EMS system development grant funds.
(1)
Eligible costs.
Costs
			 which are eligible for EMS system development grant expenditures as defined in
			 the request for proposal (RFP) include:
a.
			 Training.
(1) Reimbursement for initial
			 training tuition, fees and materials up to an amount that is the lowest fee
			 charged by the training entity following successful completion of an EMS
			 course. Practical and written examination fees may also be included.
(2) Payment of continuing education tuition,
			 fees and materials. Education provided by an EMS service program for the
			 general public is an allowable expense.
(3) Payment for EMS training aids.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 141 - Love Our Kids Grant › Rule 641-141.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions shall
				apply:
"Applicant"
means an individual, organization,
				or entity that has as its responsibility the development, promotion, and
				implementation of injury prevention and education initiatives for children and
				who has submitted an application for a love our kids grant.
"Department"
means the Iowa department of
				public health.
"Project period"
means the period of time
				which the department intends to support the project.
"Service program"
means any medical care
				ambulance service or nontransport service that has received authorization by
				the department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 141 - Love Our Kids Grant › Rule 641-141.2 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of the love our kids grant is to provide grant
				funding to statewide, regional and local agencies and service programs that
				have as their responsibility the development, promotion, and implementation of
				injury prevention and education initiatives for children in
				Iowa.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 141 - Love Our Kids Grant › Rule 641-141.3 - Funding Limitations

Current through Register Vol. 47, No. 3, July 24, 2024
Grants awarded under this program shall be subject to the
				guidelines within the contract and the following, including but not limited
				to:
(1) Up to 10 percent of the funds
			 generated by this program may be retained by the department for program
			 management.
(2) Rescinded IAB
			 12/6/06, effective 11/8/06.
(3)
			 Following the disbursement of the funds pursuant to subrule 141.3(1), funding
			 may be made available to statewide, regional and local agencies or service
			 programs that are responsible for development, promotion, and implementation of
			 injury prevention and education initiatives for children. To the extent
			 possible, funds shall be awarded and equally distributed to applicants across
			 all geographic areas of the state.
(4) Expenditures occurring prior to the
			 project period are not eligible for reimbursement.
(5) Grant awards shall be subject to the
			 availability of funds.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 141 - Love Our Kids Grant › Rule 641-141.4 - Use of Funds

Current through Register Vol. 47, No. 3, July 24, 2024
Funds may be used for injury prevention initiatives specified
				within the guidelines for children aged birth to 21, including but not limited
				to:
1. Education and training
			 materials;
2. Equipment, supplies,
			 and materials;
3. Public
			 information and education campaigns;
4. Conferences/seminars/workshops;
5. Contractual services;
6. Personnel costs.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 141 - Love Our Kids Grant › Rule 641-141.5 - Application Process

Current through Register Vol. 47, No. 3, July 24, 2024
An application for a love our kids grant is required.
				Applications are available from the Iowa Department of Public Health, Bureau of
				Emergency and Trauma Services, Lucas State Office Building, Des Moines, Iowa
				50319-0075. The application process is as follows:
(1) Applications from qualified applicants
			 shall be submitted to the department in accordance with the department's
			 approved application process.
(2)
			 The department shall review the application and may request clarification,
			 approve the application, or deny the application.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 142 - Out-of-hospital Do-not-resuscitate Orders › Rule 641-142.2 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
These rules direct EMS providers and service programs on the
				processes for the recognition of OOH DNR orders or identifiers and
				implementation of the OOH DNR protocol. In addition, these rules set forth
				guidelines for consideration by health care providers and organizations to help
				ensure uniform and orderly understandings, processes and procedures for the use
				and implementation of OOH DNR orders consistent with the provisions of Iowa
				Code chapter 144A.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 142 - Out-of-hospital Do-not-resuscitate Orders › Rule 641-142.3 - Responsibilities of the Department

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
OOH DNR
			 physician or physician assistant order.
The department designates the
			 OOH DNR order form contained in Appendix A as the uniform OOH DNR order form to
			 be used statewide. If an attending physician or attending physician assistant
			 issues an OOH DNR order for a qualified patient, the physician or physician
			 assistant shall use the form contained in Appendix A.
(2)
OOH DNR personal
			 identifier.
The department designates the identifier supplied by
			 MedicAlert® as the uniform personal identifier to be used for mobile
			 qualified patients statewide. Instructions for obtaining a uniform personal
			 identifier are contained in Appendix A.
(3)
OOH DNR protocol.
The
			 department designates the OOH DNR protocol contained in Appendix B as the
			 uniform protocol to be used by EMS providers in implementing an OOH DNR
			 order.
(4)
Appendix A and
			 Appendix B forms.
Forms referenced in subrules 142.3(1) through
			 142.3(3) are available through the Iowa Department of Public Health, Bureau of
			 EMS, Lucas State Office Building, Des Moines, Iowa 50319-0075, or through the
			 bureau of EMS's website at
www.idph.state.ia.us/ems
.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 142 - Out-of-hospital Do-not-resuscitate Orders › Rule 641-142.4 - Ems Providers

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Uniform protocol.
EMS providers shall act in accordance with
			 the department's OOH DNR protocol when implementing an OOH DNR order EMS
			 service programs shall incorporate the OOH DNR protocol as part of their
			 service protocols and, using educational materials consistent with the
			 curriculum developed and approved by the department, shall inform and educate
			 EMS providers on the protocol's requirements as well as the requirements of
			 Iowa Code chapter 144A and these rules.
(2)
Responsibility of the EMS
			 provider
The EMS provider responding outside a hospital as a member of
			 a service program shall:
a. Evaluate the
			 patient's status and needs through an assessment consistent with the provider's
			 training and certification.
b.
			 Determine the existence of an OOH DNR order or that the patient is wearing an
			 OOH DNR identifier
c. Honor the OOH
			 DNR order or OOH DNR identifier worn by the patient.
d. Discontinue resuscitation if the OOH DNR
			 order or OOH DNR identifier worn by the patient is discovered after
			 resuscitation has begim.
e. Follow
			 the OOH DNR protocol.
f. Provide
			 comfort care to the patient at all times.
g. Contact on-line medical direction for
			 further instructions as necessary to provide appropriate patient
			 care.
h. If uncertainty exists
			 regarding the validity or applicability of the OOH DNR order or identifier, the
			 EMS provider shall provide the necessary and appropriate
			 resuscitation.
i. Document
			 compliance or noncompliance with the OOH DNR order and the reasons for not
			 complying with the order, including evidence that the order was revoked or
			 imcertainty regarding the validity or applicability of the order
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 142 - Out-of-hospital Do-not-resuscitate Orders › Rule 641-142.5 - Guidelines for Non-ems Health Care Providers, Patients, and Organizations

Current through Register Vol. 47, No. 3, July 24, 2024
In order to encourage understanding and implementation of OOH
				DNR orders and protocols throughout Iowa and honor a qualified patient's wishes
				and intent regarding the provision of life-sustaining procedures in an
				out-of-hospital setting consistent with the requirements of Iowa Code chapter
				144A, the following guidelines should be considered.
(1)
Attending physicians or attending
			 physician assistants who issue OOH DNR orders.
The attending physician
			 or attending physician assistant should ensure that the following are
			 accomplished:
a. Establish that the patient is
			 qualified because the patient:
(1) Is an
			 adult; and
(2) Has a terminal
			 condition.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 142 - Out-of-hospital Do-not-resuscitate Orders › Rule 641-142.6 - Revocation of the Out-of-hospital Do-not-resuscitate Order

Current through Register Vol. 47, No. 3, July 24, 2024
An OOH DNR order is deemed revoked at any time that a patient,
				or an individual authorized to act on the patient's behalf as designated on the
				OOH DNR order, is able to communicate in any manner the intent that the order
				be revoked, without regard to the mental or physical condition of the patient.
				A revocation is only effective as to the health care provider upon
				communication to that provider by the patient, an individual authorized to act
				on the patient's behalf as designated in the OOH DNR order, or by another
				person to whom the revocation is communicated by the patient.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 142 - Out-of-hospital Do-not-resuscitate Orders › Rule 641-142.7 - Personal Wishes of Family Members or Other Individuals Who Are Not Authorized to Act on the Patient's Behalf

Current through Register Vol. 47, No. 3, July 24, 2024
The personal wishes of family members or other individuals who
				are not authorized in the order to act on the patient's behalf shall not
				supersede a valid OOH DNR order