Or. Admin. Code § 333-265-0000 - Definitions
(1) "Advanced Emergency Medical Technician
(AEMT or Advanced EMT)" means a person who is licensed by the Oregon Health
Authority (Authority) as an Advanced Emergency Medical Technician.
(2) "Ambulance service" means any person,
governmental unit, or other entity that operates ambulances and holds itself
out as providing prehospital care or medical transportation to persons who are
ill or injured or who have disabilities.
(3) "Authority" means the Emergency Medical
Services and Trauma Systems Program, within the Oregon Health Authority, Public
Health Division.
(4) "Business day"
means Monday through Friday when the Authority is open for business, excluding
holidays.
(5) "Candidate" means an
applicant that has completed training in an emergency medical services provider
course and has not yet been licensed by the Authority.
(6) "Clinical experience (Clinical)" means
those hours of the curriculum that synthesize cognitive and psychomotor skills
and are performed under a preceptor.
(7) "Continuing education" means education
required as a condition of licensure under ORS chapter 682 to maintain the
skills necessary for the provision of competent prehospital care. Continuing
education does not include attending EMS related business meetings, EMS
exhibits or trade shows.
(8)
"Criminal records check" means obtaining and reviewing criminal records and
includes any or all of the following:
(a) A
check of criminal offender information and driving records conducted through
use of the Law Enforcement Data System (LEDS) maintained by the Oregon State
Police (OSP), in accordance with the rules adopted and procedures established
by OSP;
(b) A check of Oregon or
other state criminal offender information, including through fingerprint
identification or other means, conducted by OSP at the Authority's request;
or
(c) A nationwide check of
federal criminal offender information, including through fingerprint
identification, conducted by OSP through the Federal Bureau of Investigation
(FBI).
(9) "Didactic
instruction" means the delivery of primarily cognitive material through
lecture, video, discussion, and simulation by program faculty or through web or
Internet-based communication.
(10)
"Direct visual supervision" means that a person qualified to supervise is at
the patient's side to monitor the emergency medical services provider in
training.
(11) "Educational
institution" means a degree granting community college, college or university
or a licensed vocational school that is authorized or licensed by the Higher
Education Coordinating Commission.
(12) "Emergency care" means the performance
of acts or procedures under emergency conditions in the observation, care and
counsel of persons who are ill or injured or who have disabilities; in the
administration of care or medications as prescribed by a licensed physician,
insofar as any of these acts is based upon knowledge and application of the
principles of biological, physical and social science as required by a
completed course utilizing an approved curriculum in prehospital emergency
care. However, "emergency care" does not include acts of medical diagnosis or
prescription of therapeutic or corrective measures.
(13) "EMS" means Emergency Medical
Services.
(14) "EMS licensing
officer" is a person approved by the Authority in accordance with OAR
333-265-0026 to conduct an Emergency Medical Technician (EMT) or
EMT-Intermediate psychomotor examination in a manner consistent with the
standards of the National Registry or the Authority.
(15) "EMS Medical Director" has the same
meaning as "Supervising Physician" in ORS 682.025.
(16) "Emergency Medical Responder (EMR)"
means a person who is licensed by the Authority as an Emergency Medical
Responder.
(17) "Emergency Medical
Services (EMS) agency" means any person, governmental agency or unit, or other
entity that utilizes emergency medical services providers to provide
prehospital emergency or non-emergency care. An emergency medical services
agency may be either an ambulance service or a nontransporting
service.
(18) "Emergency Medical
Services provider (EMS provider)" means a person who has received formal
training in prehospital and emergency care, and is licensed to attend to any
person who is ill or injured or who has a disability. Police officers, fire
fighters, funeral home employees and other persons serving in a dual capacity,
one of which meets the definition of "emergency medical services provider" are
"emergency medical services providers" within the meaning of ORS chapter
682.
(19) "Emergency Medical
Technician (EMT)" means a person who is licensed by the Authority as an
Emergency Medical Technician.
(20)
"EMT-Intermediate" means a person who is licensed by the Authority as an
EMT-Intermediate.
(21)
"Governmental unit" means the state or any county, municipality or other
political subdivision or any department, board or other agency of any of
them.
(22) "In good standing" means
a person who is currently licensed and who does not have any restrictions
placed on their license, or who is not on probation with a licensing agency or
the National Registry for any reason.
(23) "Key party" means immediate family
members and others who would be reasonably expected to play a significant role
in the health care decisions of the patient or client and includes, but is not
limited to, the spouse, domestic partner, sibling, parent, child, guardian and
person authorized to make health care decisions of the patient or
client.
(24) "National Registry"
means the National Registry of Emergency Medical Technicians.
(25) "Non-emergency care" means the
performance of acts or procedures on a patient who is not expected to die,
become permanently disabled or suffer permanent harm within the next 24-hours,
including but not limited to observation, care and counsel of a patient and the
administration of medications prescribed by a physician licensed under ORS
chapter 677, insofar as any of those acts are based upon knowledge and
application of the principles of biological, physical and social science and
are performed in accordance with scope of practice rules adopted by the Oregon
Medical Board in the course of providing prehospital care as defined by this
rule.
(26) "Paramedic" means a
person who is licensed by the Authority as a Paramedic.
(27) "Patient" means a person who is ill or
injured or who has a disability and who receives emergency or nonemergency care
from an EMS provider.
(28) "Person"
has the meaning give that term in ORS 174.100.
(29) "Prehospital care" means care rendered
by EMS providers as an incident of the operation of an ambulance and care
rendered by EMS providers as incidents of other public or private safety
duties, and includes, but is not limited to "emergency care" as defined in this
rule.
(30) "Preceptor" means a
person approved by an educational institution and appointed by the EMS agency,
who supervises and evaluates the performance of an EMS provider student during
the clinical and field internship phases of an EMS provider course. A preceptor
must be a physician, physician associate, registered nurse, or EMS provider
with at least two years field experience in good standing at or above the level
for which the student is in training.
(31) "Protocols" has the same meaning as
standing orders.
(32) "Reciprocity"
means the manner in which a person may obtain Oregon EMS provider licensure
when that person is licensed in another state and certified with the National
Registry.
(33) "Regional EMS
Instructor" is a person approved by the Authority in accordance with OAR
333-265-0026 and under an established agreement with the Authority:
(a) Conducts an Emergency Medical Technician
(EMT) or EMT-Intermediate psychomotor examination in a manner consistent with
the standards of the National Registry or the Authority; and
(b) Provides oversight to a rural or frontier
non-educational institution's EMT or EMT-Intermediate initial course when a
rural or frontier non-educational institution is unable to comply with OAR
333-265-0010(5).
(c) The Regional
EMS Instructor may provide continuing education courses to rural or frontier
EMS agencies at the request of the Authority.
(34) "Scope of practice" means the maximum
level of emergency or non-emergency care that an EMS provider may provide as
set forth in rules adopted by the Oregon Medical Board.
(35) "Skills examiner" means a person who
attends an EMS provider psychomotor examination and who objectively observes
and records each student's performance consistent with the standards of the
National Registry.
(36) "Skills
instruction" means providing direct practical experience in the operation or
function of specific tasks or equipment through active, hands-on participation
by the student.
(37) "Standing
orders" means the written protocols that an EMS provider follows to treat
patients when direct contact with a physician is not maintained.
(38) "Successful completion" means having
attended 85 percent of the didactic and skills instruction hours (or makeup
sessions) and 100 percent of the clinical and field internship hours, and
completing all required clinical and internship skills and procedures and
meeting or exceeding the academic standards for those skills and
procedures.
(40) "Transitional Paramedic license" means a
license issued to an individual who is currently certified by the National
Registry of Emergency Medical Technicians as a Paramedic and who is working
towards obtaining an associate degree or higher to obtain a Paramedic
license.
(41) "Unprofessional
conduct" means conduct unbecoming a person licensed to perform emergency care,
or detrimental to the best interests of the public and includes:
(a) Any conduct or practice contrary to
recognized standards of ethics of the medical profession or any conduct or
practice which does or might constitute a danger to the health or safety of a
patient or the public or any conduct, practice or condition which does or might
impair an emergency medical services provider's ability safely and skillfully
to practice emergency or nonemergency care;
(b) Willful performance of any medical
treatment which is contrary to acceptable medical standards; and
(c) Willful and consistent utilization of
medical service for treatment which is or may be considered inappropriate or
unnecessary.
(42)
"Volunteer" means a person who is not compensated for their time to staff an
ambulance or EMS agency, but who may receive reimbursement for personal
expenses incurred.
Notes
Statutory/Other Authority: ORS 682.017
Statutes/Other Implemented: ORS 682.017 - 682.991
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