Section 836 IAC 1-1-1 - DefinitionsAuthority: IC 16-31-2-7; IC 16-31.5-3-3
Affected: IC 10-14-3-12; IC 16-18; IC 16-21-2; IC 16-31-2-9; IC 16-31-3; IC 16-31.5-3-3; IC 25-22.5-1-1.1; IC 25-23-1-1.1; IC 35-31.5-2-329
Sec.1
The following definitions apply throughout this title unless the context clearly denotes otherwise:
(1) " 14 CFR 135 and 14 CFR 119 " means air carriers with reference to F.A.R. 135 and 119, and holding a current F.A.A. air carrier certificate, with approved air ambulance operations-helicopter or air ambulance operation-airplane operations specifications.(2) "Advanced life support", for purposes of IC 16-31, means the following: (A) Care given: (i) at the scene of an: (BB) act of terrorism (as defined in IC 35-31.5-2-329), if the governor has declared a disaster emergency under IC 10-14-3-12 in response to the act of terrorism; or(ii) during transport; or(iii) at a hospital; by a paramedic, emergency medical technician-intermediate, and is more advanced than the care usually provided by an emergency medical technician or emergency medical technician-basic advanced.
(B) The term may include any of the following: (ii) Endotracheal intubation.(iii) Parenteral injection of appropriate medications.(iv) Electrocardiogram interpretation.(v) Emergency management of trauma and illness.(3) "Advanced life support fixed wing ambulance service provider organization" means a service provider that uses fixed wing aircraft to provide airport to airport transports, where the patients involved need to be transported on a stretcher or cot to or from a definitive care medical setting.(4) "Advanced life support nontransport vehicle" means a motor vehicle other than an ambulance, owned or leased by a certified emergency medical service provider organization, that provides advanced life support but does not transport patients from the scene of the emergency. The term does not include an employer owned or employer operated vehicle used for first aid purposes on the employer's premises.(5) "Advanced life support rotorcraft ambulance service provider organization" means a service provider that uses rotorcraft aircraft to respond directly to the scene of a medical emergency, either as an initial first responder or a secondary responder, and used to airlift critically ill or injured patients directly to or between definitive care facilities, or to a point of transfer with another more appropriate form of transportation.(6) "Agency" means the state emergency management agency emergency medical services division.(7) "Air-medical director" means a physician with an unlimited license to practice medicine in Indiana and who has an active role in delivering emergency care. This licensed physician is ultimately responsible for patient care during each transport. The air-medical director is responsible for directly overseeing and assuring that appropriate aircraft, air-medical personnel, and equipment are provided for each patient transported by the air ambulances within the air-medical services, as well as the performance of air-medical personnel.(8) "Air-medical personnel" means a person certified by the commission as a paramedic, or is a registered nurse or physician.(9) "Ambulance" means any conveyance on land, sea, or air that is used, or intended to be used, for the purpose of responding to emergency life-threatening situations and providing transportation of an emergency patient.(10) "Ambulance service provider organization" means a person certified by the commission that engages in or seeks to:(F) otherwise engage in; transportation services and emergency patient care as part of a regular course of doing business, either paid or voluntary.
(11) "Auto-injector" means a spring loaded needle and syringe that:(A) contains a single dose of medication; and(B) automatically releases and injects the medication.(12) "Basic life support" means the following:(A) Assessment of emergency patients.(B) Administration of oxygen.(C) Use of mechanical breathing devices.(D) Application of antishock trousers.(E) Performance of cardiopulmonary resuscitation.(F) Application of dressings and bandage materials.(G) Application of splinting and immobilization devices.(H) Use of lifting and moving devices to ensure safe transport.(I) Use of an automatic or a semiautomatic defibrillator if the defibrillator is used under the training procedures established by the commission.(J) An emergency medical technician or emergency medical technician-basic advanced administering epinephrine through an auto-injector.(K) For an emergency medical technician-basic advanced, the following: (i) Electrocardiogram interpretation.(ii) Manual external defibrillation.(iii) Intravenous fluid therapy.(L) Other procedures authorized by the commission, including procedures contained in the revised national emergency medical technician-basic training curriculum guide.(M) Except as provided by: (i) clause (J) and the training and certifications standards established under IC 16-31-2-9(4);(ii) clause (K)(iii); and(iii) the training standards established under IC 16-31-2-9(5); the term does not include invasive medical care techniques or advanced life support.(13) "Basic life support nontransport provider organization" means an organization, certified by the commission, that provides first response patient care at an emergency that includes defibrillation but does not transport patients from the scene of the emergency.(14) "Certificate" or "certification" means authorization in written form issued by the commission to a person to:(F) otherwise engage in providing; emergency medical services as part of a regular course of doing business, either paid or voluntary.
(15) "Commission" means the Indiana emergency medical services commission.(16) "Director" means the director of the state emergency management agency.(17) "Emergency ambulance services" means transporting emergency patients by ambulance and administering basic life support to those patients before or during the transport.(18) "Emergency management of trauma and illness" means the following:(A) For a paramedic, those procedures for which the paramedic has been specifically trained and are part of the:(i) curriculum prescribed by the commission; or(ii) continuing education program and approved by the supervising hospital and paramedic provider organization's medical director.(B) For an emergency medical technician-intermediate, those procedures for which the emergency medical technician-intermediate has been specifically trained: (i) in the Indiana basic emergency medical technician and Indiana emergency medical technician-intermediate curriculums; and(ii) that have been approved by the administrative and medical staff of the supervising hospital, the emergency medical technician-intermediate provider organization medical director, and the commission as being within the scope and responsibility of the emergency medical technician-intermediate.(19) "Emergency medical services" means providing emergency ambulance services or other services, including extrication and rescue services, used in serving an individual's need for immediate medical care to prevent loss of life or aggravating a physiological or psychological illness or injury.(20) "Emergency medical services driver" means an individual who has a certificate of completion of a commission approved driver training course.(21) "Emergency medical services provider organization" means a person certified by the commission that engages in or seeks to:(F) otherwise engage in; services for the care of emergency patients as part of a regular course of doing business, either paid or voluntary.
(22) "Emergency medical services vehicle" means the following:(B) An emergency medical service nontransport vehicle.(23) "Emergency medical technician" means an individual certified under this article to provide basic life support at the scene of an accident or illness, or during transport.(24) "Emergency medical technician-basic advanced" means an individual certified under IC 16-31 to provide basic life support at the scene of an accident or illness, or during transport, and has been certified to perform manual or automated defibrillation, rhythm interpretation, and intravenous line placement.(25) "Emergency medical technician-basic advanced provider organization" means an ambulance service provider or other provider organization certified by the commission to provide basic life support services administered by emergency medical technicians-basic advanced, certified to perform manual or automated defibrillation, rhythm interpretation, and intravenous line placement, in conjunction with a supervising hospital.(26) "Emergency medical technician-intermediate" means an individual who can perform at least one (1) of the procedures of a paramedic and: (A) has completed a prescribed course in advanced life support;(B) has been certified by the commission;(C) is associated with a single supervising hospital; and(D) is affiliated with a provider organization.(27) "Emergency medical technician-intermediate provider organization" means an ambulance service provider organization or other provider organization certified by the commission to provide advanced life support services administered by emergency medical technician-intermediates in conjunction with a supervising hospital.(28) "Emergency patient" means an individual who is acutely ill, injured, or otherwise incapacitated or helpless and needs emergency care. The term includes an individual who needs to be transported on a litter or cot, or in a vehicle certified as an ambulance under IC 16-31-3.(29) "Extrication service" means any actions that disentangle and free from entrapment.(30) "F.A.A." means the Federal Aviation Administration.(31) "F.A.R." means the federal aviation regulations, including, but not limited to, 14 CFR.(32) "First responder" means an individual who is:(A) certified under IC 16-31 and meets the commission's standards for first responder certification; and(B) the first individual to respond to an incident requiring emergency medical services.(33) "Fixed wing ambulance" means a propeller or jet airplane.(34) "Flight physiology" means the physiological stress of flight encountered during air medical operations, including:(C) stresses of barometric pressure changes;(E) thermal and humidity changes;(F) gravitational forces;(J) volume and mass of gases.(35) "Medical director" means a physician with an unlimited license to practice medicine in Indiana and who has an active role in delivering emergency care.(36) "National criminal history background check" means a criminal history background check that: (A) meets the requirements of IC 16-31.5-3-3(4);(B) is conducted by the Indiana state police or a state vendor approved by the department; and(C) has the results released to the department.(37) "Nontransporting emergency medical services vehicle" or "emergency medical service nontransport vehicle" means a motor vehicle, other than an ambulance, used for emergency medical services. The term does not include an employer owned or employer operated vehicle used for first aid purposes on the employer's premises.(38) "Paramedic" means an individual who:(A) is: (i) affiliated with a certified paramedic provider organization;(ii) employed by a sponsoring hospital approved by the commission; or(iii) employed by a supervising hospital with a contract for inservice education with a sponsoring hospital approved by the commission;(B) has completed a prescribed course in advanced life support; and(C) has been certified by the commission.(39) "Paramedic provider organization" means an ambulance service provider organization or other provider organization certified by the commission to provide advanced life support services administered by paramedics or physicians with an unlimited license to practice medicine in Indiana in conjunction with supervising hospitals.(40) "Person" means any:(A) natural person or persons;(E) joint stock association; or(F) governmental entity other than an agency or instrumentality of the United States. "Agency or instrumentality of the United States" does not include a person operating under a contract with the government of the United States.(41) "Physician" means an individual who currently holds a valid unlimited license to practice medicine in Indiana under IC 25-22.5-1-1.1.(42) "Program director" means a person employed by a certified training institution to coordinate the emergency medical services training programs.(43) "Provider organization" means an ambulance service or other emergency care organization certified by the commission to provide emergency medical services.(44) "Provider organization operating area" means the geographic area where an emergency medical technician-basic advanced, affiliated with a specific emergency medical technician-basic advanced provider organization, can maintain two-way voice communication with the provider organization's supervising hospitals.(45) "Registered nurse" means a person licensed under IC 25-23-1-1.1.(46) "Rescue services" means providing basic life support, excluding the following: (A) Administration of oxygen.(B) Use of mechanical breathing devices.(C) Application of antishock trousers.(D) Application of splinting devices.(E) Use of an automatic or a semiautomatic defibrillator.(F) Electrocardiogram interpretation.(G) Manual external defibrillation.(H) Intravenous fluid therapy. (I) Invasive medical care techniques.(47) "Rescue squad organization" means an organization that holds a voluntary certification to provide extrication, rescue, or emergency medical services.(48) "Supervising hospital" means a hospital licensed under IC 16-21-2 or the licensing laws of another state that has been certified by the commission to supervise:(B) emergency medical technicians-intermediate;(C) emergency medical technicians-basic advanced; and(D) provider organizations; in providing emergency medical care.
(49) "Training institution" means an institution certified by the commission to administer emergency medical services training programs.Indiana Emergency Medical Services Commission; Emergency Medical Services Preliminary; filed Jun 5, 1975, 11:57 a.m.: Rules and Regs. 1976, p. 84; filed Nov 3, 1980, 3:55 p.m.: 3 IR 2191; filed Dec 13, 1985, 9:13 a.m.: 9 IR 1035; filed Aug 18, 1986, 1:00 p.m.: 10 IR 23; filed May 15, 1998, 10:25 a.m.: 21 IR 3865; filed Jun 30, 2000, 4:18 p.m.: 23 IR 2718; filed Feb 20, 2003, 8:00 a.m.: 26 IR 2333; filed Jun 11, 2004, 1:30 p.m.: 27 IR 3507; readopted filed Jul 29, 2010, 8:07 a.m.: 20100825-IR-836100267RFAReadopted filed 10/31/2016, 1:48 p.m.: 20161130-IR-836160328RFAReadopted filed 11/28/2022, 2:51 p.m.: 20221228-IR-836220299RFAReadopted filed 7/24/2024, 3:48 p.m.: 20240821-IR-836230827RFAFiled 8/30/2024, 11:24 a.m.: 20240925-IR-836240212FRA