Iowa Admin. Code r. 641-132.1
For the purpose of these rules, the following definitions shall apply:
"Advanced emergency medical technician level service" or "AEMT level service" means a service program that provides emergency medical care that does not exceed the scope of practice of a certified AEMT provider as outlined in 641-subrule 131.5(2).
"Advanced registered nurse practitioner" or "ARNP" means a nurse licensed pursuant to 655-7.1 (152) with current licensure as a registered nurse in Iowa who is registered in Iowa to practice in an advanced role.
"Ambulance" means any privately or publicly owned ground vehicle equipped with life-support systems and specifically designed to transport the sick or injured who require emergency medical care.
"Applicant" means an owner of a transport or nontransport program or service program that is applying to the department for authorization as a service program or renewal of current authorization as a service program.
"Biohazardous sharp" means any object that has the potential to puncture the skin and may be contaminated with a biological material that is an infectious disease transmission risk.
"Biomedical hazardous waste" means waste product such as a biohazardous sharp or other material that may be contaminated with a biological material that is an infectious disease transmission risk.
"Bureau" or "BETS" means the bureau of emergency and trauma services, the bureau designated by the department as the lead agency for coordinating and implementing the provision of emergency medical services in this state.
"Communication system" means but is not limited to a telecommunication system, radio communication system, or mobile data communication system.
"Conditional service level authorization" means an enhanced service program authorization under which a service program may provide an advanced level of service from that routinely provided under the service program's full authorization level, on an intermittent basis with department and medical director approval.
"Continuous quality improvement" or "CQI" means a program that is an ongoing process to monitor standards at all EMS operational levels.
"Credentialing" means a clinical determination that is the responsibility of a physician medical director It is the employer or affiliating organization's responsibility to act on the clinical credentialing status of EMS personnel in making employment or deployment decisions.
"Critical care transport" or "CCT" means a paramedic level service program that has received an endorsement from the department to provide specialty care patient transportation and that is staffed by one or more paramedics with a critical care paramedic endorsement from the department or that is staffed by other health care professionals in an appropriate specialty area.
"Deficiency" means noncompliance with Iowa Code chapter 147A or these administrative rules.
"Department" means the Iowa department of public health.
"Director" means the director of the Iowa department of public health.
"Emergency medical care" means any medical procedure authorized by Iowa Code chapter 147A and 641-Chapter 131.
"Emergency medical care provider" means an individual who has been trained to provide emergency and nonemergency medical care at the EMR, EMT, AEMT, paramedic, or other certification level recognized by the department before 2011 and has been issued a certificate by the department, or a person practicing in accordance with Iowa Code chapter 147D.
"Emergency medical responder level service" or "EMR level service" means a nontransport service program that provides emergency medical care that does not exceed the scope of practice of a certified EMR provider as outlined in 641-subrule 131.5(2).
"Emergency medical services" or "EMS" means an integrated medical care delivery system to provide emergency and nonemergency medical care at the scene or out-of-hospital during patient transportation in an ambulance.
"Emergency medical technician level service" or "EMT level service" means a service program that provides emergency medical care that does not exceed the scope of practice of a certified EMT provider as outlined in 641-subrule 131.5(2).
"Emergency medical transportation" means transportation of a patient by an ambulance.
"EMS clinical guidelines" or "minimum EMS clinical guidelines" means a minimum clinical standard approved by the department upon which a service program's medical director shall base service program protocols.
"Emergency vehicle driver" or "driver" means a currently licensed driver rostered with the service program or other emergency response personnel with emergency vehicle driving training.
"Endorsement" means an approval granted by the department authorizing a paramedic level service program to provide critical care transport (CCT).
"First response vehicle" means any privately or publicly owned vehicle that is not an ambulance and that is used solely for the transportation of personnel and equipment to and from the scene of an emergency.
"Full authorization" means a service program authorization under which a service is authorized to provide and routinely provides a specific level of emergency medical care for initial 911 or emergency calls 24 hours per day, seven days per week.
"Hospital" means any hospital licensed under the provisions of Iowa Code chapter 135B.
"Iowa EMS Registry Data Dictionary" means reportable EMS data elements and definitions determined by the department and adopted by reference.
"Medical direction" means direction, advice, or orders provided by a medical director, supervising physician, PA, or ARNP to emergency medical care personnel.
"Medical director" means a physician designated by the service program and responsible for providing medical direction and overall supervision of the medical aspects of the service program.
"Nontransport service" means any privately or publicly owned service program which does not provide patient transportation and provides emergency medical care at the scene of an emergency.
"Paramedic level service" or "PM level service" means a service program that provides emergency medical care that does not exceed the scope of practice of a certified paramedic provider as outlined in 641-subrule 131.5(2).
"Patient care report" or "PCR" means a report that documents the assessment and management of the patient by the emergency care provider
"Physician" means an individual licensed under Iowa Code chapter 148.
"Physician assistant" or "PA" means an individual licensed pursuant to Iowa Code chapter 148C.
"Primary response ambulance" means any ambulance utilized by a service program and dispatched as the initial ambulance response to a 911 or emergency call.
"Protocols" means written directions and orders approved by a service program's medical director utilizing the EMS clinical guidelines.
"Registered nurse" or "RN" means an individual licensed pursuant to Iowa Code chapter 152.
"Service director" means an individual designated by the service program who is responsible for the operation and administration of a service program.
"Service program" or "service" means any transport service or nontransport service, inclusive of associated satellites, that has received full or conditional authorization from the department.
"Service program affiliate" or "affiliate" means an independently owned service program affiliated with one or more service programs or a separate management entity.
"Service program affiliate agreement" or "affiliate agreement" means a written agreement executed between one or more service programs or one or more management entities and filed with the department that clearly defines the responsibilities of each service program to ensure compliance with these rules.
"Service program base of operation" means the physical location from which a service program responds and at which the service program houses emergency medical care personnel and equipment.
"Service program ownership" means the legal owner of the service program responsible for providing emergency medical care and compliance with Iowa Code chapter 147A and these rules.
"Service program satellite" or "satellite" means one or more additional service program locations owned by the same service program.
"Tiered response" means a rendezvous between service programs to allow the transfer, continuation, or enhancement of patient care.
"Transport agreement" means a written agreement executed between two or more service programs and filed with the department that ensures response and transportation for initial 911 or emergency calls. A transport agreement may be a component of an affiliate agreement.
"Transport service" means any privately or publicly owned service program which utilizes ambulances in order to provide patient transportation.
Iowa Admin. Code r. 641-132.1