Kan. Admin. Regs. § 109-1-1 - Definitions
Each of the following terms, as used in the board's regulations, shall have the meaning specified in this regulation:
(a) "AEMT" means advanced emergency medical
technician.
(b) "Advanced life
support" and "ALS" mean the statutorily authorized activities and interventions
that may be performed by an advanced emergency medical technician or
paramedic.
(c) "Air ambulance"
means a fixed-wing or rotor-wing aircraft that is specially designed,
constructed or modified, maintained, and equipped to provide air medical
transportation and emergency care of patients.
(d) "Air medical director" means a physician
as defined by K.S.A. 65-6112, and amendments thereto, who meets the following
requirements:
(1) Is trained and experienced
in care consistent with the air ambulance service's mission statement;
and
(2) is knowledgeable in
altitude physiology and the complications that can arise due to air medical
transport.
(e) "Air
medical personnel" means the EMS providers listed on the EMS provider roster,
health care personnel identified on the service health care personnel roster of
the air ambulance service, specialty patient care providers specific to the
mission, and the pilot or pilots necessary for the operation of the
aircraft.
(f) "Airway maintenance,"
as used in K.S.A. 65-6121 and amendments thereto and as applied to the
authorized activities of an advanced emergency medical technician, means the
use of any invasive oral equipment and procedures necessary to ensure the
adequacy and quality of ventilation and oxygenation.
(g) "Attendant" means EMS provider.
(h) "Basic life support" and "BLS" mean the
statutorily authorized activities and interventions that may be performed by an
emergency medical responder or emergency medical technician.
(i) "CAPCE" means the commission on
accreditation for pre-hospital continuing education.
(j) "Certified mechanic," as used in K.A.R.
109-2-2, means an individual employed or contracted by the ambulance service,
city or county, qualified to perform maintenance on licensed ambulances and
inspect these vehicles and validate, by signature, that the vehicles meet both
mechanical and safety considerations for use.
(k) "Class" means the period during which a
group of students meets.
(l)
"Coordination" means the submission of an application for approval of initial
courses of instruction or continuing education courses and the oversight
responsibility of those same courses and instructors once the courses are
approved.
(m) "Course of
instruction" means a body of prescribed EMS studies approved by the
board.
(n) "Critical care
transport" means the transport by an ambulance of a critically ill or injured
patient who receives care commensurate with the care rendered by health care
personnel as defined in this regulation or a paramedic with specialized
training as approved by service protocols and the medical director.
(o) "Emergency" means a serious medical or
traumatic situation or occurrence that demands immediate action.
(p) "Emergency call" means an immediate
response by an ambulance service to a medical or trauma incident that happens
unexpectedly.
(q) "Emergency care"
means the services provided after the onset of a medical condition of
sufficient severity that the absence of immediate medical attention could
reasonably be expected to cause any of the following:
(1) Place the patient's health in serious
jeopardy;
(2) seriously impair
bodily functions; or
(3) result in
serious dysfunction of any bodily organ or part.
(r) "EMR" means emergency medical
responder.
(s) "EMS" means
emergency medical services.
(t)
"EMS provider" means emergency medical service provider.
(u) "EMT" means emergency medical
technician.
(v) "Ground ambulance"
means a ground-based vehicle that is specially designed and equipped for
emergency medical care and transport of sick and injured persons and meets the
requirements in K.A.R. 109-2-8.
(w)
"Health care personnel" and "health care provider," as used in the board's
regulations, means a physician, physician assistant, licensed professional
nurse, advanced practice registered nurse, or respiratory therapist.
(x) "Incompetence," as applied to EMS
providers and as used in K.S.A. 65-6133 and amendments thereto, means a
demonstrated lack of ability, knowledge, or fitness to perform patient care
according to applicable medical protocols or as defined by the authorized
activities of the EMS provider's level of certification.
(y) "Incompetence," as applied to an operator
and as used in K.S.A. 65-6132 and amendments thereto, means either of the
following:
(1) The operator's inability or
failure to provide the level of service required for the type of permit held;
or
(2) the failure of the operator
or an agent or employee of the operator to comply with a statute or regulation
pertaining to the operation of a licensed ambulance service.
(z) "Interoperable" means that one
system has the ability to communicate or work with another.
(aa) "Lab assistant" means an individual who
is assisting a primary instructor in the instruction and evaluation of students
in classroom laboratory training sessions.
(bb) "Long-term provider approval" means that
the sponsoring organization has been approved by the executive director to
provide any continuing education program as prescribed in K.A.R.
109-5-3.
(cc) "Out of service," as
used in K.A.R. 109-2-5, means that a licensed ambulance is not immediately
available for use for patient care or transport.
(dd) "Primary instructor" means the person
who is listed by the sponsoring organization as the individual responsible for
the competent delivery of cognitive, psychomotor, and affective objectives of
an approved initial course of instruction or continuing education program and
who is the person primarily responsible for evaluating student performance and
developing student competency.
(ee)
"Prior-approved continuing education" means material submitted by a sponsoring
organization, to the board, that is reviewed and subsequently approved by the
executive director, in accordance with criteria established by regulations, and
that is assigned a course identification number.
(ff) "Program manager" means an individual
who has been appointed, employed, or designated by a sponsoring organization,
as defined in K.S.A. 65-6112 and amendments thereto, to ensure that the
sponsoring organization is in conformance with applicable regulations and to
ensure that quality EMS education is provided by the sponsoring organization's
qualified instructors.
(gg) "Public
call" means the request for an ambulance to respond to the scene of a medical
emergency or accident by an individual or agency other than any of the
following:
(1) A ground ambulance
service;
(2) the Kansas highway
patrol or any law enforcement officer who is at the scene of an accident or
medical emergency;
(3) a physician,
as defined by K.S.A. 65-6112 and amendments thereto, who is at the scene of an
accident or medical emergency; or
(4) an EMS provider who has been dispatched
to provide emergency first response and who is at the scene of an accident or
medical emergency.
(hh)
"Quality management plan" means a written plan developed by a sponsoring
organization that describes all processes utilized by the sponsoring
organization to ensure that the EMS education provided meets the requirements
of the community's EMS training needs assessment or meets the training needs of
the intended audience. Each quality management plan shall, at a minimum,
include a review and analysis by the medical director and program manager of
each completed course and the instructor evaluations.
(ii) "Reinstatement" means the process by
which a person may be issued a certificate at the same level of certification
as that of an expired certificate.
(jj) "Retroactively approved continuing
education" means credit issued to an EMS provider after attending a program
workshop, conference, seminar, or other offering that is reviewed and
subsequently approved by the executive director, in accordance with criteria
established by the board.
(kk)
"Service director" means an individual who has been appointed, employed, or
designated by the operator of an ambulance service to handle daily operations
and to ensure that the ambulance service is in conformance with local, state,
and federal laws and ensure that quality patient care is provided by the
ambulance service EMS providers.
(ll) "Service records" means the documents
required to be maintained by state regulations and statutes pertaining to the
operation and education within a licensed ambulance service.
(mm) "Single-program provider approval" means
that the sponsoring organization has been granted approval to offer a specific
continuing education program.
(nn)
"Sufficient application" means that the information requested on the
application form is provided in full, any applicable fee has been paid, all
information required by statute or regulation has been submitted to the board,
and no additional information is required to complete the processing of the
application.
(oo) "Teach" means
instruct or coordinate training, or both.
(pp) "Unprofessional conduct," as applied to
EMS providers and as used in K.S.A. 65-6133 and amendments thereto, means
conduct that violates those standards of professional behavior that through
professional experience have become established by the consensus of the expert
opinion of the members of the EMS profession as reasonably necessary for the
protection of the public. This term shall include any of the following:
(1) Failing to take appropriate action to
safeguard the patient;
(2)
performing acts beyond the activities authorized for the level at which the
individual is certified;
(3)
falsifying a patient's or an ambulance service's records;
(4) verbally, sexually, or physically abusing
a patient;
(5) violating statutes
or regulations concerning the confidentiality of medical records or patient
information obtained in the course of professional work;
(6) diverting drugs or any property belonging
to a patient or an agency;
(7)
making a false or misleading statement on an application for certification
renewal or any agency record;
(8)
engaging in any fraudulent or dishonest act that is related to the
qualifications, functions, or duties of an EMS provider; or
(9) failing to cooperate with the board and
its agents in the investigation of complaints or possible violations of the EMS
statutes or board regulations, including failing to furnish any documents or
information legally requested by the board. EMS providers who fail to respond
to requests for documents or requests for information within 30 days from the
date of request shall have the burden of demonstrating that they have acted in
a timely manner.
Notes
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