Wis. Admin. Code Department of Health Services DHS 110.04 - Definitions
In this chapter:
(1g) "Advanced emergency medical technician"
or "AEMT" has the meaning given in s.
256.01(1k),
Stats.
(1r) "Advanced life support"
means prehospital and interfacility emergency medical care consisting of basic
life support procedures and invasive lifesaving procedures including the
placement of advance airway adjuncts, intravenous infusions, manual
defibrillation, electrocardiogram interpretation, administration of approved
drugs and other advanced skills identified in the Wisconsin scopes of
practice.
(2) "Air medical service"
means a licensed ambulance service provider that specializes in transport by
helicopter or airplane.
(3)
"Algorithm protocol" means a graphical representation or flow chart of a
written patient care protocol.
(4)
"Ambulance" means an emergency vehicle, including any motor vehicle, boat or
aircraft, whether privately or publicly owned, which is designed, constructed
or equipped to transport sick, disabled or injured individuals.
(5) "Ambulance service provider" means a
person engaged in the business of transporting sick, disabled or injured
individuals by ambulance to or from facilities or institutions providing health
services.
(6) "Ambulance staffing
configuration" means the different ways that an ambulance can be staffed based
on level of services as described in s.
DHS
110.50.
(7) "As needed services" means that with
respect to special events the EMS service provider will provide emergency
medical services as its resources are available and will not commit resources
exclusively for the event.
(8)
"Automated external defibrillator," or "AED," has the meaning given in s.
256.15(1)
(cr), Stats.
(9) "Backup agreement" means a written
agreement between nearby licensed ambulance service providers to provide
response when the primary service provider is unable to do so.
(11) "Basic life support" has the meaning
given in s.
256.15(1)
(d), Stats.
(12) "CPR organization" means an entity whose
program is authorized to provide CPR certification or training based on
national standards and is approved by the department to fulfill the CPR
requirement for certified emergency medical responders and licensed emergency
medical services practitioners.
(13) "Cardiopulmonary resuscitation" or "CPR"
means a combination of rescue breathing and chest compressions delivered to
victims believed to be in cardiac arrest.
(14) "Clinical training" means training
received in a hospital or other health care facility.
(14m) "Community emergency medical services
practitioner" or "CEMS practitioner" has the meaning given under s.
256.21(1),
Stats.
(14r) "Community emergency
medical services provider" or "CEMS provider" has the meaning given under s.
256.215(1)(a),
Stats.
(14s) "Community paramedic"
has the meaning given under s.
256.205(1),
Stats.
(15) "Coverage agreement"
means a written agreement between two neighboring ambulance service providers
that each will cover the other's 9-1-1 area when the other knows in advance
that it will be unable to do so.
(16) "Credential" means written authorization
by the service director and medical director of a licensed emergency medical
services provider permitting a certified emergency medical responder or
licensed emergency medical services practitioners to perform specified
emergency medical care while in the service of the provider. To be
"credentialed" means to hold a credential issued by a licensed emergency
medical services provider.
(17)
"Critical care paramedic" means a paramedic who is licensed and endorsed by the
department to provide an advanced level of paramedic care based on completion
of an advanced level of paramedic training.
(18) "Dedicated services" means that with
respect to special events the emergency medical services provider will have
resources dedicated and immediately available on the grounds of the event that
will not be subject to responses other than requests from the event.
(19) "Defibrillation" has the meaning given
in s.
256.15(1)
(dm), Stats.
(20) "Department" means the Wisconsin
department of health services.
(21)
"Emergency medical care" means medical care to sick, disabled, or injured
individuals at the scene of an emergency, during transport to a hospital, while
in the hospital emergency department until responsibility for care is assumed
by the regular hospital staff, and during transfer of a patient between health
care facilities, which is based on department approved patient care
protocols.
(21e) "Emergency medical
dispatch" means a process used by a public safety answering point or dispatch
center to determine whether to dispatch an advanced life support or basic life
support ambulance based on information obtained from a 9-1-1 caller.
(21m) "Emergency medical responder" has the
meaning given in s.
256.01(4p),
Stats.
(21s) "Emergency medical
responder service provider" means an emergency medical service provider that
provides emergency medical care with staff certified as emergency medical
responders to sick, disabled or injured individuals before hospitalization and
the arrival of an ambulance, but that does not provide transportation for
patients.
(22) "Emergency medical
services" or "EMS" means an arrangement of personnel, communications,
equipment, and supplies for the delivery of emergency medical care.
(23) "EMS instructor" means a person approved
by the department or, if employed by the Wisconsin technical college system
board, jointly approved by the department and the Wisconsin technical college
system board, at a specified level or levels, to train individuals in the
provision of emergency medical services.
(24) "EMS professional" means a certified
emergency medical responder, licensed emergency medical services practitioner,
registered nurse, physician assistant or physician, who is authorized to
provide emergency medical care.
(25) "Emergency medical service provider" or
"EMS provider" means an emergency medical services program under s.
256.12,
Stats., that provides emergency medical services as an emergency medical
responder service provider, non-transporting EMS provider, or ambulance service
provider.
(26) "Emergency medical
services practitioner" or "EMS practitioner" has the meaning given in s.
256.01(5),
Stats.
(27) "Emergency medical
technician" or "EMT" has the meaning given in s.
256.01(6),
Stats.
(28) "Emergency medical
technician - intermediate" or "EMT-Intermediate" has the meaning given in s.
256.01(7),
Stats.
(31) "Endorsement" means
validation by the department that a licensed EMS practitioner has received the
training and education required to be a specialist within a license
level.
(32) "Field training" means a
training experience where a student is placed with an ambulance service
provider and, under direct supervision of an approved preceptor, cares for
patients to gain proficiency in the skills, medications, and treatments taught
in the training program in which the student is enrolled.
(35) "Hospital" has the meaning given in s.
50.33(2)
Stats.
(36) "Individual" means a
natural person, and does not include a firm, corporation, association,
partnership, institution, public agency, joint stock association or any other
group of individuals.
(37)
"Interfacility transport" means any transfer of a patient between health care
facilities or any non-emergent transfer of a patient.
(38) "Intercept service" means a specialized
EMS service provider that sends higher trained EMS professionals to assist a
lower level EMS service provider in caring for a patient who requires a higher
level of emergency medical care than the lower level EMS service provider is
able to administer.
(39) "Manual
defibrillator" has the meaning give in s.
256.15(1)
(im), Stats.
(40) "Medical consultation" means all of the
following:
(a) Direction of patient care
through written or verbal orders.
(b) Supervision and quality control of
patient care by the service medical director or by a physician designated by
the service medical director.
(c)
Coordination of all medical-related activities of EMS professionals in a
pre-hospital setting or interfacility transport of a patient.
(42) "Medical director" means a
physician who trains, medically coordinates, directs, supervises, establishes
standard operating procedures for, designates physicians for direction and
supervision of, and reviews the performance of the service's emergency medical
responders or emergency medical services practitioners and ambulance service
providers, as required under s.
256.15(8m),
Stats.
(43) "Mutual aid agreement"
means a written agreement between licensed ambulance service providers whereby
each provides emergency medical care in the other's primary service area when
the primary ambulance service provider requires additional resources because it
has already committed all its resources to other 9-1-1 emergency
responses.
(43m) "National
emergency medical service information system" or "NEMSIS" means the national
database system used to aggregate, store, and share emergency medical service
data from multiple states and federal territories administered through the
National Highway Traffic Safety Administration of the U.S. Department of
Transportation.
(43r) "National EMS
Education Standards" or "national education standards" means the most recent
edition of the emergency medical responder or emergency medical services
practitioner curriculum published by the national highway traffic safety
administration of the U.S. department of transportation.
(44) "National registry of emergency medical
technicians" or "NREMT" means the non-profit, independent, non-governmental
agency that certifies the proficiency of EMS professionals through provision of
a standardized examination for individuals who have completed state-approved
EMS training.
(46) "9-1-1 emergency
response" means the dispatch and movement of an ambulance in response to a
request for emergency medical services, which was initiated by a 9-1-1 phone
call and dispatched through a 9-1-1 dispatch center.
(47) "Non-transporting EMS provider" means an
emergency medical service provider that provides emergency medical care with
staff licensed as EMS practitioners to sick, disabled or injured individuals,
but that does not transport patients.
(49) "On-line medical consultation" means
direct contact between a medical consultation physician or physician assistant
or advanced practice nurse practitioner and EMS professionals for the purpose
of medical direction. Physician assistants or advanced practice nurse
practitioners shall only act within their credentialed or licensed scope of
practice for the facility in which they are employed in providing on-line
medical consultation.
(50) "On-site
medical consultation" means that a service medical director or designee is
located at a special event and directs EMS professionals in the treatment of
patients.
(51) "Operational plan"
means a written plan of operations prepared by or for an emergency medical
service provider that describes the provider's methods and procedures for
providing emergency medical services in the provider's primary service area and
other areas served through mutual aid or contract.
(51m) "Paramedic" has the meaning given in s.
256.01(14),
Stats.
(52) "Patient" means
individual of any age who may require assessment, treatment or
transport.
(53) "Patient care
report" means the written documentation that is the official medical record
that documents events and the assessment and care of a patient treated by EMS
professionals.
(54) "Patient care
protocol" means a written statement signed and dated by the service medical
director and approved by the department that lists and describes the steps
within the applicable scope of practice that EMS professionals are required to
follow when assessing and treating a patient.
(55) "Person" has the meaning specified in s.
256.15(1)
(L), Stats.
(56) "Phase-in period" means a period of time
during which an EMS service provider is upgrading its level of service and
begins to provide service at the higher level before it is able to meet the
staffing requirements for that level.
(57) "Physician" means a person licensed in
Wisconsin under ch. 448, Stats., to practice medicine and surgery.
(58) "Physician assistant" means a person
licensed in Wisconsin under ch. 448, Stats., to perform as a physician
assistant.
(59) "Preceptor" means
any of the following who provides direct supervision of clinical or field
training for EMS practitioner students: an EMS practitioner licensed at or
above the level of the training he or she provides, a physician, a registered
nurse or a physician assistant.
(60) "Primary service area" means the
geographical area in which an ambulance service provider is designated to
provide first-in emergency medical services under contract with a local
government. "Primary service area" does not include areas that the provider
serves through mutual aid or back-up arrangements.
(61) "Program director" means the person at a
training center who is responsible for the actions of the training center and
for directing day to day activities.
(61m) "Public safety answering point" has the
meaning given in s.
256.35(1)
(gm), Stats.
(62) "Quality assurance program" means a
program of formalized review of patient care reports, statistical information,
and training evaluation by the medical director or designee to verify current
and improve future performance.
(63) "Regional trauma advisory council" or
"RTAC" has the meaning as defined in s.
DHS
118.03(36).
(64) "Registered nurse" means a person who is
licensed in Wisconsin as a registered nurse under s.
441.06,
Stats.
(65) "Reprimand" means an
enforcement action under s.
DHS
110.56.
(65m) "Rural ambulance service provider" has
the meaning given is s.
256.15(4m)
(a), Stats.
(66) "Service director" means the person
designated by the emergency medical service provider to oversee operations and
ensure compliance with applicable statutes, administrative rules and the
approved operational plan.
(67)
"Special event" means a public event, such as a fair, concert or automobile
race, for which an EMS service provider may provide on-site medical care that
is in addition to its normal day to day operations and may exceed its normal
personnel or equipment resources.
(68) "Subject matter expert" means someone
who has advanced knowledge in a specific area related to emergency medical
services. Expertise is verifiable through degree, work experience, or specific
education or certification.
(69)
"Supervised field training" means training received on an ambulance under the
direct supervision of an approved preceptor.
(70) "Tactical team" means a paramilitary
special operations tactical unit typically found in law enforcement or the
military that responds to threats to public safety.
(71) "Tactical emergency medical services"
means medical services provided by licensed EMS professionals operating as part
of a tactical team.
(72) "Training
center" means an entity certified by the department to provide emergency
medical responder and emergency medical services practitioner
training.
(73) "Training center
medical director" means the physician who is responsible for medical
coordination, direction and conduct of an EMS training program at a training
center.
(74) "Training permit" has
the meaning as specified under s.
256.15(5)
(a), Stats.
(74m) "Triennial licensing period" or
"triennium" means the 3-year period beginning on July 1 of the first year and
ending on June 30 of the 3rd year.
(75) "Wisconsin ambulance run data system" or
"WARDS" means a web-based reporting system emergency medical service providers
use to enter and submit patient care data via the internet.
(75m) "Wisconsin emergency medical responder
curriculum" means the course of study approved by the department for training
emergency medical responders.
(76)
"Wisconsin emergency medical services communications plan" means the written
plan for emergency medical services communication throughout the state that
specifies what communication equipment is required on all ambulances.
(78) "Wisconsin scope of practice" means the
skills, equipment, and medications approved by the department for a level of
expertise for emergency medical professionals.
(79) "Wisconsin Standards and Procedures of
Practical Skills" means the document published and approved by the department
that outlines the appropriate ways to perform certain skills used by all EMS
professionals.
(80) "WTCS" means the
Wisconsin technical college system.
Notes
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