36-2201
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36-2201. Definitions In this chapter, unless the context otherwise requires: 1. "Administrative medical direction" means supervision of certified emergency medical technicians by a base hospital medical director, administrative medical director or basic life support medical director. For the purposes of this paragraph, "administrative medical director" means a physician who is licensed pursuant to title 32, chapter 13 or 17 and who provides direction within the emergency medical services system. 2. "Advanced life support base hospital" means a health care institution that offers general medical and surgical services, that is certified by the director as an advanced life support base hospital and that is affiliated by written agreement with a licensed ambulance service, municipal rescue service, fire department, fire district or health services district for medical direction, evaluation and control of emergency medical technicians. 3. "Ambulance" means any publicly or privately owned surface, water or air vehicle, including a helicopter, that contains a stretcher and necessary medical equipment and supplies pursuant to section 36-2202 and that is especially designed and constructed or modified and equipped to be used, maintained or operated primarily for the transportation of individuals who are sick, injured or wounded or who require medical monitoring or aid. Ambulance does not include a surface vehicle that is owned and operated by a private sole proprietor, partnership, private corporation or municipal corporation for the emergency transportation and in-transit care of its employees or a vehicle that is operated to accommodate an incapacitated or disabled person who does not require medical monitoring, care or treatment during transport and that is not advertised as having medical equipment and supplies or ambulance attendants. 4. "Ambulance attendant" means any of the following: (a) A certified emergency medical technician whose primary responsibility is the care of patients in an ambulance and who meets the standards and criteria adopted pursuant to section 36-2204. (b) A first responder who is employed by an ambulance service operating under the provisions of section 36-2202, whose primary responsibility is the driving of an ambulance. (c) A physician who is licensed pursuant to title 32, chapter 13 or 17. (d) A professional nurse who is licensed pursuant to title 32, chapter 15 and who meets the state board of nursing criteria to care for patients in the prehospital care system. (e) A professional nurse who is licensed pursuant to title 32, chapter 15 and whose primary responsibility is the care of patients in an ambulance during an interfacility transport. 5. "Ambulance service" means a person who owns and operates one or more ambulances. 6. "Basic emergency medical technician" means a person who has been trained in specific emergency care in a basic emergency medical technician program certified by the director or in an equivalent training program and who is certified by the director as qualified to render services pursuant to section 36-2205. 7. "Centralized medical direction communications center" means a facility that is housed within a hospital, medical center or trauma center or a freestanding communication center that meets the following criteria: (a) Has the ability to communicate with ambulance services and emergency medical services providers rendering patient care outside of the hospital setting via radio and telephone. (b) Is staffed twenty-four hours a day seven days a week by at least a physician licensed pursuant to title 32, chapter 13 or 17. 8. "Certificate of necessity" means a certificate that is issued to an ambulance service by the department and that describes the following: (a) Service area. (b) Level of service. (c) Type of service. (d) Hours of operation. (e) Effective date. (f) Expiration date. (g) Legal name and address of the ambulance service. (h) Any limiting or special provisions the director prescribes. 9. "Certified emergency medical technician" means an individual who has been certified by the department as a basic emergency medical technician, an intermediate emergency medical technician or an emergency paramedic. 10. "Council" means the emergency medical services council. 11. "Department" means the department of health services. 12. "Director" means the director of the department of health services. 13. "Division" means the division of emergency medical services within the department. 14. "Emergency medical services" means those services required following an accident or an emergency medical situation: (a) For on-site emergency medical care. (b) For the transportation of the sick or injured by a licensed ground or air ambulance. (c) In the use of emergency communications media. (d) In the use of emergency receiving facilities. (e) In administering initial care and preliminary treatment procedures by certified emergency medical technicians. 15. "Emergency medical services provider" means any governmental entity, quasi-governmental entity or corporation whether public or private that renders emergency medical services in this state. 16. "Emergency paramedic" or "paramedic" means a person who has been trained in an emergency paramedic training program certified by the director or in an equivalent training program and who is certified by the director to render services pursuant to section 36-2205. 17. "Emergency receiving facility" means a licensed health care institution that offers emergency medical services, is staffed twenty-four hours a day and has a physician on call. 18. "First responder" as an ambulance attendant means a person who has been trained under the supervision of a qualified first responder instructor, who provides patient care and treatment in accordance with the United States department of transportation first responder curriculum and who meets all of the following requirements: (a) Has successfully completed the United States department of transportation first responder national standard curriculum course. (b) Has successfully completed the national registry first responder examination and has submitted proof of this fact to the person's current employer. (c) Successfully completes the United States department of transportation first responder refresher national standard curriculum at least once every two years. 19. "Fit and proper" means that the director determines that an applicant for a certificate of necessity or a certificate holder has the expertise, integrity, fiscal competence and resources to provide ambulance service in the service area. 20. "Intermediate emergency medical technician" means a person who has been trained in an intermediate emergency medical technician program certified by the director or in an equivalent training program and who is certified by the director to render services pursuant to section 36-2205. 21. "Medical record" means any patient record including clinical records, prehospital care records, medical reports, laboratory reports and statements, any file, film, record or report or oral statements relating to diagnostic findings, treatment or outcome of patients, whether written or recorded, and any information from which a patient or the patient's family might be identified. 22. "Physician" means any person licensed under the provisions of title 32, chapter 13 or 17. 23. "Qualified first responder instructor" means a person tested and certified as a first responder instructor by the American red cross or the national safety council or an equivalent organization. 24. "Stretcher van" means a vehicle that contains a stretcher and that is operated to accommodate an incapacitated or disabled person who does not require medical monitoring, aid, care or treatment during transport. 25. "Suboperation station" means a physical facility or location at which an ambulance service conducts operations for the dispatch of ambulances and personnel and that may be staffed twenty-four hours a day or less as determined by system use. 26. "Trauma center" means any acute care hospital that provides in-house twenty-four hour daily dedicated trauma surgical services. 27. "Trauma registry" means data collected by the department on trauma patients and on the incidence, causes, severity, outcomes and operation of a trauma system and its components. 28. "Trauma system" means an integrated and organized arrangement of health care resources having the specific capability to perform triage, transport and provide care. 29. "Wheelchair van" means a vehicle that contains or that is designed and constructed or modified to contain a wheelchair and that is operated to accommodate an incapacitated or disabled person who does not require medical monitoring, aid, care or treatment during transport. |