New Mexico Administrative Code › Title 7 - HEALTH › Chapter 27 - EMERGENCY MEDICAL SERVICES › Part 2 - LICENSING OF EMERGENCY MEDICAL SERVICES PERSONNEL › Section 7.27.2.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
"Academy"
means a separately funded emergency medical services
				education program administered through the department of emergency medicine of
				the university of New Mexico school of medicine.
B.
"Act"
means the Emergency
				Medical Services Act, Section
				24-10B-1,
et seq
., NMSA 1978.
C.
"Advance directive"
means a
				written instruction, such as a living will, durable power of attorney for
				health care, or emergency medical services do not resuscitate form recognizable
				under state law and relating to the provision of health care when an individual
				is incapacitated.
D.
"Advisory committee"
means the statewide emergency medical
				services advisory committee appointed by the secretary of health.
E.
"Ambulance service"
means any
				provider of ambulance service subject to the jurisdiction of the department of
				health pursuant to and subject to the jurisdiction of the New Mexico public
				regulation commission, pursuant to the Ambulance Standards Act, Section
				65-6-1,
et seq
., NMSA 1978, Article XI of the New Mexico Constitution,
				the Municipal Transit Law Section
				3-52-1,
et seq
., NMSA 1978, and other laws.
F.
"Applicant"
means a person
				who has indicated an intention to gain licensure as an EMS first responder,
				emergency medical dispatcher, emergency medical dispatcher instructor, or an
				EMT in the state of New Mexico, as evidenced by submission of the proper fees,
				documentation, and bureau approved application form.
G.
"Approved emergency medical services
				education program"
means an emergency medical services education program
				that is sponsored by a post-secondary educational institution, accredited by a
				national educational accrediting organization for emergency medical services or
				active in the accreditation process and is approved by the joint organization
				on education committee and participates in the joint organization on education
				committee.
H.
"Basic
				emergency medical technician"
or
"EMT-B"
means a provider
				who has been licensed by the department to provide patient care according to
				the current scopes of practice.
I.
"Bureau"
means the emergency medical systems bureau of the
				epidemiology and response division of the New Mexico department of
				health.
J.
"Bureau
				approved"
means any course, form, or official document that has received
				the approval of the bureau for use in an education or licensure
				context.
K.
"Cardio-pulmonary
				resuscitation (CPR)"
means training required for licensure that meets
				the intent of the current national emergency cardiac care (ECC) guidelines for
				professional rescuers, as approved by the bureau.
L.
"Certified emergency medical
				service"
means an organization that meets minimum standards to provide
				emergency services and is approved by the bureau, including emergency medical
				dispatch agencies, pre-hospital or inter-facility care services, and special
				event services organized to provide emergency medical services.
M.
"Contact hour"
means a unit
				of measurement of 60 minutes of bureau-approved organized learning experience
				which is designed to meet educational objectives for continuing
				education.
N.
"Commission"
means the New Mexico emergency medical services licensing commission
				appointed by the secretary of health.
O.
"Continuing education"
or
"CE"
means EMS education that is approved by the bureau and is
				required every two years for renewal of licensure.
P.
"Conviction"
means an
				adjudication of guilt, and does not include a deferred adjudication that
				results in dismissal of a charge.
Q.
"Curriculum"
means a program
				of study utilizing approved minimum curricula content based on the national
				standard curriculum for EMS as published by the national highway and traffic
				safety administration (NHTSA) and approved by the joint organization on
				education for formal education courses required for EMS first responder,
				EMT-basic, EMT-intermediate, and EMT-paramedic.
R.
"Department"
means the New
				Mexico department of health (DOH).
S.
"Distance Education - Asynchronous",
				also known as distributive education
means a method of delivering
				training and education that does not require an educator and student to
				interact in real time. This may include computer-based-training and education,
				self-study modules, recorded broadcasts via satellite, internet, or other
				media, and other methods of out-of-classroom didactic education that includes
				an evaluation component.
T.
"Distance Education - Synchronous"
means a method of delivering
				training and education via electronic media that links an educator and
				students, allowing them to interact in real time despite being in different
				places. This includes live, instructor interactive satellite broadcasts, or
				webcasts that allow for live video, audio, or other immediate feedback, and
				communication between the instructor and the students.
U.
"Emergency medical
				dispatcher"
or
"EMD"
means a person who is trained and
				licensed pursuant to Subsection G of Section
				24-10B-4 NMSA 1978
				to receive calls for emergency medical assistance, provide pre-arrival medical
				instructions, dispatch emergency medical assistance and coordinate its
				response.
V.
"Emergency
				medical dispatch agency"
or
"EMDA"
means any organization,
				or a combination of organizations working cooperatively, that routinely accepts
				calls for emergency medical assistance and employs emergency medical dispatch
				priority reference system (EMDPRS) techniques.
W.
"Emergency medical dispatch priority
				reference system"
or
"EMDPRS"
means a medically approved
				reference system used by an emergency medical dispatch agency (EMDA) to
				dispatch aid to medical emergencies, which includes systematized caller
				interrogation; systematized pre-arrival instructions to the caller based upon
				protocols matching the dispatcher's evaluation of injury or illness severity;
				and prioritized vehicle response.
X.
"Emergency medical services"
or
"EMS"
means the services rendered by licensed providers
				in response to an individual's need for immediate medical care to prevent loss
				of life or aggravation of physical or psychological illness or
				injury.
Y.
"Emergency medical
				services first responder"
or
"EMSFR"
means a person who is
				licensed by the department, and who functions within the emergency medical
				services system to provide initial emergency aid according to the current
				scopes of practice.
Z.
"Emergency medical services instructor/coordinator"
or
"EMT-I/C"
means an individual who has met the qualifications of
				the joint organization on education and has been approved by an EMS education
				institution to conduct and instruct EMS education programs.
AA.
"Emergency medical technician"
or
"EMT"
means a provider who has been licensed by the
				department to provide patient care according to the current scopes of
				practice.
BB.
"Examination
				attempt"
means an attempt to successfully complete the bureau approved
				EMS licensing examination. An attempt constitutes taking a written or practical
				examination. Retests of either a written or practical examination are
				considered an examination attempt.
CC.
"Fully licensed"
means an
				individual licensed to practice medical patient care at a specified
				level.
DD.
"Graduate
				license"
means a license issued to graduates of a bureau approved EMS
				education program used for performing EMS duties under supervision and direct
				observation prior to full licensure. The graduate license shall be valid for a
				period of up to six months from the date of course completion or until failure
				of any part of the bureau approved licensing examination.
EE.
"Initial licensure"
means
				the first time a person is licensed in New Mexico as an EMD, EMD instructor,
				EMS first responder, EMT, or subsequent licensure of a previously licensed New
				Mexico EMT, who has retaken a full curriculum or accomplished re-entry
				procedures to regain an expired license.
FF.
"Intermediate emergency medical
				technician"
or
"EMT-I"
means a provider who has been
				licensed by the department to provide patient care according to the current
				scopes of practice.
GG.
"License"
means a full, temporary or graduate license issued by
				the department to all EMDs, first responders, and EMTs pursuant to the
				Emergency Medical Services Act, Section
				24-10B-5
				NMSA 1978.
HH.
"Medical
				control"
means supervision provided by or under the direction of
				physicians to providers by written protocols or direct communication.
II.
"Medical direction"
means
				guidance or supervision provided by a physician to a provider or emergency
				medical services system and which includes authority over and responsibility
				for emergency medical dispatch, direct patient care and transport of patients,
				arrangements for medical control and all other aspects of patient care
				delivered by a provider.
JJ.
"Medical direction committee"
means a committee of physicians and
				EMTs, appointed by the secretary of health to advise the bureau on all matters
				relating to medical control and medical direction.
KK.
"Medical director"
means a
				physician who is responsible for all aspects of patient care provided by an EMS
				system or EMS provider service, in accordance with 7.27.3 NMAC.
LL.
"Moral turpitude"
means
				conduct contrary to justice, honesty, modesty or good morals including such
				acts as fraud, theft, sexual assault, and other similar behavior.
MM.
"National registry"
means
				the national registry of emergency medical technicians based in Columbus,
				Ohio.
NN.
"Offline medical
				control"
means performing EMS actions or medication administration under
				standing orders or protocols.
OO.
"Online medical control"
means direct voice contact with a medical
				control physician.
PP.
"Out-of-state transition course"
means a standardized education
				course required and approved by the bureau for an out-of-state EMT applicant
				seeking licensure in New Mexico.
QQ.
"Paramedic"
or
"EMT-P"
means a provider who has been licensed by the department
				to provide patient care according to the current scopes of practice.
RR.
"Physician"
means a doctor
				of medicine or doctor of osteopathy who is licensed or otherwise authorized to
				practice medicine or osteopathic medicine in New Mexico.
SS.
"Protocol"
means a
				predetermined, written medical care plan approved by the medical director and
				includes standing orders.
TT.
"Provider"
means a person who has been licensed by the department
				to provide patient care pursuant to the Emergency Medical Services
				Act.
UU.
"Re-entry"
means a process for a person, whose license has been expired for less
				than two years, to accomplish a given set of requirements to re-enter a
				previously held level of licensure.
VV.
"Regional office"
means an
				emergency medical services planning and development agency formally recognized
				and supported by the bureau.
WW.
"Re-instatement"
means a process for those persons who have
				completed the renewal requirements before the December 31st deadline, but fail
				to renew licensure by March 31st, to renew licensure between April 1st and May
				31st of the expiration year.
XX.
"Renewal"
means re-licensure every two years after completion of
				all requirements for specified levels by December 31st that occurs prior to
				expiration of licensure. Renewal applications shall be received or postmarked
				by the last day of February prior to the expiration to avoid a higher March
				fee, and may be postmarked or received by March 31 to avoid expiration or the
				payment of reinstatement or other higher fees.
YY.
"Retest"
means licensing
				examination given after failure of the applicant's initial
				examination.
ZZ.
"Secretary"
means the New Mexico secretary of health.
AAA.
"Special skills"
means a
				set of procedures or therapies that are beyond the usual scope of practice of a
				given level of licensure and that have been approved by the medical direction
				committee for use by a specified provider.
BBB.
"Standing orders"
means
				strictly defined written orders for actions, techniques or drug administration,
				signed by the medical director, to be utilized when communication has not been
				made with an online medical control physician.
CCC.
"State emergency medical services
				medical director"
means a physician designated by the department to
				provide overall medical direction to the statewide emergency medical services
				system, whose duties include serving as a liaison to the medical community and
				chairing the medical direction committee.
DDD.
"Temporary license"
means a
				license issued by the department to applicants that are fully licensed in
				another state or certified with the national registry of EMTs, as determined by
				the bureau. The temporary license shall be valid for a period of up to six
				months from the date issued, or until failure of any part of the licensing
				examination.