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202 Kar 7:010. Definitions For 202 Kar Chapter 7


Published: 2015

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      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.)