5. Any
medical procedure authorized by 641-subrule 131.3(3).
"Emergency medical care provider " means an
individual who has been trained to provide emergency and nonemergency medical
care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic,
paramedic specialist or other certification levels recognized by the department
before 1984 and who has been issued a certificate by the department.
"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.
"Emergency medical technician-basic"
or"EMT-B " means an individual who has successfully completed
the current United States Department of Transportation's Emergency Medical
Technician-Basic curriculum and department enhancements, has passed the
department's approved written and practical examinations, and is currently
certified by the department as an EMT-B.
"Emergency medical technician-paramedic"
or"EMT-P" means an individual who has successfully completed
the current United States Department of Transportation's (DOT) EMT-intermediate
curriculum or the 1985 or earlier DOT EMT-P curriculum, has passed the
department's approved written and practical examinations, and is currently
certified by the department as an EMT-P.
"Emergency medical transportation " means the
transportation by ambulance of sick, injured or otherwise incapacitated persons
who require emergency medical care.
"EMS advisory council" means a council
appointed by the director to advise the director and develop policy
recommendations concerning regulation, administration, and coordination of
emergency medical services in the state.
"EMS system " means any specific arrangement
of emergency medical personnel, equipment, and supplies designed to function in
a coordinated fashion.
"Endorsement" means providing approval in an
area related to emergency medical care including, but not limited to, CCP and
emergency medical services.
"FAA " means Federal Aviation
Administration.
"FAR " means Federal Aviation
Regulation.
"Fixed-wing ambulance " means any privately or
publicly owned fixed-wing aircraft specifically designed, modified,
constructed, equipped, staffed and used regularly to transport the sick,
injured or otherwise incapacitated who are in need of out-of-hospital emergency
medical care or whose condition requires treatment or continuous observation
while being transported.
"Hospital" means any hospital licensed under
the provisions of Iowa Code chapter 135B.
"Inclusion criteria" means criteria determined
by the department and adopted by reference to determine which patients are to
be included in the Iowa EMS service program registry or the trauma
registry.
"Iowa EMS Patient Registry Data Dictionary"
means reportable data elements for all ambulance service responses and
definitions determined by the department and adopted by reference.
"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 personnel.
"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.
"Nonemergency transportation" means
transportation that may be provided for those persons determined to need
transportation only.
"NTSB " means National Transportation Safety
Board.
"Off-line medical direction " means the
monitoring of EMS providers through retrospective field assessments and
treatment documentation review, critiques of selected cases with the EMS
personnel, and statistical review of the system.
"On-line medical direction" means immediate
medical direction provided directly to service program EMS 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.
"Paramedic " or"EMT-P " means
an emergency medical technician-paramedic.
"Paramedic specalist" or"PS"
means an individual who has successfully completed the current United States
Department of Transportation's EMT-Paramedic curriculum or equivalent, has
passed the department's approved written and practical examinations, and is
currently certified by the department as a paramedic specialist.
"Patient" means any individual who is sick,
injured, or otherwise incapacitated.
"Patient care report" or"PCR"
means a computerized or written report that documents the assessment and
management of the patient by the emergency care provider in the out-of-hospital
setting.
"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 care provided
by emergency medical care providers.
"Preceptor " means an individual who has been
assigned by the training program, clinical facility or service program to
supervise students while the students are completing their clinical or field
experience. A preceptor must be an emergency medical care provider certified at
the level being supervised or higher, or must be licensed as a registered
nurse, physician assistant or physician.
"Protocols" means written directions and
orders, consistent with the department's standard of care, that are to be
followed by an emergency medical care provider in emergency and nonemergency
situations. Protocols must be approved by the service program's medical
director and must address the care of both adult and pediatric patients.
"Registerednurse" or"RN"
means an individual licensed pursuant to Iowa Code chapter 152.
"Reportable patient data " means data elements
and definitions determined by the department and adopted by reference to be
reported to the Iowa EMS service program registry or the trauma registry or a
trauma care facility on patients meeting the inclusion criteria.
"Rotorcraft ambulance " means any privately or
publicly owned rotorcraft specifically designed, modified, constructed,
equipped, staffed and used regularly to transport the sick, injured or
otherwise incapacitated who are in need of out-of-hospital emergency medical
care or whose condition requires treatment or continuous observation while
being transported.
"Service director " means an individual who is
responsible for the operation and administration of a service program.
"Service program " or"service
" means any medical care air ambulance service that has received
authorization by the department.
"Service program area " means the geographic
area of responsibility served by any given ambulance or nontransport service
program.
"Student" means any individual enrolled in a
training program and participating in the didactic, clinical, or field
experience portions.
"Supervising physician" means any physician
licensed under Iowa Code chapter 148. The supervising physician is responsible
for medical direction of emergency medical care personnel when such personnel
are providing emergency medical care.
"Trainingprogram " means an NCA-approved Iowa
college, the Iowa law enforcement academy or an Iowa hospital approved by the
department to conduct emergency medical care training.
"Transport agreement" means a written
agreement between two or more service programs that specifies the duties and
responsibilities of the agreeing parties to ensure appropriate transportation
of patients in a given service area.
