New Jersey Administrative Code › Title 8 - HEALTH › Chapter 40A - EMERGENCY MEDICAL TECHNICIANS-BASICS: TRAINING AND CERTIFICATION › Subchapter 1 - AUTHORITY, SCOPE AND DEFINITIONS › Section 8:40A-1.3 - Definitions

Current through Register Vol. 56, No. 14, July 15, 2024
The following words and terms, as utilized in this chapter, shall
				  have the following meanings, unless the context in which they are utilized clearly
				  indicates otherwise.
"Advanced life support" or "ALS" means an advanced level of
				  pre-hospital, inter-facility or emergency medical care that includes basic life
				  support functions, cardiac monitoring, cardiac defibrillation, telemetered
				  electrocardiography, administration of anti-arrhythmic agents, intravenous (IV)
				  therapy, administration of specific medications, drugs and solutions, utilization of
				  adjunctive ventilation devices, trauma care and other techniques and procedures
				  authorized in writing by the Commissioner.
"Advanced practice nurse" means a person who is validly licensed
				  by the New Jersey Board of Nursing in accordance with the standards set forth at
				  45:11-45 et seq.
"AHA CPR Guidelines" means these guidelines as published by the
				  American Heart Association, National Center, 7272 Greenville Avenue, Dallas, TX
				  75231-4596, incorporated herein by reference as amended and supplemented. A copy of
				  the guidelines is on file and available for inspection at the Office of Emergency
				  Medical Services.
"Air medical unit" or "AMU" means a specially equipped helicopter
				  or airplane that is validly licensed by the Department and operated in accordance
				  with the standards set forth at N.J.A.C. 8:41.
"Airplane" means, as defined at
				  14 C.F.R. 1.1, an
				  engine-driven fixed-wing aircraft heavier than air, which is supported in flight by
				  the dynamic reaction of the air against its wings.
"Automated external defibrillator" or "AED" means a device that
				  can be attached to a patient in cardiopulmonary arrest, analyze an electrocardiogram
				  for the presence of potentially lethal dysrhythmias (specifically, ventricular
				  fibrillation and fast ventricular tachycardia), deliver an electrical defibrillation
				  to the patient in accordance with the requirements of standard treatment protocols,
				  and produce an event summary that documents significant events in the utilization of
				  the device, specifically events prior to and after an electrical
				  defibrillation.
"Available" means ready for immediate utilization (pertaining to
				  equipment, vehicles and personnel) or immediately accessible (pertaining to
				  records).
"Basic life support" or "BLS" means a basic level of pre-hospital
				  care that includes patient stabilization, airway clearance and maintenance,
				  cardiopulmonary resuscitation (CPR) (to the level of the Professional Rescuer or
				  Health Care Provider as issued by either the American Heart Association, the
				  American Red Cross, the National Safety Council or other entity determined by the
				  Department to comply with AHA CPR Guidelines), hemorrhage control, initial wound
				  care, fracture stabilization, victim extrication and other techniques and procedures
				  as defined in the program curriculum.
"Basic life support ambulance" or "BLS ambulance" means an
				  emergency medical services vehicle that is validly licensed by the Department and
				  operated in accordance with the standards set forth at N.J.A.C. 8:40.
"Basic life support ambulance service" or "BLS ambulance service"
				  means an entity that is validly licensed by the Department to provide pre-hospital
				  basic life support care; and/or BLS inter-facility transfers.
"Certified" or "certification" means official documentation that a
				  person or agency has completed all the requirements of an approved training program
				  and has demonstrated competence in the subject matter to the satisfaction of the
				  certifying agency.
"Certificate of need" means the formal written approval of the New
				  Jersey Department of Health and Senior Services to construct or expand a health care
				  facility or to institute a new health care service, in accordance with requirements
				  set forth at N.J.A.C. 8:33.
"Commissioner" means the Commissioner of the New Jersey Department
				  of Health and Senior Services.
"Controlled dangerous substance" means a drug, substance or
				  immediate precursor identified in Schedules I through V of the New Jersey Controlled
				  Dangerous Substances Act (24:21-5 through
				  24:21-8.1 ). The term shall not include
				  distilled spirits, wine or malt beverages, as those terms are defined or utilized in
				  33:1-1 et seq., or tobacco and tobacco
				  products.
"Convicted" or "conviction" means a finding of guilt by a judge or
				  jury, a guilty plea, a plea of nolo contendere or non-vult or entry into a pre-trial
				  intervention program or other diversionary program authorized under the statutes of
				  the State of New Jersey or under any other state's statutes.
"Core 13" means a New Jersey Department of Health and Senior
				  Services, Office of Emergency Medical Services approved EMT-B continuing education
				  training program that includes the entire refresher program curriculum, to be taught
				  in a period of no less than 24 classroom hours.
"CPR certification" means valid certification in cardiopulmonary
				  resuscitation to the level of the Professional Rescuer or Health Care Provider as
				  issued by the American Heart Association, the American Red Cross, the National
				  Safety Council or other entity determined by the Department to comply with AHA CPR
				  Guidelines.
"Crewmember" means any person (including, but not limited to, an
				  EMT-Basic) who staffs a basic life support ambulance or a mobility assistance
				  vehicle.
"Crime" means, in accordance with the New Jersey Code of Criminal
				  Justice, specifically
				  2C:1-4, any offense for which a
				  sentence of imprisonment in excess of six months is authorized.
"Department" means the New Jersey Department of Health and Senior
				  Services.
"Disorderly persons offense" or "petty disorderly persons offense"
				  shall have the same meaning as the definition provided by the New Jersey Code of
				  Criminal Justice at
				  2C:1-4, incorporated herein by
				  reference, as amended and supplemented. Generally, such offenses are under the
				  jurisdiction of municipal courts, carry a maximum jail term of six months or less,
				  and are characterized by being minor in nature, not giving rise to the rights of
				  trial by jury or indictment by grand jury. Examples of offenses include harassment,
				  obstructing a public passage, and fighting in a public place.
"Emergency" means a person's perceived need for immediate medical
				  care in order to prevent death or aggravation of physiological or psychological
				  illness or injury.
"Emergency medical services" or "EMS" means a system for the
				  provision of emergency care and transportation of persons who are sick or injured
				  and in need of immediate medical care.
"Emergency Medical Technician-Basic" or "EMT-Basic" means a person
				  trained in basic life support care and validly certified or recognized by the
				  Commissioner in accordance with the standards for Emergency Medical Technician-Basic
				  certification as set forth in this chapter.
"Emergency Medical Technician-Paramedic" or "EMT-Paramedic" means
				  a person trained in advanced life support care and validly certified or recognized
				  by the Commissioner in accordance with the standards for Emergency Medical
				  Technician-Paramedic certification as set forth at N.J.A.C. 8:41A.
"Emergency Medical Technician Training Fund" or "EMT Training
				  Fund" means the fund established by
				  26:2K-54 et seq., to reimburse any
				  private agency, organization or entity that is certified by the Commissioner in
				  accordance with the standards for certification set forth in this chapter, to
				  provide training and testing for volunteer ambulance, first aid and rescue squad
				  members who are seeking EMT-Basic certification or recertification, and for which
				  that entity is not otherwise reimbursed.
"EMT-Instructor" means a person who is validly certified by the
				  Commissioner in accordance with the standards for EMT-Instructor certification as
				  set forth in this chapter.
"EMT-Instructor Aide" means a person who is validly certified by
				  the Commissioner as an EMT-Basic, is affiliated with a training program and assists
				  the EMT-Instructor with the training curriculum.
"EMT-B Statewide Faculty" means a body of persons appointed by the
				  Office of Emergency Medical Services who are experienced in the education of the
				  adult student, the delivery of emergency medical services and the training of
				  pre-hospital care givers. The Faculty's purpose is to assist the Department in the
				  implementation of the program curriculum.
"Field preceptor" means a person who possesses a higher level of
				  expertise in both the subject matter and field training requirements of EMT-Basic
				  students. A field preceptor shall be responsible for monitoring EMT-Basic students
				  in the demonstration of knowledge and in the performance of skills during the course
				  of a student's required field experience.
"General hospital" shall have the meaning provided at
				  8:43G-1.3(b)1, as
				  amended and supplemented.
"Helicopter" means a heavier-than-air aircraft that depends
				  principally for its support in flight on the lift generated by one or more
				  rotors.
"Medical record" means any information and/or reports (including,
				  but not limited to, patient care reports) that describe a person's physical
				  condition and/or medical history.
"Minor" means a person who has attained the age of 16 but has not
				  yet attained the age of 18.
"Mobile intensive care hospital" means an acute care hospital
				  authorized by the Commissioner, by way of a certificate of need, to develop and
				  maintain a mobile intensive care program for the purpose of providing advanced life
				  support care to a specific population, geographic region or political
				  subdivision.
"Mobile intensive care program" means a program, operated by a
				  mobile intensive care hospital, which is validly licensed by the Department to
				  provide pre-hospital advanced life support care by way of a specially equipped and
				  staffed mobile intensive care unit.
"Mobile intensive care unit" or "MICU" means a specialized
				  emergency medical services vehicle that is validly licensed by the Department and
				  operated in accordance with the standards set forth at N.J.A.C. 8:41.
"Mobility assistance vehicle" or "MAV" means a specialized
				  transport vehicle that is validly licensed by the Department and operated in
				  accordance with the standards set forth at N.J.A.C. 8:40.
"NREMT" means The National Registry of Emergency Medical
				  Technicians, which is a professional testing agency specializing in the development
				  of evaluation instruments designed for utilization by various states in the
				  certification and registration of emergency medical services professionals. The
				  NREMT is headquartered at the Rocco V. Morando Building, 6610 Busch Boulevard, PO
				  Box 29233, Columbus, OH 43229-0233.
"Office of Emergency Medical Services" or "OEMS" means the Office
				  of Emergency Medical Services in the New Jersey Department of Health and Senior
				  Services, PO Box 360, Trenton, New Jersey, 08625. The telephone number for OEMS is
				  (609) 633-7777.
"Official NREMT representative" means a person responsible for the
				  administration of the written portion of the NREMT-Basic Certification Examination.
				  Official NREMT representatives are appointed by the Office of Emergency Medical
				  Services and are trained by the National Registry of Emergency Medical Technicians,
				  in accordance with its standards and guidelines, to conduct all NREMT-Basic
				  examination related activities.
"Patient" means any person who is ill or injured, living or
				  deceased and with whom a crewmember has established physical or verbal
				  contact.
"Patient care report" means and includes the written documentation
				  completed each time a crewmember makes physical or verbal contact with a
				  patient.
"Physician" means a person who is validly licensed by the New
				  Jersey State Board of Medical Examiners in accordance with the standards set forth
				  at 45:9-6.
"Physician assistant" means a person who is validly licensed by
				  the New Jersey State Board of Medical Examiners in accordance with the standards set
				  forth at N.J.S.A. 45:9-27.1 3.
"Pre-hospital" means the period of time prior to the delivery of a
				  patient to a physician or registered nurse at an acute care hospital or satellite
				  emergency department.
"Program curriculum" means the EMT-Basic: National Standard
				  Curriculum or the EMT-Basic Refresher: National Standard Curriculum (as applicable
				  to either an EMT-Basic training or continuing education program), promulgated by the
				  National Highway Traffic Safety Administration of the United States Department of
				  Transportation, incorporated herein by reference as amended and supplemented. Copies
				  of the program curricula may be obtained from the National Highway Traffic Safety
				  Administration (NHTSA), 400 7th St. SW, Washington, D.C. 20590, or via the Internet
				  at http://
http://www.nhtsa.dot.gov/people/injury/ems/nsc.htm
.
"Program instructor" means a person who possesses a high level of
				  expertise in the subject matter of the didactic initial and continuing education
				  requirements of EMT-Basic students as evidenced by certification from a nationally
				  recognized organization, certification from another state or jurisdiction,
				  possession of degrees and/or advanced degrees from post-secondary institutions of
				  higher learning such as colleges and universities and/or submission to the
				  Department of a curriculum vitae that outlines the individual's education and
				  experience relative to the subject matter.
"Refresher curriculum" means the EMT-Basic Refresher National
				  Standard Curriculum, promulgated by the National Highway Traffic Safety
				  Administration of the United States Department of Transportation, incorporated
				  herein by reference as amended and supplemented. The course is intended for the EMS
				  Community to refresh their current skills. Copies of the Refresher Curriculum may be
				  obtained from the National Highway Traffic Safety Administration (NHTSA), 400 7th
				  Street S.W., Washington, D.C. 20590, or via the Internet at
http://www.nhtsa.dot.gov/people/injury/ems/nsc.htm
.
				  This course was developed by the National Association of EMS Educators.
"Registered nurse" means a person who is validly licensed by the
				  New Jersey State Board of Nursing in accordance with the standards set forth at
				  45:11-26.
"Remediation" means the formal process by which students who are
				  experiencing difficulties following the lesson plan receive a formal review of any
				  and all cognitive and psychomotor objectives associated with a specific
				  module.
"Respiratory care practitioner" means a person who is validly
				  licensed by the New Jersey State Board of Respiratory Care in accordance with the
				  standards set forth at
				  45:14E-10.
"Revocation" or "revoked" means the permanent voiding, withdrawal
				  and/or cancellation of a license or certification.
"Satellite emergency department" means a facility that is owned
				  and operated by an acute care hospital, which provides emergency care and
				  treatment.
"Specialty care transport unit" or "SCTU" means a specialized
				  transport medical service vehicle that is validly licensed by the Department and
				  operated in accordance with the standards set forth at N.J.A.C. 8:41.
"State Advisory Council" means the advisory body established
				  pursuant to 26:2K-59.
"Training agency" means any private agency, organization or entity
				  that has been certified by the Commissioner, in accordance with the standards for
				  certification as set forth in this chapter, to provide training and testing to
				  persons who are seeking EMT-Basic certification or recertification. Certified
				  training agencies shall be eligible for reimbursement from the Emergency Medical
				  Technician Training Fund for the training and testing of volunteer ambulance, first
				  aid and rescue squad members.
"Valid" or "validly" means original (not a photo copy), current,
				  up-to-date, not expired, in effect and/or not past the renewal date required by the
				  issuer.
"Volunteer ambulance, first aid or rescue squad" means, in
				  accordance with
				  27:5F-20, an ambulance, first aid or
				  rescue squad that provides emergency medical services without receiving payment for
				  those services. Whether the individual members of a squad provide their services for
				  free or are compensated by the squad is irrelevant to a squad's volunteer
				  status.
"Volunteer ambulance, first aid or rescue squad member" means a
				  person who is a member of, or is an applicant to become a member of, a volunteer
				  ambulance, first aid or rescue squad, as attested to by the chief supervising
				  officer of that squad.