Statutes, codes, and regulations
Indiana Administrative Code
Title 836 - INDIANA EMERGENCY MEDICAL SERVICES COMMISSIONArticle 1 - EMERGENCY MEDICAL SERVICES
Rule 836 IAC 1-2.2 - Certification of Ambulance Service Providers - Stroke Field Triage and Transport Destination Protocol
Section 836 IAC 1-2.2-2 - Definitions

836 Ind. Admin. Code 1-2.2-2

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Current through January 8, 2025
Section 836 IAC 1-2.2-2 - Definitions

Authority: IC 16-31-2-9.5

Affected: IC 10-14-3-12; IC 16-18; IC 16-21-2; IC 16-31-2-9; IC 16-31-3; IC 25-22.5-1-1.1; IC 25-23-1-1.1

Sec. 2.

The following definitions apply throughout this rule:

(1) "Hospital" means a hospital that is licensed under IC 16-21-2 or another hospital, located in Illinois, Kentucky, or Michigan, that is licensed under a statute in that state that is substantially equivalent to IC 16-21-2, or another hospital, located in Ohio that is legally operating under the laws of the state of Ohio and that provides substantially the same level of care as an Indiana hospital that is licensed under IC 16-21-2.
(2) "Protocol" means a written guidance, prepared by the ambulance service provider organization's medical director, defining stroke treatment and destination procedures that shall be based on the findings of the stroke screening tool. Written protocols include protocols required for:
(A) ambulance service provider organizations in 836 IAC 1-2-1;
(B) nontransport provider organizations in 836 IAC 1-11-3;
(C) paramedic provider organizations in 836 IAC 2-2-1; and
(D) advanced emergency medical technician provider organizations in 836 IAC 2-7.2-1.
(3) "Stroke screening tool" means an evidence-based nationally recognized tool that is used by emergency medical services personnel to identify and evaluate a neurological defect a patient may have as it relates to a stroke. The following are acceptable evidence-based, nationally recognized tools that may be used:
(A) The Cincinnati Prehospital Stroke Scale (CPSS).
(B) FAST mnemonic (facial, arms, speech, time assessment).
(C) L.A. Stroke Severity Scale.
(D) The National Institutes of Health Stroke Scale (NIHSS).
(E) The Rapid Arterial Occlusion Evaluation (RACE) Stroke Scale.
(F) Other evidenced-based nationally recognized tools approved by the ambulance service provider organization's medical director.

836 IAC 1-2.2-2

Indiana Emergency Medical Services Commission; 836 IAC 1-2.2-2; filed 10/31/2019, 9:51 a.m.: 20191127-IR-836190172FRA
Readopted filed 7/24/2024, 3:48 p.m.: 20240821-IR-836230827RFA