Section 515.100 Definitions

Section 515

Section 515.100  Definitions

Act – the

Emergency Medical Services (EMS) Systems Act [210 ILCS 50].

Acute

Stroke-Ready Hospital

or ASRH

– a hospital that has been designated by

the Department as meeting the criteria for providing emergent stroke care.

Designation may be provided after a hospital has been certified or through application

and designation as

an Acute Stroke-Ready Hospital

.

(Section 3.116

of the Act)

Advanced

Emergency Medical Technician or A-EMT − a person who has successfully

completed a course in basic and limited advanced emergency medical care as

approved by the Department, is currently licensed by the Department in accordance

with standards prescribed by the Act and

this Part

, and practices within

an Intermediate or Advanced Life Support EMS System.

(Section 3.50(b-5) of

the Act)

Advanced

Life Support Services

or

ALS Services

–

an advanced level of

pre-hospital and inter-hospital emergency care and non-emergency medical services

that includes basic life support care, cardiac monitoring, cardiac

defibrillation, electrocardiography, intravenous therapy, administration of

medications, drugs and solutions, use of adjunctive medical devices, trauma

care, and other authorized techniques and procedures as outlined in the National

EMS Education Standards relating to Advanced Life Support and any modifications

to that curriculum

or those standards

specified in

this Part.

(Section 3.10(a) of the Act)

Advanced

Practice Registered Nurse or APRN – a person currently licensed as an advanced practice

registered nurse under the Illinois Nurse Practice Act by the Illinois

Department of Financial and Professional Regulation

al

EMS Education Standards relating to Advanced Life Support and any modifications

to that curriculum

or those standards

specified in

this Part.

(Section 3.10(a) of the Act)

Advanced

Practice Registered Nurse or APRN – a person currently licensed as an advanced practice

registered nurse under the Illinois Nurse Practice Act by the Illinois

Department of Financial and Professional Regulation.

Aeromedical

Crew Member or Watercraft Crew Member or Off-road Specialized Emergency Medical

Services Vehicle (SEMSV) Crew Member – an individual, other than an EMS pilot,

who has been approved by an SEMSV Medical Director for specific medical duties

in a helicopter or fixed-wing aircraft, on a watercraft, or on an off-road

SEMSV used in a Department-certified SEMSV Program.

Alternate EMS

Medical Director or Alternate EMS MD – the physician who is designated by the

Resource Hospital to direct the ALS/Advanced/ILS/BLS operations in the absence

of the EMS Medical Director.

Alternate

Response Vehicle – ambulance assist vehicles and non-transport vehicles as

defined in Section 515.825 and Section 515.827.

Ambulance

–

any publicly or privately owned on-road vehicle that is specifically designed,

constructed or modified and equipped

for

, and is intended to be used

for, and is maintained or operated for

,

the emergency transportation of

persons who are sick, injured, wounded or otherwise incapacitated or helpless,

or the non-emergency medical transportation of persons who require the presence

of medical personnel to monitor the individual's condition or medical apparatus

being used on such individuals.

(Section 3.85 of the Act)

Ambulance

Assistance Vehicle Provider

–

a provider of ambulance assistance

vehicles that is licensed under the Act and serves a population within the

State

citated or helpless,

or the non-emergency medical transportation of persons who require the presence

of medical personnel to monitor the individual's condition or medical apparatus

being used on such individuals.

(Section 3.85 of the Act)

Ambulance

Assistance Vehicle Provider

–

a provider of ambulance assistance

vehicles that is licensed under the Act and serves a population within the

State.

(Section 3.88(a) of the Act)

Ambulance Service Provider and

Vehicle Service Provider Upgrades – Rural Population

– a practice that

allows an ambulance, alternate response vehicle, specialized emergency medical

services vehicle or vehicle service provider that serves a population of 7,500

or fewer to upgrade the level of service of the provider vehicle using

pre-approved System personnel and equipment.  (See 210 ILCS 50/3.87)

Ambulance

Service Provider – any individual, group of individuals, corporation,

partnership, association, trust, joint venture, unit of local government or

other public or private ownership entity that owns and operates a business or

service using one or more ambulances or EMS vehicles for the transportation of

emergency patients.

Applicant – an individual or

entity applying for a Department-issued license or certification.

Associate

Hospital – a hospital participating in an approved EMS System in accordance

with the EMS System Program Plan, fulfilling the same clinical and

communications requirements as the Resource Hospital. This hospital has neither

the primary responsibility for conducting education programs nor the

responsibility for the overall operation of the EMS System program.  The

Associate Hospital must have a basic or comprehensive emergency department with

24-hour physician coverage.  It shall have a functioning Intensive Care Unit or

a Cardiac Care Unit

ications requirements as the Resource Hospital. This hospital has neither

the primary responsibility for conducting education programs nor the

responsibility for the overall operation of the EMS System program.  The

Associate Hospital must have a basic or comprehensive emergency department with

24-hour physician coverage.  It shall have a functioning Intensive Care Unit or

a Cardiac Care Unit.

Associate

Hospital EMS Coordinator – the paramedic or registered professional nurse at

the Associate Hospital who shall be responsible for duties in relation to the EMS

System, in accordance with the Department-approved EMS System Program Plan.

Associate

Hospital EMS Medical Director – the physician at the Associate Hospital who

shall be responsible for the day-to-day operations of the Associate Hospital in

relation to the EMS System, in accordance with the Department-approved EMS

System Program Plan.

Basic

Emergency Department – a classification of a hospital emergency department

where at least one physician is available in the emergency department at all

times; physician specialists are available in minutes; and ancillary services,

including laboratory, x-ray and pharmacy, are staffed or are

"on-call" at all times in accordance with Section 250.710 of the

Hospital Licensing Requirements.

Basic Life Support

or BLS

Services

–

a basic level of pre-hospital and

inter-hospital emergency care and non-emergency medical services that includes medical

monitoring, clinical observation, airway management, cardiopulmonary

resuscitation (CPR), control of shock and bleeding and splinting of fractures,

as outlined in the National EMS Education Standards relating to Basic Life

Support and any modifications to that curriculum

or

standards specified

in

this Part

inter-hospital emergency care and non-emergency medical services that includes medical

monitoring, clinical observation, airway management, cardiopulmonary

resuscitation (CPR), control of shock and bleeding and splinting of fractures,

as outlined in the National EMS Education Standards relating to Basic Life

Support and any modifications to that curriculum

or

standards specified

in

this Part.  (Section 3.10(c) of the Act)

Board Eligible

in Emergency Medicine – completion of a residency in Emergency Medicine in a

program approved by the Residency Review Committee for Emergency Medicine or

the Council on Postdoctoral Training (COPT) for the American Osteopathic

Association (AOA).

Continuing Education

or CE – ongoing emergency medical education after licensure that is designated

to maintain, update or upgrade medical knowledge and skills.

Certified

Registered Nurse Anesthetist or CRNA – a licensed registered professional nurse

who has had additional education beyond the registered professional nurse requirements

at a school/program accredited by the National Council on Accreditation; who

has passed the certifying exam given by the National Council on Certification;

and who, by participating in 40 hours of continuing education every two years,

has been recertified by the National Council on Recertification.

Child Abuse and Neglect – see the

definitions of "abused child" and "neglected child" in

Section 3 of the Abused and Neglected Child Reporting Act.

Child Life

Specialist – a person whose primary role is to minimize the adverse effects of

children's experiences by facilitating coping and the psychosocial adjustment

of children and their families through the continuum of care.

Clinical Nurse

Specialist – a person who is currently licensed as an APRN and who has met all

qualifications for a clinical nurse specialist

ted Child Reporting Act.

Child Life

Specialist – a person whose primary role is to minimize the adverse effects of

children's experiences by facilitating coping and the psychosocial adjustment

of children and their families through the continuum of care.

Clinical Nurse

Specialist – a person who is currently licensed as an APRN and who has met all

qualifications for a clinical nurse specialist.  For out-of-state facilities

that have Illinois recognition under the EMS, trauma, or pediatric program, the

clinical nurse specialist shall have an unencumbered license in the state in

which he or she practices.

Clinical Observation

–

ongoing observation of a patient's condition by a licensed health care

professional utilizing a medical skill set while continuing assessment and

care.

(Section 3.5 of the Act)

Comprehensive

Emergency Department – a classification of a hospital emergency department

where at least one licensed physician is available in the emergency department

at all times; physician specialists shall be available in minutes; ancillary

services, including laboratory and x-ray, are staffed at all times; and the pharmacy

is staffed or "on-call" at all times in accordance with Section

250.710 of the Hospital Licensing Requirements.

Comprehensive

Stroke Center

or CSC

– a hospital that has been certified and has been

designated as

a Comprehensive Stroke Center under Subpart K.  (Section

3.116 of the Act)

CPR for

Healthcare Providers – a course in cardiopulmonary resuscitation that meets or

exceeds the American Heart Association course "BLS for Healthcare

Providers".

Critical Care Transport or CCT or

Specialty Care Transport or SCT –

pre-hospital or inter-hospital

transportation of a critically injured or ill patient by a vehicle service

provider, including the provision of medically necessary supplies and services,

at a level of service beyond the scope of the paramedic

ets or

exceeds the American Heart Association course "BLS for Healthcare

Providers".

Critical Care Transport or CCT or

Specialty Care Transport or SCT –

pre-hospital or inter-hospital

transportation of a critically injured or ill patient by a vehicle service

provider, including the provision of medically necessary supplies and services,

at a level of service beyond the scope of the paramedic. When medically

indicated for a patient, as determined by a physician licensed to practice

medicine in all of its branches, an APRN, or a physician assistant, in

compliance with Section 3.155(b) and (c) of

the

Act.

(Section

3.10(f-5)

Department

or IDPH

–

the Illinois Department of Public Health.

(Section 3.5

of the Act)

Department's

Division of Emergency Medical Services (EMS) website – the portion of the

Department's website reserved for the Department's Division of EMS available

at: https://dph.illinois.gov/topics-services/emergency-preparedness-response/ems.html

Director

–

the Director of the Illinois Department of Public Health

or the Director's

designee.  (Section 3.5 of the Act)

Door-to-_____

− the time from patient arrival at the health care facility until the

specified result, procedure or intervention occurs.

Dysrhythmia –

a variation from the normal electrical rate and sequences of cardiac activity,

also including abnormalities of impulse formation and conduction.

Electrocardiogram

or EKG – a single lead graphic recording of the electrical activity of the

heart by a series of deflections that represent certain components of the

cardiac cycle.

Emergency

–

a medical condition of recent onset and severity that would lead a prudent layperson,

possessing an average knowledge of medicine and health, to believe that urgent

or unscheduled medical care is required

ctrocardiogram

or EKG – a single lead graphic recording of the electrical activity of the

heart by a series of deflections that represent certain components of the

cardiac cycle.

Emergency

–

a medical condition of recent onset and severity that would lead a prudent layperson,

possessing an average knowledge of medicine and health, to believe that urgent

or unscheduled medical care is required.

(Section 3.5 of the Act)

Emergency

Communications Registered Nurse or ECRN

–

a

registered

professional nurse licensed under the Nurse Practice Act who has successfully

completed supplemental education in accordance with

this Part

and who is

approved by an EMS Medical Director to monitor telecommunications from and give

voice orders to EMS System personnel, under the authority of the EMS Medical

Director and in accordance with System protocols.

(Section 3.80 of the

Act) For out-of-state facilities that have Illinois recognition under the EMS,

trauma, or pediatric program, the professional shall have an unencumbered

license in the state in which the professional practices.

Emergency Department Approved for

Pediatrics or EDAP – a hospital participating in an approved EMS System and

designated by the Department pursuant to Section 515.4000 of this Part as being

capable of providing optimal emergency department care to pediatric patients 24

hours per day.

Emergency

Medical Dispatch Priority Reference System or EMDPRS – an EMS System's

organized approach to the receipt, management and disposition of a request for

emergency medical services.

Emergency

Medical Dispatcher

or EMD

–

a person who has successfully

completed a training course in emergency medical dispatching in accordance with

this Part,

who accepts calls from the public for emergency medical services

and dispatches designated emergency medical services personnel and vehicles

approach to the receipt, management and disposition of a request for

emergency medical services.

Emergency

Medical Dispatcher

or EMD

–

a person who has successfully

completed a training course in emergency medical dispatching in accordance with

this Part,

who accepts calls from the public for emergency medical services

and dispatches designated emergency medical services personnel and vehicles.

(Section 3.70 of the Act)

Emergency

Medical Responder or EMR or First Responder – a person who has successfully

completed a course of instruction for the Emergency Medical Responder as

approved by the Department, who provides Emergency Medical Responder services

prior to the arrival of an ambulance or specialized emergency medical services

vehicle, in accordance with the level of care established in the National EMS

Educational Standards for Emergency Medical Responders as modified by the

Department.

Emergency

Medical Responder Services

–

a preliminary level of pre-hospital

emergency care that includes cardiopulmonary resuscitation (CPR), monitoring

vital signs and control of bleeding, as outlined in the

Emergency

Medical Responder (EMR) curriculum

of the National EMS Education

standards and any modifications to that curriculum

(standards)

specified

in

this Part.  (Section 3.10(d) of the Act)

Emergency

Medical Services Personnel or EMS

Personnel

– persons licensed as an Emergency

Medical Responder (EMR) (First Responder), Emergency Medical Dispatcher (EMD),

Emergency Medical Technician (EMT), Emergency Medical Technician-Intermediate

(EMT-I), Advanced Emergency Medical Technician (A-EMT), Paramedic, Emergency

Communications Registered Nurse (ECRN), or Pre-Hospital Registered Nurse (PHRN)

cy

Medical Services Personnel or EMS

Personnel

– persons licensed as an Emergency

Medical Responder (EMR) (First Responder), Emergency Medical Dispatcher (EMD),

Emergency Medical Technician (EMT), Emergency Medical Technician-Intermediate

(EMT-I), Advanced Emergency Medical Technician (A-EMT), Paramedic, Emergency

Communications Registered Nurse (ECRN), or Pre-Hospital Registered Nurse (PHRN).

(Section 3.5 or the Act)

Emergency

Medical Services System

or EMS System or System –

an organization of

hospitals, vehicle service providers and personnel approved by the Department

in a specific geographic area, which coordinates and provides pre-hospital and

inter-hospital emergency care and non-emergency medical transports at a BLS,

ILS and/or ALS level pursuant to a System Program Plan submitted to and

approved by the Department, and pursuant to the EMS Region Plan adopted for the

EMS Region in which the System is located.

(Section 3.20(a) of the Act)

Emergency

Medical Services System Survey – a questionnaire that provides data to the

Department for the purpose of compiling annual reports.

Emergency

Medical Technician or EMT

or

EMT-B

–

a person who has

successfully completed a course in basic life support as approved by the

Department, is currently licensed by the Department in accordance with

standards prescribed by

the

Act and

this Part

and practices

within an EMS System.

(Section 3.50(a) of the Act)

Emergency

Medical Technician-Coal Miner – for purposes of the Coal Mine Medical

Emergencies Act, an EMT, A-EMT, EMT-I or Paramedic who has received additional

education emphasizing extrication from a coal mine.

Emergency

Medical Technician-Intermediate or EMT-I

–

a person who has successfully

completed a course in intermediate life support as approved by the Department,

is currently licensed by the Department in accordance with the standards prescribed

in

this Part

and practices within an Intermediate or Advanced Life

Support EMS System

additional

education emphasizing extrication from a coal mine.

Emergency

Medical Technician-Intermediate or EMT-I

–

a person who has successfully

completed a course in intermediate life support as approved by the Department,

is currently licensed by the Department in accordance with the standards prescribed

in

this Part

and practices within an Intermediate or Advanced Life

Support EMS System.

(Section 3.50(b) of the Act)

Emergent

Stroke Care – emergency medical care that includes diagnosis and emergency

medical treatment of

suspected or known

acute stroke patients.

(Section 3.116 of the Act)

Emergent

Stroke Ready Hospital – a hospital that has been designated by the Department

as meeting the

criteria for providing emergent stroke care

as set

forth

in the Act and Section 515.5060. (Section 3.116 of the Act)

EMS –

emergency medical services.

EMS

Administrative Director – the administrator, appointed by the Resource Hospital

in consultation with the EMS Medical Director, in accordance with

this

Part,

responsible for the administration of the EMS System

.  (Section

3.35 of the Act)

EMSC –

Emergency Medical Services for Children.

EMS Lead

Instructor or LI

–

a person who has successfully completed a course of

education as approved by the Department

in this Part,

and who is

currently approved by the Department to coordinate or teach education, training

and continuing education courses, in accordance with

this Part.  (Section

3.65(a) of the Act)

EMS Medical

Director or EMS MD – the physician, appointed by the Resource Hospital, who has

the responsibility and authority for total management of the EMS System.

EMS Regional

Plan – a plan established by the EMS Medical Director's Committee in accordance

with Section 3.30 of the Act.

EMS System

Coordinator – an individual responsible to the EMS Medical Director and EMS

Administrative Director for coordination of the educational and functional

aspects of the System program

ho has

the responsibility and authority for total management of the EMS System.

EMS Regional

Plan – a plan established by the EMS Medical Director's Committee in accordance

with Section 3.30 of the Act.

EMS System

Coordinator – an individual responsible to the EMS Medical Director and EMS

Administrative Director for coordination of the educational and functional

aspects of the System program.

EMS System

Program Plan – the document prepared by the Resource Hospital and approved by

the Department that describes the EMS System program and directs the program's

operation.

Fixed-Wing Aircraft

– an engine-driven aircraft that is heavier than air, and is supported

in-flight by the dynamic reaction of the air against its wings.

Full-Time – on

duty a minimum of 36 hours a week.

Half-Duplex

Communications – a radio or device that transmits and receives signals in only

one direction at a time.

Health Care

Facility

–

a hospital, nursing home, physician's office or other fixed

location at which medical and health care services are performed. It does not

include "pre-hospital emergency care settings"

that

utilize EMS

Personnel to render pre-hospital emergency care prior to the arrival of a

transport vehicle, as defined in

the

Act

and this Part.  (Section

3.5 of the Act)

Helicopter or

Rotorcraft – an aircraft that is capable of vertical take offs and landings,

including maintaining a hover.

Helicopter

Shopping − the practice of calling various operators until a helicopter

emergency medical services (HEMS) operator agrees to take a flight assignment,

without sharing with subsequent operators that the previously called operators

declined the flight, or the reasons why the flight was declined.

Hospital –

has

the meaning ascribed to that term in

Section 3 of the

Hospital Licensing

Act

.  (Section 3.5 of the Act)

Hospitalist – a physician who

primarily provides unit-based/in-hospital services

HEMS) operator agrees to take a flight assignment,

without sharing with subsequent operators that the previously called operators

declined the flight, or the reasons why the flight was declined.

Hospital –

has

the meaning ascribed to that term in

Section 3 of the

Hospital Licensing

Act

.  (Section 3.5 of the Act)

Hospitalist – a physician who

primarily provides unit-based/in-hospital services.

In-Field Service

Level Upgrade – a practice that allows the delivery of advanced care from a

lower level service provider by a licensed higher level of care ambulance,

alternate response vehicle, or specialized emergency medical services vehicle

according to a pre-approved written plan approved by the local EMS Medical

Director.

Instrument

Flight Rules or IFR – the operation of an aircraft in weather minimums below

the minimums for flight under visual flight rules (VFR).  (See General

Operating and Flight Rules, 14 CFR 91.115 through 91.129.)

Instrument

Meteorological Conditions or IMC – meteorological conditions expressed in terms

of visibility, distance from clouds and ceiling, which require Instrument

Flight Rules.

Intermediate

Life Support Services

or

ILS Services

–

an intermediate level of

pre-hospital and inter-hospital emergency care and non-emergency medical services

that includes basic life support care plus intravenous cannulation and fluid

therapy, invasive airway management, trauma care, and other authorized

techniques and procedures as outlined in the Intermediate Life Support

national

curriculum

of the United States Department of Transportation and any

modifications to that curriculum specified in

this Part.  (Section 3.10 of

the Act)

Level I Trauma

Center – a hospital participating in an approved EMS System and designated by

the Department pursuant to Section 515.2030 to provide optimal care to trauma

patients and to provide all essential services in-house, 24 hours per day

rriculum

of the United States Department of Transportation and any

modifications to that curriculum specified in

this Part.  (Section 3.10 of

the Act)

Level I Trauma

Center – a hospital participating in an approved EMS System and designated by

the Department pursuant to Section 515.2030 to provide optimal care to trauma

patients and to provide all essential services in-house, 24 hours per day.

Level II

Trauma Center – a hospital participating in an approved EMS System and

designated by the Department pursuant to Section 515.2040 to provide optimal

care to trauma patients, to provide some essential services available in-house

24 hours per day, and to provide other essential services readily available 24

hours a day.

Licensee – an individual or entity

to which the Department has issued a license.

Limited

Operation Vehicle

–

a vehicle which is licensed by the Department to

provide basic, intermediate or advanced life support emergency or non-emergency

medical services that are exclusively limited to specific events or locales.

(Section 3.85 of the Act)

Local System

Review Board – a group established by the Resource Hospital to hear appeals

from EMS Personnel or other providers who have been suspended or have received

notification of suspension from the EMS Medical Director.

Medical Monitoring

–

the performance of medical tests and physical exams to evaluate an

individual's on-going exposure to a factor that could negatively impact that

person's health.

This

includes close surveillance or supervision of

patient's liable to suffer deterioration in physical or mental health and

checks of various parameters such as pulse rate, temperature, respiration rate,

the condition of the pupils, the level of consciousness and awareness, the

degree of appreciation of pain, and blood gas concentrations such as oxygen and

carbon dioxide.

(Section 3.5 of the Act)

Mobile Radio –

a two-way radio installed in an EMS vehicle, which may not be readily removed

sical or mental health and

checks of various parameters such as pulse rate, temperature, respiration rate,

the condition of the pupils, the level of consciousness and awareness, the

degree of appreciation of pain, and blood gas concentrations such as oxygen and

carbon dioxide.

(Section 3.5 of the Act)

Mobile Radio –

a two-way radio installed in an EMS vehicle, which may not be readily removed.

Morbidity – a

negative outcome that is the result of the original medical or trauma condition

or treatment rendered or omitted.

911 – an

emergency answer and response system in which the caller need only dial 9-1-1

on a telephone or mobile device to obtain emergency services, including police,

fire, medical ambulance and rescue.

Non-emergency

Medical Care

–

medical care, clinical observation, or medical monitoring

rendered to patients whose conditions do not meet

the

Act's definition

of emergency, before or during transportation of such patients to or from health

care facilities visited for the purpose of obtaining medical or health care

services

that

are not emergency in nature, using a vehicle regulated by

the

Act

and this Part.  (Section 3.10(g) of the Act)

Nurse Practitioner – a person who is currently licensed as an APRN and

who has met all qualifications for a nurse practitioner.  For out-of-state

facilities that have Illinois recognition under the EMS, trauma, or pediatric program,

the nurse practitioner shall have an unencumbered license in the state in which

he or she practices.

Off-Road Specialized Emergency Medical Services Vehicle or Off-Road SEMSV

or Off-Road SEMS Vehicle – a motorized cart, golf cart, all-terrain vehicle

(ATV), or amphibious vehicle that is not intended for use on public roads.

Paramedic

or EMT-P

– a person who has successfully completed a course in advanced life

support care as approved by the Department, is currently licensed by the

Department in accordance with standards prescribed by

the

Act and

this Part

and practices within an Advanced Life Support EMS System

olf cart, all-terrain vehicle

(ATV), or amphibious vehicle that is not intended for use on public roads.

Paramedic

or EMT-P

– a person who has successfully completed a course in advanced life

support care as approved by the Department, is currently licensed by the

Department in accordance with standards prescribed by

the

Act and

this Part

and practices within an Advanced Life Support EMS System.

(Section 3.50 of the Act)

Participating

Hospital – a hospital participating in an approved EMS System in accordance

with the EMS System Program Plan, which is not a Resource Hospital or an

Associate Hospital.

Pediatric Critical Care Center or PCCC

– a hospital participating in an approved EMS System and designated by the

Department as being capable of providing optimal critical and specialty care

services to pediatric patients, and of providing all essential services either

in-house or readily available 24 hours per day.

Pediatric

Patient – patient from birth through 15 years of age.

Physician –

any person licensed to practice medicine in all of its branches under the Illinois

Medical Practice Act of 1987.  For out-of-state facilities that have Illinois

recognition under the EMS, trauma, or pediatric program, the physician shall

have an unencumbered license in the state in which the physician practices.

Physician

Assistant or PA – a person who is licensed under the Physician Assistant

Practice Act. For out-of-state facilities that have Illinois recognition under

the EMS, trauma, or pediatric program, the PA shall have an unencumbered

license in the state in which the PA practices.

Pilot or EMS

Pilot – a pilot certified by the Federal Aviation Administration who has been

approved by an SEMSV Medical Director to fly a helicopter or fixed-wing

aircraft used in a Department-certified SEMSV Program

-of-state facilities that have Illinois recognition under

the EMS, trauma, or pediatric program, the PA shall have an unencumbered

license in the state in which the PA practices.

Pilot or EMS

Pilot – a pilot certified by the Federal Aviation Administration who has been

approved by an SEMSV Medical Director to fly a helicopter or fixed-wing

aircraft used in a Department-certified SEMSV Program.

Police Dog

–

a

specially trained

dog owned or used by a law enforcement

department or agency in the course of the department's or agency's

official

work, including a search and rescue dog, service dog, accelerant detection

canine, or other dog that is in use by a county, municipal, or State law

enforcement agency

for official duties

.

(Section 3.55(e) of the Act)

Practitioner

Order for Life-Sustaining Treatment on POLST or Do Not Resuscitate or DNR – an

authorized practitioner order that reflects an individual's wishes about

receiving cardiopulmonary resuscitation (CPR) and life-sustaining treatments,

including medical interventions and artificially administered nutrition.

Pre-Hospital

Advanced Practice Registered Nurse or PHAPRN – an APRN, with an unencumbered APRN

license in Illinois, who has successfully completed supplemental education in

accordance with this Part and who is approved by an Illinois EMS Medical

Director to practice within an EMS System for pre-hospital and inter-hospital

emergency care and non-emergency medical transports.

Pre-Hospital

Care

–

those medical services rendered to patients for analytic,

resuscitative, stabilizing, or preventive purposes, precedent to and during

transportation of such patients to healthcare facilities

s Part and who is approved by an Illinois EMS Medical

Director to practice within an EMS System for pre-hospital and inter-hospital

emergency care and non-emergency medical transports.

Pre-Hospital

Care

–

those medical services rendered to patients for analytic,

resuscitative, stabilizing, or preventive purposes, precedent to and during

transportation of such patients to healthcare facilities.

(Section 3.10(e)

of the Act)

Pre-Hospital

Care Participants – Any EMS Personnel, Ambulance Service Provider, EMS Vehicle,

Associate Hospital, Participating Hospital, EMS Administrative Director, EMS

System Coordinator, Associate Hospital EMS Coordinator, Associate Hospital EMS

Medical Director, ECRN, Resource Hospital, Emergency Dispatch Center or physician

serving on an ambulance or non-transport vehicle or giving voice orders for an

EMS System and who are subject to suspension by the EMS Medical Director of

that System in accordance with the policies of the EMS System Program Plan

approved by the Department.

Pre-Hospital

Physician Assistant or PHPA

–

a graduate PA, with an unencumbered Illinois

Physician Assistant License, who has successfully completed supplemental

education in accordance with this Part and who is approved by an Illinois EMS

Medical Director to practice within an EMS System for pre-hospital and

inter-hospital emergency care and non-emergency medical transports.

Pre-Hospital

Registered Nurse or

PHRN

–

a

registered professional nurse,

with an unencumbered registered professional nurse license in the state in

which he or she practices who has successfully completed supplemental education

in accordance with

this Part

and who is approved by an Illinois EMS

Medical Director to practice within an EMS System for pre-hospital and

inter-hospital emergency care and non-emergency medical transports

–

a

registered professional nurse,

with an unencumbered registered professional nurse license in the state in

which he or she practices who has successfully completed supplemental education

in accordance with

this Part

and who is approved by an Illinois EMS

Medical Director to practice within an EMS System for pre-hospital and

inter-hospital emergency care and non-emergency medical transports.

(Section 3.80 of the Act) For out-of-state facilities that have Illinois

recognition under the EMS, trauma, or pediatric program, the professional shall

have an unencumbered license in the state in which the professional practices.

Primary

Stroke Center

or PSC

– a hospital that has been certified by a

Department-approved, nationally recognized certifying body and designated as

a

Primary Stroke Center

by the Department.

(Section 3.116 of the Act)

Provisional

EMR – a person who is at least 16 years of age, who has successfully completed

a course of instruction for emergency medical responders as prescribed by the

Department and passed the exam, and who functions within an approved EMS System

pursuant to Section 515.715.

Regional

EMS Advisory Committee

–

a committee formed within an Emergency Medical

Services Region to advise the Region's EMS Medical Directors Committee and to

select the Region's representative to the State Emergency Medical Services

Advisory Council, consisting of at least the members of the Region's EMS

Medical Directors Committee, the Chair of the Regional Trauma Committee, the

EMS System Coordinators from each Resource Hospital within the Region, one

administrative representative from an Associate Hospital within the Region, one

administrative representative from a Participating Hospital within the Region,

one administrative representative from the vehicle service provider which

responds to the highest number of calls for emergency service within the

Region, one administrative representative of a vehicle service provider from

each System within the Region, one individual from each

iate Hospital within the Region, one

administrative representative from a Participating Hospital within the Region,

one administrative representative from the vehicle service provider which

responds to the highest number of calls for emergency service within the

Region, one administrative representative of a vehicle service provider from

each System within the Region, one individual from each level of license

provided

by

the

Act, one pre-hospital registered nurse practicing

within the Region, and one

registered professional nurse currently

practicing in an emergency department within the Region.  Of the

two

administrative representatives of vehicle service providers, at least one shall

be an administrative representative of a private vehicle service provider.  The

Department's Regional EMS Coordinator for each Region shall serve as a

non-voting member of that Region's EMS Advisory Committee.

(Section 3.25

of the Act)

Regional EMS

Coordinator – the designee of the Chief, Division of Emergency Medical Services

and Highway Safety, Department of Public Health.

Regional EMS

Medical Directors Committee – a group

comprised of the Region's EMS Medical

Directors, along with the medical advisor to a fire department vehicle service

provider.  For regions that include a municipal fire department serving a

population of over 2,000,000 people, that fire department's medical advisor

shall serve on the Committee. For other regions, the fire department vehicle

service providers shall select which medical advisor to serve on the Committee

on an annual basis.

(Section 3.25 of the Act)

Regional

Stroke Advisory Subcommittee – a subcommittee formed within each Regional EMS

Advisory Committee to advise the Director and the Region's EMS Medical

Directors Committee on the triage, treatment, and transport of possible acute

stroke patients and to select the Region's representative to the State Stroke

Advisory Subcommittee

he Committee

on an annual basis.

(Section 3.25 of the Act)

Regional

Stroke Advisory Subcommittee – a subcommittee formed within each Regional EMS

Advisory Committee to advise the Director and the Region's EMS Medical

Directors Committee on the triage, treatment, and transport of possible acute

stroke patients and to select the Region's representative to the State Stroke

Advisory Subcommittee.

(Section 3.116 of the Act) The composition of the

Subcommittee shall be as set forth in Section 3.116 of the Act.

Regional

Trauma Advisory Committee

–

a committee formed within an Emergency

Medical Services Region, to advise the Region's Trauma Center Medical Directors

Committee, consisting of at least the Trauma Center Medical Directors and

Trauma Coordinators from each trauma center within the Region, one EMS Medical

Director from a Resource Hospital within the Region, one EMS System Coordinator

from another Resource Hospital within the Region, one representative each from

a public and private vehicle service provider which transports trauma patients

within the Region, an administrative representative from each trauma center

within the Region, one EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, or PHRN

representing the highest level of EMS Personnel practicing within the Region,

one emergency physician and one trauma nurse specialist currently practicing in

a trauma center.  The Department's Regional EMS Coordinator for each Region

shall serve as a non-voting member of that Region's Trauma Advisory Committee.

(Section 3.25 of the Act)

Registered

Nurse or Registered Professional Nurse or RN – a person who is licensed as an

RN under the Illinois Nurse Practice Act. For out-of-state facilities that have

Illinois recognition under the EMS, trauma, or pediatric program, the registered

professional nurse shall have an unencumbered license in the state in which the

nurse practices

uma Advisory Committee.

(Section 3.25 of the Act)

Registered

Nurse or Registered Professional Nurse or RN – a person who is licensed as an

RN under the Illinois Nurse Practice Act. For out-of-state facilities that have

Illinois recognition under the EMS, trauma, or pediatric program, the registered

professional nurse shall have an unencumbered license in the state in which the

nurse practices.

Resource

Hospital – the hospital with the authority and the responsibility for an EMS

System as outlined in the Department-approved EMS System Program Plan.  The

Resource Hospital, through the EMS Medical Director, assumes responsibility for

the entire program, including the clinical aspects, operations and education

programs.  This hospital agrees to replace medical supplies and provide for

equipment exchange for participating EMS vehicles.

Resource Limitation – a hospital

may request to go on Resource Limitation, which occurs when healthcare

resources are limited, and the healthcare demand exceeds available supplies.

Rural Ambulance Service

Provider

–

an ambulance service provider licensed under

the

Act

that serves a rural population of 7,500 or fewer inhabitants.

(Section

3.87(a) of the Act)

Rural In-Field

Service

Level Upgrade – a practice that allows the delivery of advanced care for a

lower level service provider that serves a rural population of 7,500 or fewer

inhabitants, through use of EMS System approved EMS personnel.

Rural

Vehicle Service Provider

–

an entity that serves a rural population of

7,500 or fewer inhabitants and is licensed by the Department to provide

emergency or non-emergency medical services in compliance with

the

Act

,

this Part

and an operational plan approved by the entity's EMS System,

utilizing at least an ambulance, alternate response vehicle as defined by the

Department in

this Part,

or specialized emergency medical services

vehicle

ves a rural population of

7,500 or fewer inhabitants and is licensed by the Department to provide

emergency or non-emergency medical services in compliance with

the

Act

,

this Part

and an operational plan approved by the entity's EMS System,

utilizing at least an ambulance, alternate response vehicle as defined by the

Department in

this Part,

or specialized emergency medical services

vehicle.

(Section 3.87(a) of the Act)

Screening – a preliminary

procedure or assessment, such as a test or examination, to detect the most

characteristic sign or signs of a disorder or condition that may require

further investigation (for example, assessing for potential abuse or neglect

through interview responses and behavioral/physical symptom clues).

SEMSV Medical Direction

Point or Medical Direction Point – the communication center from which the

SEMSV Medical Director or designee issues medical instructions or advice to the

aeromedical, watercraft, or off-road SEMSV crew members.

SEMSV Medical

Director or Medical Director – the physician appointed by the SEMSV Program who

has the responsibility and authority for total management of the SEMSV Program,

subject to the requirements of the EMS System of which the SEMSV Program is a

part.

SEMSV Program

or Specialized Emergency Medical Services Vehicle Program – a program operating

within an EMS System, pursuant to an EMS System program plan submitted to and

certified by the Department, using specialized emergency medical services

vehicles to provide emergency transportation to sick or injured persons.

Special-Use

Vehicle

–

any publicly or privately owned vehicle that is specifically

designed, constructed or modified and equipped, and is intended to be used for,

and is maintained or operated solely for, the emergency or non-emergency

transportation of a specific medical class or category of persons who are sick,

injured, wounded or otherwise incapacitated or helpless (e.g., high-risk

obstetrical patients, neonatal patients)

or privately owned vehicle that is specifically

designed, constructed or modified and equipped, and is intended to be used for,

and is maintained or operated solely for, the emergency or non-emergency

transportation of a specific medical class or category of persons who are sick,

injured, wounded or otherwise incapacitated or helpless (e.g., high-risk

obstetrical patients, neonatal patients).

(Section 3.85 of the Act)

Specialized

Emergency Medical Services Vehicle or SEMSV

–

a vehicle or conveyance,

other than those owned or operated by the federal government, that is primarily

intended for use in transporting the sick or injured by means of air, water, or

ground transportation, that is not an ambulance as defined in

the

Act.

The term includes watercraft, aircraft and special purpose ground transport

vehicles not intended for use on public roads.

(Section 3.85 of the Act)

"Primarily intended", for the purposes of this definition, means one

or more of the following:

Over 50

percent of the vehicle's operational (i.e., in-flight) hours are devoted to the

emergency transportation of the sick or injured;

The vehicle is

owned or leased by a hospital or ambulance provider and is used for the

emergency transportation of the sick or injured;

The vehicle is

advertised as a vehicle for the emergency transportation of the sick or

injured;

The vehicle is

owned, registered or licensed in another state and is used on a regular basis

to pick up and transport the sick or injured within or from within this State;

or

The vehicle's

structure or permanent fixtures have been specifically designed to accommodate

the emergency transportation of the sick or injured.

Standby

Emergency Department – a classification of a hospital emergency department

where at least one of the RNs on duty in the hospital is available for

emergency services at all times, and a licensed physician is

"on-call" to the emergency department at all times in accordance with

Section 250.710 of the Hospital Licensing Requirements

e

the emergency transportation of the sick or injured.

Standby

Emergency Department – a classification of a hospital emergency department

where at least one of the RNs on duty in the hospital is available for

emergency services at all times, and a licensed physician is

"on-call" to the emergency department at all times in accordance with

Section 250.710 of the Hospital Licensing Requirements.

Standby

Emergency Department Approved for Pediatrics or SEDP – a hospital participating

in an approved EMS System and designated by the Department, pursuant to Section

515.4010, as being capable of providing optimal standby emergency department

care to pediatric patients and to have transfer agreements and transfer

mechanisms in place when more definitive pediatric care is needed.

State EMS

Advisory Council – a group that advises the Department on the administration of

the Act and this Part whose members are appointed in accordance with Section

3.200 of the Act.

Stretcher Van – a vehicle used by

a licensed stretcher van provider to transport non-emergency passengers in

accordance with the Act and this Part.

Stretcher Van Provider – an

entity licensed by the Department to provide non-emergency transportation of

passengers on a stretcher in compliance with

the

Act

and this Part

,

utilizing stretcher vans.

(Section 3.86 of the Act)

Stroke Network

– a voluntary association of hospitals, including a hospital with a board

eligible or board certified neurosurgeon or neurologist, that may, among other

activities, share stroke protocols; provide medical consultations on possible

or known acute stroke patients or on inter-facility transfers of possible or

known acute stroke patients; or provide education specific to improving acute

stroke care.  Participating hospitals in a stroke network may be in-state or

out-of-state

le or board certified neurosurgeon or neurologist, that may, among other

activities, share stroke protocols; provide medical consultations on possible

or known acute stroke patients or on inter-facility transfers of possible or

known acute stroke patients; or provide education specific to improving acute

stroke care.  Participating hospitals in a stroke network may be in-state or

out-of-state.

Substantial

Compliance – meeting requirements except for variance from the strict and

literal performance that results in unimportant omissions or defects given the

particular circumstances involved.

Substantial

Failure – the failure to meet requirements other than a variance from the

strict and literal performance that results in unimportant omissions or defects

given the particular circumstances involved.

Sustained

Hypotension – two systolic blood pressures of 90 mmHg five minutes apart or, in

the case of a pediatric patient, two systolic blood pressures of 80 mmHg five

minutes apart.

System

Participation Suspension – the suspension from participation within an EMS

System of an individual or individual provider, as specifically ordered by that

System's EMS Medical Director.

Telecommunications

Equipment – a communication system capable of transmitting and receiving voice

and electrocardiogram (EKG) signals.

Telemetry –

the transmission of data through a communication system to a receiving station

for recording, interpretation and analysis.

Transport Vehicle Service Provider

– any individual, group of individuals, corporation, partnership, association,

trust, joint venture, unit of local government or other public or private

ownership entity that owns and operates an EMS business or EMS transport service

using one or more ambulances or EMS vehicles for the transportation of

emergency patients.

Trauma

–

any significant injury which involves single or multiple organ systems

dividual, group of individuals, corporation, partnership, association,

trust, joint venture, unit of local government or other public or private

ownership entity that owns and operates an EMS business or EMS transport service

using one or more ambulances or EMS vehicles for the transportation of

emergency patients.

Trauma

–

any significant injury which involves single or multiple organ systems.

(Section 3.5 of the Act)

Trauma

Category I – a classification of trauma patients in accordance with Appendix C

and Appendix F.

Trauma

Category II – a classification of trauma patients in accordance with Appendix C

and Appendix F.

Trauma

Center

–

a hospital which:  within designated capabilities provides optimal

care to trauma patients; participates in an approved EMS System; and is duly

designated pursuant to the provisions of

the

Act.

(Section 3.90 of

the Act)

Trauma Center

Medical Director or Trauma Center MD – the trauma surgeon appointed by a

Department-designated Trauma Center who has the responsibility and authority

for the coordination and management of patient care and trauma services at the

Trauma Center.  He or she must have 24-hour independent operating privileges and

shall be board certified in surgery with at least one year of experience in

trauma care.

Trauma Center

Medical Directors Committee – a group composed

of the Region's Trauma Center

Medical Directors.

(Section 3.25 of the Act)

Trauma

Coordinator – an RN working in conjunction with the Trauma Medical Director.

The Trauma Coordinator is responsible for the organization of service and

systems necessary for a multidisciplinary approach throughout the continuum of

trauma care.

Trauma

Nurse Specialist or TNS

–

an RN licensed under the Nurse Practice Act who

has successfully completed supplemental education and testing requirements as

prescribed by the Department, and is licensed in accordance with

this

Part

rauma Coordinator is responsible for the organization of service and

systems necessary for a multidisciplinary approach throughout the continuum of

trauma care.

Trauma

Nurse Specialist or TNS

–

an RN licensed under the Nurse Practice Act who

has successfully completed supplemental education and testing requirements as

prescribed by the Department, and is licensed in accordance with

this

Part.  (Section 3.75 of the Act) For out-of-state facilities that have Illinois

recognition under the EMS, trauma, or pediatric program, the professional shall

have an unencumbered license in the state in which the professional practices.

Trauma Nurse

Specialist Course Coordinator or TNSCC – an RN appointed by the Chief Executive

Officer of a hospital designated as a TNS education site, who meets the

requirements of Section 515.750.

Trauma Service

– an identified hospital surgical service in a Level I or Level II Trauma

Center functioning under a designated trauma director in accordance with

Sections 515.2030(c) and 515.2040(c).

Unit

Identifier – a number assigned by the Department for each EMS vehicle in the

State to be used in radio communications.

Vehicle

Service Provider

–

an entity licensed by the Department to provide

emergency or non-emergency medical services in compliance with

the

Act

and this Part

and an operational plan approved by its EMS Systems, utilizing

at least ambulances or specialized emergency medical service vehicles (SEMSV).

(Section 3.85(a) of the Act)

Watercraft – a nautical vessel,

boat, airboat, hovercraft or other vehicle that operates in, on or across

water.