5. Any other medical procedure approved by
the
department, by rule, as appropriate to be performed by
emergency medical
care providers who have been certified in that procedure.
"EMS provider" means an emergency medical
care provider as defined in Iowa Code section
147A.1.
"Health care provider" means a person,
including an emergency medical care provider, who is licensed, certified, or
otherwise authorized or permitted by the law of this state to administer health
care in the ordinary course of business or in the practice of a
profession.
"Hospital" means any hospital licensed under
the provisions of Iowa Code section
135B.1.
"Life-sustaining procedure" means any medical
procedure, treatment, or intervention, including resuscitation, which utilizes
mechanical or artificial means to sustain, restore or supplant a spontaneous
vital function, and when applied to a patient in a terminal condition, would
serve only to prolong the dying process. "Life-sustaining procedure" does not
include the provision of nutrition or hydration except when required to be
provided parenterally or through intubation or the administration of medication
or performance of any medical procedure deemed necessary to provide comfort
care or to alleviate pain.
"Medical direction" means direction, advice,
or orders provided by a medical director, supervising physician, or physician
designee (in accordance with written parameters and protocols) to emergency
medical care providers.
"Medical director" means any physician
licensed under Iowa Code chapter 148 who shall be responsible for overall
medical direction of the service program and who has completed a medical
director workshop, sponsored by the department, within one year of assuming
duties.
"On-line medical direction" means immediate
medical direction provided directly to service program emergency medical care
providers, in accordance with written parameters and protocols, by the medical
director, supervising physician or physician designee either on scene or by any
telecommunications system.
"Out-of-hospital do-not-resuscitate
identifier" or "OOH DNR identifier" means a durable
yet easily removable unique identification approved by the department and worn
by a patient who has an out-of-hospital do-not-resuscitate order.
"Out-of-hospital do-not-resuscitate order" or
"OOH DNR order" means a written order on a form approved by
the department, signed by an attending physician, executed in accordance with
the requirements of Iowa Code section
144A.7A and issued consistent
with Iowa Code section
144A.2, that directs the
withholding or withdrawal of resuscitation when an adult patient in a terminal
condition is outside the hospital.
"Out-of-hospital do-not-resuscitate protocol"
or "OOH DNR protocol" means the statewide protocol approved by
the department and intended to avoid unwarranted resuscitation by emergency
medical care providers when a valid out-of-hospital do-not-resuscitate order or
identifier is encountered.
"Patient" means any individual who is sick,
injured, or otherwise incapacitated.
"Physician" means any individual licensed
under Iowa Code chapter 148.
"Physician assistant" or
"PA" means an individual licensed pursuant to Iowa Code
chapter 148C.
"Physician designee" means any registered
nurse licensed under Iowa Code chapter 152, or any physician assistant licensed
under Iowa Code chapter 148C and approved by the board of physician assistants.
The physician designee acts as an intermediary for a supervising physician in
accordance with written policies and protocols in directing the actions of
emergency medical care providers.
"Qualified patient" means any adult patient
as defined in Iowa Code section
144A.2.
"Registered nurse" or "RN"
means an individual licensed pursuant to Iowa Code chapter 152.
"Resuscitation" means any medical
intervention that utilizes mechanical or artificial means to sustain, restore,
or supplant a spontaneous vital function, including but not limited to chest
compression, defibrillation, intubation, and emergency drugs intended to alter
cardiac function or otherwise to sustain life.
"Service program" or
"service" means any medical care ambulance service or
nontransport service that has received authorization by the department.
"Supervising physician" means any physician
licensed under Iowa Code chapter 148, 150, or 150A. The supervising physician
is responsible for medical direction of emergency medical care providers when
such providers are providing emergency medical care.
"Terminal condition" means an incurable or
irreversible condition that, without the administration of life-sustaining
procedures, will, in the opinion of the attending physician, result in death
within a relatively short period of time or a state of permanent
unconsciousness from which, to a reasonable degree of medical certainty, there
can be no recovery.
