SECTION .1100 – GENERAL INFORMATION: DEFINITIONS

 

10A NCAC 14F .1101        DEFINITIONS

The following definitions shall apply throughout this

Subchapter:

(1)           "ACLS-trained" means training that is

current in Advanced Cardiac Life Support, by the American Heart Association and

who has appropriate licensure to administer advanced cardiac life support.

(2)           "ACSM" means the American College of Sports Medicine.

(3)           "Article" means Article 8 of G.S. 131E.

(4)           "Cardiac Rehabilitation Program" has the

same meaning as the definition in the Article.

(5)           "Certification" has the same meaning as

the definition in the Article.

(6)           "DVRS" means the Division of Vocational

Rehabilitation Services, North Carolina Department of Health and Human

Services.

(7)           "Department" means the North Carolina

Department of Health and Human Services.

(8)           "Division" means the Division of Health

Service Regulation, North Carolina Department of Health and Human Services.

(9)           "ECG" means electrocardiogram.

(10)         "Graded exercise test" (GXT) means a multistage

test that determines a person's physiological response to different intensities

of exercise or the person's peak aerobic capacity.

(11)         "Maximal oxygen consumption" means the

highest rate of oxygen transport and oxygen use that can be achieved at a

person's maximal physical exertion, or functional capacity.  This is usually

expressed in METs.

(12)         "MET" means "metabolic

equivalent," a measure of functional capacity, or maximal oxygen

consumption.  One MET represents the approximate rate of oxygen consumption by

a seated individual at rest: approximately 3.5 ml/kg/min.  METs during exercise

are determined by dividing metabolic rate during exercise by the metabolic rate

at rest.

(13)         "Nurse Practitioner" means a currently

licensed registered nurse approved by the NC Board of Nursing and NC Medical

Board to practice medicine as a nurse practitioner under the supervision of a

physician licensed by the Board.

(14)         "Owner" means the legal owner of the

certified cardiac rehabilitation program.

(15)         "Physician" means an individual who is

licensed according to G.S. 90, Article 1, by the NC Medical Board to practice

medicine.

(16)         "Physician Assistant" means an individual

who is licensed and registered according to G.S. 90, Article 1, by the NC

Medical Board to practice medicine under the supervision of a physician

licensed by the Board.

(17)         "Premises" means "site."

(18)         "Program" means "Cardiac

Rehabilitation Program."

(19)         "Risk stratification model" means a method

of categorizing patients according to their risk of acute cardiovascular

complications during exercise as well as their overall prognosis.  Risk status

is related primarily to the type and severity of cardiovascular disease.  This

rating takes into account how well the heart pumps, the presence of heart pain

symptoms and/or changes in the electrocardiogram during exercise.  Guidelines

concerning medical supervision of patients in cardiac rehabilitation programs

which are based on risk stratification models are provided by: the American College of Cardiology, the American College of Physicians, the American Association of

Cardiovascular and Pulmonary Rehabilitation, the American Heart Association,

and the North Carolina Cardiopulmonary Rehabilitation Association.

(20)         "Simple spirometry" means an analysis of

air flow which provides information as to the degree and severity of airway

obstruction, and serves as an index of dynamic lung function.  It must include,

at a minimum, Forced Vital Capacity and Forced Expiratory Volume in 1 second.

(21)         "Site" means the facility in which the

cardiac rehabilitation program is held.

(22)         "Supervising physician" means a physician

who is on-site during the operation of the cardiac rehabilitation program.

(23)         "Symptom-limited heart rate reserve" means

the difference between the symptom-limited maximal heart rate and the resting

heart rate.

(24)         "Vocational Questionnaire" means the

document used for vocational assessment.

(25)         "Vocational Rehabilitation Counselor"

means an individual who provides vocational rehabilitation counseling services.

 

History Note:        Authority G.S. 131E-169;

Eff. July 1, 2000.