Wisconsin Administrative Code › Department of Health Services › DHS 110-199 - Health › Chapter DHS 110 - Emergency Medical Services Licensing, Certification, And Training Requirements › Subchapter I - General Provisions › Section DHS 110.04 - Definitions

Current through June 24, 2024
In this chapter:
(1g) "Advanced emergency medical technician"
				  or "AEMT" has the meaning given in s.
				  256.01(1k),
				  Stats.
(1r) "Advanced life support"
				  means prehospital and interfacility emergency medical care consisting of basic
				  life support procedures and invasive lifesaving procedures including the
				  placement of advance airway adjuncts, intravenous infusions, manual
				  defibrillation, electrocardiogram interpretation, administration of approved
				  drugs and other advanced skills identified in the Wisconsin scopes of
				  practice.
(2) "Air medical service"
				  means a licensed ambulance service provider that specializes in transport by
				  helicopter or airplane.
(3)
				  "Algorithm protocol" means a graphical representation or flow chart of a
				  written patient care protocol.
(4)
				  "Ambulance" means an emergency vehicle, including any motor vehicle, boat or
				  aircraft, whether privately or publicly owned, which is designed, constructed
				  or equipped to transport sick, disabled or injured individuals.
(5) "Ambulance service provider" means a
				  person engaged in the business of transporting sick, disabled or injured
				  individuals by ambulance to or from facilities or institutions providing health
				  services.
(6) "Ambulance staffing
				  configuration" means the different ways that an ambulance can be staffed based
				  on level of services as described in s.
				  DHS
				  110.50.
(7) "As needed services" means that with
				  respect to special events the EMS service provider will provide emergency
				  medical services as its resources are available and will not commit resources
				  exclusively for the event.
(8)
				  "Automated external defibrillator," or "AED," has the meaning given in s.
				  256.15(1)
				  (cr), Stats.
(9) "Backup agreement" means a written
				  agreement between nearby licensed ambulance service providers to provide
				  response when the primary service provider is unable to do so.
(11) "Basic life support" has the meaning
				  given in s.
				  256.15(1)
				  (d), Stats.
(12) "CPR organization" means an entity whose
				  program is authorized to provide CPR certification or training based on
				  national standards and is approved by the department to fulfill the CPR
				  requirement for certified emergency medical responders and licensed emergency
				  medical services practitioners.
(13) "Cardiopulmonary resuscitation" or "CPR"
				  means a combination of rescue breathing and chest compressions delivered to
				  victims believed to be in cardiac arrest.
(14) "Clinical training" means training
				  received in a hospital or other health care facility.
(14m) "Community emergency medical services
				  practitioner" or "CEMS practitioner" has the meaning given under s.
				  256.21(1),
				  Stats.
(14r) "Community emergency
				  medical services provider" or "CEMS provider" has the meaning given under s.
				  256.215(1)(a),
				  Stats.
(14s) "Community paramedic"
				  has the meaning given under s.
				  256.205(1),
				  Stats.
(15) "Coverage agreement"
				  means a written agreement between two neighboring ambulance service providers
				  that each will cover the other's 9-1-1 area when the other knows in advance
				  that it will be unable to do so.
(16) "Credential" means written authorization
				  by the service director and medical director of a licensed emergency medical
				  services provider permitting a certified emergency medical responder or
				  licensed emergency medical services practitioners to perform specified
				  emergency medical care while in the service of the provider. To be
				  "credentialed" means to hold a credential issued by a licensed emergency
				  medical services provider.
(17)
				  "Critical care paramedic" means a paramedic who is licensed and endorsed by the
				  department to provide an advanced level of paramedic care based on completion
				  of an advanced level of paramedic training.
(18) "Dedicated services" means that with
				  respect to special events the emergency medical services provider will have
				  resources dedicated and immediately available on the grounds of the event that
				  will not be subject to responses other than requests from the event.
(19) "Defibrillation" has the meaning given
				  in s.
				  256.15(1)
				  (dm), Stats.
(20) "Department" means the Wisconsin
				  department of health services.
(21)
				  "Emergency medical care" means medical care to sick, disabled, or injured
				  individuals at the scene of an emergency, during transport to a hospital, while
				  in the hospital emergency department until responsibility for care is assumed
				  by the regular hospital staff, and during transfer of a patient between health
				  care facilities, which is based on department approved patient care
				  protocols.
(21e) "Emergency medical
				  dispatch" means a process used by a public safety answering point or dispatch
				  center to determine whether to dispatch an advanced life support or basic life
				  support ambulance based on information obtained from a 9-1-1 caller.
(21m) "Emergency medical responder" has the
				  meaning given in s.
				  256.01(4p),
				  Stats.
(21s) "Emergency medical
				  responder service provider" means an emergency medical service provider that
				  provides emergency medical care with staff certified as emergency medical
				  responders to sick, disabled or injured individuals before hospitalization and
				  the arrival of an ambulance, but that does not provide transportation for
				  patients.
(22) "Emergency medical
				  services" or "EMS" means an arrangement of personnel, communications,
				  equipment, and supplies for the delivery of emergency medical care.
(23) "EMS instructor" means a person approved
				  by the department or, if employed by the Wisconsin technical college system
				  board, jointly approved by the department and the Wisconsin technical college
				  system board, at a specified level or levels, to train individuals in the
				  provision of emergency medical services.
(24) "EMS professional" means a certified
				  emergency medical responder, licensed emergency medical services practitioner,
				  registered nurse, physician assistant or physician, who is authorized to
				  provide emergency medical care.
(25) "Emergency medical service provider" or
				  "EMS provider" means an emergency medical services program under s.
				  256.12,
				  Stats., that provides emergency medical services as an emergency medical
				  responder service provider, non-transporting EMS provider, or ambulance service
				  provider.
(26) "Emergency medical
				  services practitioner" or "EMS practitioner" has the meaning given in s.
				  256.01(5),
				  Stats.
(27) "Emergency medical
				  technician" or "EMT" has the meaning given in s.
				  256.01(6),
				  Stats.
(28) "Emergency medical
				  technician - intermediate" or "EMT-Intermediate" has the meaning given in s.
				  256.01(7),
				  Stats.
(31) "Endorsement" means
				  validation by the department that a licensed EMS practitioner has received the
				  training and education required to be a specialist within a license
				  level.
(32) "Field training" means a
				  training experience where a student is placed with an ambulance service
				  provider and, under direct supervision of an approved preceptor, cares for
				  patients to gain proficiency in the skills, medications, and treatments taught
				  in the training program in which the student is enrolled.
(35) "Hospital" has the meaning given in s.
				  50.33(2)
				  Stats.
(36) "Individual" means a
				  natural person, and does not include a firm, corporation, association,
				  partnership, institution, public agency, joint stock association or any other
				  group of individuals.
(37)
				  "Interfacility transport" means any transfer of a patient between health care
				  facilities or any non-emergent transfer of a patient.
(38) "Intercept service" means a specialized
				  EMS service provider that sends higher trained EMS professionals to assist a
				  lower level EMS service provider in caring for a patient who requires a higher
				  level of emergency medical care than the lower level EMS service provider is
				  able to administer.
(39) "Manual
				  defibrillator" has the meaning give in s.
				  256.15(1)
				  (im), Stats.
(40) "Medical consultation" means all of the
				  following:
(a) Direction of patient care
				  through written or verbal orders.
(b) Supervision and quality control of
				  patient care by the service medical director or by a physician designated by
				  the service medical director.
(c)
				  Coordination of all medical-related activities of EMS professionals in a
				  pre-hospital setting or interfacility transport of a patient.