202 KAR 7:010. Definitions for 202 KAR
Chapter 7.
RELATES TO: KRS 311A.010
STATUTORY AUTHORITY: KRS 311A.020,
311A.030
NECESSITY, FUNCTION, AND CONFORMITY: KRS
311A.030 requires the board to promulgate administrative regulations relating
to emergency medical services. This administrative regulation establishes the
definitions used in 202 KAR Chapter 7.
Section 1. Definitions. (1) "Abandonment"
means:
(a) Leaving the physical presence of a
patient, once care is initiated, without assuring the presence of appropriately
qualified personnel who is certified at or above the level of the original
caregiver who continues or maintains care;
(b) Failure to physically transfer
documents or other information relating to the condition or care of a patient
to ambulance services, medical facilities or appropriately qualified personnel
assuming care for a patient;
(c) Failure to communicate to ambulance
services, medical facilities or appropriately-qualified personnel assuming care
for a patient, information pertinent to the physical findings or care of a patient
while in the care of a first responder, EMT, or paramedic; or
(d) Other act that fails to maintain the
continuity of care for a patient that is or has been in the care of a first
responder, EMT, or paramedic.
(2) "ACLS" means holding a
certificate of completion in advanced cardiac life support.
(3) "Adjunct faculty" means a
person, who is determined by an EMS-TEI to be uniquely qualified by experience
or training in a field that relates to a prehospital discipline.
(4) "AHA" means American Heart
Association.
(5) "Airline transport pilot"
or "ATP" means a pilot that has received a certificate from the FAA
that denotes the highest level of achievement that a pilot may attain.
(6) "Air medical communications
specialist" or "ACS" means a person trained in the air medical
communications environment that is appropriate to the mission of the air
ambulance service.
(7) "ALS" means advanced life
support.
(8) "ALS patient contact" means
interaction with a patient, where an advanced level patient assessment is
conducted that utilizes skills or techniques that are beyond the scope of
practice for an EMT.
(9) "ASHI" means American
Safety and Health Institute.
(10) "ATLS" means holding a
certificate of completion in advanced trauma life support.
(11) "Base station" means the
primary physical location of the ambulance service.
(12) "BLS" means basic life
support.
(13) "BTLS" means holding a
certificate of completion in basic trauma life support.
(14) "CCEMTP" means the
Critical Care Emergency Transport Program conducted by or under the control of
the University of Maryland, Baltimore Campus.
(15) "Certificate" means the
certificate issued by the board to an individual qualified to perform the
duties of a first responder, EMT or EMS instructor.
(16) "Contact hour" means a
period of sixty (60) minutes during which a minimum of fifty (50) minutes is
utilized for active instructional purposes.
(17) "CPR" means
cardiopulmonary resuscitation.
(18) "Critical care interfacility
transport" means medical care provided during transport between hospitals
utilizing sophisticated medical equipment and supplies and licensed paramedics
with critical care endorsements or licensed physicians or RNs in conjunction
with licensed paramedics operating under approved medical protocols which
exceed the scope of practice of a licensed paramedic not holding a critical
care endorsement.
(19) "Deficiency" means a
violation of a statutory or regulatory requirement as identified by a KBEMS office
representative during an inspection or investigation.
(20) "Dispatch center" means
the location where incoming calls are initially received requesting an
ambulance and where contact is made with the ambulance service base station or
vehicles for direction to the patient scene.
(21) "Emergency" means services
provided after the sudden onset of a medical condition or injury manifesting
itself by acute symptoms of such severity (including severe pain) that the
absence of immediate medical attention could reasonably be expected to result
in placing the patient’s health in serious jeopardy, serious impairment to
bodily functions or serious dysfunction of any bodily organ or part.
(22) "EMS" means emergency medical
services.
(23) "EMS-I" means an individual
that is certified by the board as an emergency medical services instructor.
(24) "EMS-TA" means Emergency
Medical Services Testing Agency.
(25) "EMS-TEI" means Emergency
Medical Services Training and Educational Institution.
(26) "FAA" means the Federal
Aviation Administration.
(27) "FAR" means federal
aviation regulations.
(28) "FCC" means Federal Communications
Commission.
(29) "Flight nurse" means a
registered nurse licensed by the Kentucky Board of Nursing acting in the air
medical environment with training and education appropriate to the mission of
the individual air ambulance service that at a minimum addresses:
(a) Altitude physiology;
(b) Aircraft safety;
(c) Survival techniques; and
(d) Flight operations.
(30) "Flight paramedic" means a
paramedic licensed by the board acting in the air medical environment with
training and education appropriate to the mission of the individual air
ambulance service that at a minimum addresses:
(a) Altitude physiology;
(b) Aircraft safety;
(c) Survival techniques; and
(d) Flight operations.
(31) "GPA" means grade point
average.
(32) "Helipad" means a
designated area, usually with a prepared surface, on a heliport, airport,
landing or take-off area, apron or ramp, or movement area used for take off,
landing, or parking helicopters.
(33) "IFR" means instrument
flight rules.
(34) "Interfacility" means a
situation in which a licensed ambulance is utilized to transport a person from
a licensed health care facility or a physician’s office to another licensed
health care facility.
(35) "Interfacility care" means
BLS or ALS emergency or nonemergency medical care provided to a patient during
ambulance transportation between two (2) health care facilities.
(36) "KBEMS" means the Kentucky
Board of Emergency Medical Services.
(37) "KBEMS Office" means the
office and its staff established by KBEMS and headed by the executive director.
(38) "KBML" means the Kentucky
Board of Medical Licensure.
(39) "KBN" means the Kentucky
Board of Nursing.
(40) "KKK-1822" means the
General Services Administration’s standards for ground ambulance vehicles.
(41) "Landing zone" means a
prepared on unprepared area where a helicopter will be landing that:
(a) Is large enough to accommodate the
aircraft being used;
(b) Is free of dangerous obstacles;
(c) Has adequate approach and departure
path as determined by the PIC; and
(d) If landing at night, has light
sources to mark the boundaries of the area.
(42) "Lead instructor" means an
individual that provides a significant portion of the instruction in a first
responder or EMT training program and assumes responsibilities for classroom
administrative functions as outlined in 202 KAR 7:601.
(43) "Medical director" means
an EMS medical director that meets the provisions of 202 KAR 7:801.
(44) "Mutual aid agreement"
means a formal written agreement with another appropriate entity as identified
in 202 KAR 7:501, Section 6, for back up or assistance if a situation exists
where the provider can not respond to an emergency request for assistance or
the situation exceeds the response capabilities of the provider.
(45) "The National Registry of
Emergency Medical Technicians" or "NREMT" means the national
professional organization that specializes in practical skills and written
examination materials used in evaluation of prehospital personnel.
(46) "NREMT-B" means a student
that has successfully completed the registration requirements for an EMT-Basic
with the NREMT.
(47) "NREMT-FR" means a student
that has successfully completed the registration requirements for a first
responder with the NREMT.
(48) "NREMT-P means a student that
has successfully completed the registration requirements for a paramedic with
the NREMT.
(49) "PEPP" means provider
level certification in pediatric emergency prehospital provider.
(50) "PHTLS" mean provider
level certification in prehospital trauma life support.
(51) "Physician" means an
individual holding an unrestricted license issued by the KBML to practice
medicine in the Commonwealth of Kentucky.
(52) "PIC" means pilot in
command.
(53) "Pilot program" means a
program approved by the board to permit an authorized entity to educate, train,
and authorize selected students or employees to utilize a specialized
procedure, for a specified time period, that has not been previously approved
by administrative regulation.
(54) "Preestablished I.V."
means an intravenous solution that has been established on a person prior to
the arrival of emergency medical service personnel at the scene or facility.
(55) "Primary response vehicle"
means a vehicle utilized by a licensed Class I ambulance service for the
purpose of responding certified licensed personnel or equipment to an emergency
incident scene.
(56) "Program coordinator"
means an individual that serves to coordinate or administer an EMS training
program.
(57) "Provider" means an
ambulance provider as defined in KRS 311A.010 or individual or entity licensed
by the board to provide ambulance service, medical first response, or air
ambulance services pursuant to the appropriate administrative regulation.
(58) "RN" means a registered
nurse licensed by the KBN.
(59) "Satellite location" means
a physical location with a street address where an ambulance is based from on a
twenty-four (24) hour basis.
(60) "Sharps" means a portion,
or the whole unit, of medical supplies used in treatment procedures that may
puncture the skin, including needles and glass ampules.
(61) "SIC" means second in command.
(62) "VFR" means visual flight
rules. (28 Ky.R. 1724; Am. 2016; eff. 3-14-2002; 30 Ky.R. 89; 909; 1209; 1474;
eff. 11-19-2003.)