Current through Register Vol. 41, No. 14, April 7, 2022
Each of the following terms, as used in the board's
regulations, shall have the meaning specified in this regulation:
(a) "AEMT" means advanced emergency medical
(b) "Advanced life
support" and "ALS" mean the statutorily authorized activities and interventions
that may be performed by an advanced emergency medical technician or
(c) "Air ambulance"
means a fixed-wing or rotor-wing aircraft that is specially designed,
constructed or modified, maintained, and equipped to provide air medical
transportation and emergency care of patients.
"Air medical director" means a physician
as defined by K.S.A. 65-6112
, and amendments thereto, who meets the following
(1) Is trained and experienced
in care consistent with the air ambulance service's mission statement;
(2) is knowledgeable in
altitude physiology and the complications that can arise due to air medical
medical personnel" means the EMS providers listed on the EMS provider roster,
health care personnel identified on the service health care personnel roster of
the air ambulance service, specialty patient care providers specific to the
mission, and the pilot or pilots necessary for the operation of the
(f) "Airway maintenance,"
as used in K.S.A. 65-6121 and amendments thereto and as applied to the
authorized activities of an advanced emergency medical technician, means the
use of any invasive oral equipment and procedures necessary to ensure the
adequacy and quality of ventilation and oxygenation.
(g) "Attendant" means EMS provider.
(h) "Basic life support" and "BLS" mean the
statutorily authorized activities and interventions that may be performed by an
emergency medical responder or emergency medical technician.
(i) "CAPCE" means the commission on
accreditation for pre-hospital continuing education.
"Certified mechanic," as used in K.A.R.
, means an individual employed or contracted by the ambulance service,
city or county, qualified to perform maintenance on licensed ambulances and
inspect these vehicles and validate, by signature, that the vehicles meet both
mechanical and safety considerations for use.
(k) "Class" means the period during which a
group of students meets.
"Coordination" means the submission of an application for approval of initial
courses of instruction or continuing education courses and the oversight
responsibility of those same courses and instructors once the courses are
(m) "Course of
instruction" means a body of prescribed EMS studies approved by the
(n) "Critical care
transport" means the transport by an ambulance of a critically ill or injured
patient who receives care commensurate with the care rendered by health care
personnel as defined in this regulation or a paramedic with specialized
training as approved by service protocols and the medical director.
(o) "Emergency" means a serious medical or
traumatic situation or occurrence that demands immediate action.
(p) "Emergency call" means an immediate
response by an ambulance service to a medical or trauma incident that happens
means the services provided after the onset of a medical condition of
sufficient severity that the absence of immediate medical attention could
reasonably be expected to cause any of the following:
(1) Place the patient's health in serious
(2) seriously impair
bodily functions; or
(3) result in
serious dysfunction of any bodily organ or part.
(r) "EMR" means emergency medical
(s) "EMS" means
emergency medical services.
"EMS provider" means emergency medical service provider.
(u) "EMT" means emergency medical
means a ground-based vehicle that is specially designed and equipped for
emergency medical care and transport of sick and injured persons and meets the
requirements in K.A.R. 109-2-8
"Health care personnel" and "health care provider," as used in the board's
regulations, means a physician, physician assistant, licensed professional
nurse, advanced practice registered nurse, or respiratory therapist.
(x) "Incompetence," as applied to EMS
providers and as used in K.S.A. 65-6133 and amendments thereto, means a
demonstrated lack of ability, knowledge, or fitness to perform patient care
according to applicable medical protocols or as defined by the authorized
activities of the EMS provider's level of certification.
(y) "Incompetence," as applied to
instructor-coordinators and as used in K.S.A. 65-6129b and amendments thereto,
means a pattern of practice or other behavior that demonstrates a manifest
incapacity, inability, or failure to coordinate or to instruct EMS provider
"Incompetence," as applied to an operator and as used in K.S.A. 65-6132
amendments thereto, means either of the following:
(1) The operator's inability or failure to
provide the level of service required for the type of permit held; or
(2) the failure of the operator or an agent
or employee of the operator to comply with a statute or regulation pertaining
to the operation of a licensed ambulance service.
"Instructor-coordinator" and "I-C" mean
any of the following individuals who are certified to instruct and coordinate
EMS provider training programs:
(4) advanced practice
emergency medical technician; or
(bb) "Interoperable" means that one system
has the ability to communicate or work with another.
(cc) "Lab assistant" means an individual who
is assisting a primary instructor in the instruction and evaluation of students
in classroom laboratory training sessions.
"Long-term provider approval" means that
the sponsoring organization has been approved by the executive director to
provide any continuing education program as prescribed in K.A.R.
"Out of service," as
used in K.A.R. 109-2-5
, means that a licensed ambulance is not immediately
available for use for patient care or transport.
(ff) "Primary instructor" means an
instructor-coordinator who is listed by the sponsoring organization as the
individual responsible for the competent delivery of cognitive, psychomotor,
and affective objectives of an approved initial course of instruction or
continuing education program and who is the person primarily responsible for
evaluating student performance and developing student competency.
(gg) "Prior-approved continuing education"
means material submitted by a sponsoring organization, to the board, that is
reviewed and subsequently approved by the executive director, in accordance
with criteria established by regulations, and that is assigned a course
"Program manager" means an individual who has been appointed, employed, or
designated by a sponsoring organization, as defined in K.S.A. 65-6112 and
amendments thereto, to ensure that the sponsoring organization is in
conformance with applicable regulations and to ensure that quality EMS
education is provided by the sponsoring organization's qualified
means the request for an ambulance to respond to the scene of a medical
emergency or accident by an individual or agency other than any of the
(1) A ground ambulance
(2) the Kansas highway
patrol or any law enforcement officer who is at the scene of an accident or
(3) a physician,
as defined by K.S.A. 65-6112 and amendments thereto, who is at the scene of an
accident or medical emergency; or
(4) an EMS provider who has been dispatched
to provide emergency first response and who is at the scene of an accident or
"Quality management plan" means a written plan developed by a sponsoring
organization that describes all processes utilized by the sponsoring
organization to ensure that the EMS education provided meets the requirements
of the community's EMS training needs assessment or meets the training needs of
the intended audience. Each quality management plan shall, at a minimum,
include a review and analysis by the medical director and program manager of
each completed course and the instructor evaluations.
(kk) "Reinstatement" means the process by
which a person may be issued a certificate at the same level of certification
as that of an expired certificate.
(ll) "Retroactively approved continuing
education" means credit issued to an EMS provider after attending a program
workshop, conference, seminar, or other offering that is reviewed and
subsequently approved by the executive director, in accordance with criteria
established by the board.
"Service director" means an individual who has been appointed, employed, or
designated by the operator of an ambulance service to handle daily operations
and to ensure that the ambulance service is in conformance with local, state,
and federal laws and ensure that quality patient care is provided by the
ambulance service EMS providers.
(nn) "Service records" means the documents
required to be maintained by state regulations and statutes pertaining to the
operation and education within a licensed ambulance service.
(oo) "Single-program provider approval" means
that the sponsoring organization has been granted approval to offer a specific
continuing education program.
"Sufficient application" means that the information requested on the
application form is provided in full, any applicable fee has been paid, all
information required by statute or regulation has been submitted to the board,
and no additional information is required to complete the processing of the
(qq) "Teach" means
instruct or coordinate training, or both.
"Unprofessional conduct," as applied to
EMS providers and as used in K.S.A. 65-6133
and amendments thereto, means
conduct that violates those standards of professional behavior that through
professional experience have become established by the consensus of the expert
opinion of the members of the EMS profession as reasonably necessary for the
protection of the public. This term shall include any of the following:
(1) Failing to take appropriate action to
safeguard the patient;
performing acts beyond the activities authorized for the level at which the
individual is certified;
falsifying a patient's or an ambulance service's records;
(4) verbally, sexually, or physically abusing
(5) violating statutes
or regulations concerning the confidentiality of medical records or patient
information obtained in the course of professional work;
(6) diverting drugs or any property belonging
to a patient or an agency;
making a false or misleading statement on an application for certification
renewal or any agency record;
engaging in any fraudulent or dishonest act that is related to the
qualifications, functions, or duties of an EMS provider; or
(9) failing to cooperate with the board and
its agents in the investigation of complaints or possible violations of the EMS
statutes or board regulations, including failing to furnish any documents or
information legally requested by the board. EMS providers who fail to respond
to requests for documents or requests for information within 30 days from the
date of request shall have the burden of demonstrating that they have acted in
a timely manner.
"Unprofessional conduct," as applied to instructor-coordinators and as used in
and amendments thereto, means any of the following:
(1) Engaging in behavior that demeans a
student. This behavior shall include ridiculing a student in front of other
students or engaging in any inhumane or discriminatory treatment of any student
or group of students;
or physically abusing a student;
(3) failing to take appropriate action to
safeguard a student;
any document relating to a student or the sponsoring organization;
(5) violating any statutes or regulations
concerning the confidentiality of student records;
(6) obtaining or seeking to obtain any
benefit, including a sexual favor, from a student through duress, coercion,
fraud, or misrepresentation, or creating an environment that subjects a student
to unwelcome sexual advances, which shall include physical touching or verbal
(7) an inability to
instruct because of alcoholism, excessive use of drugs, controlled substances,
or any physical or mental condition;
(8) reproducing or duplicating a state
examination for certification without board authority;
(9) engaging in any fraudulent or dishonest
act that is related to the qualifications, functions, or duties of an
willfully failing to adhere to the course syllabus; or
(11) failing to cooperate with the board and
its agents in the investigation of complaints or possible violations of the
board's statutes or regulations, including failing to furnish any documents or
information legally requested by the board. Instructor-coordinators who fail to
respond to requests for documents or requests for information within 30 days of
the request shall have the burden of demonstrating that they have acted in a