# 77 Ill. Adm. Code 515.100: Section 515.100 Definitions

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URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P515_S515_100

## Section

- **Citation:** 77 Ill. Adm. Code 515.100
- **Heading:** Section 515.100 Definitions
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 77 PUBLIC HEALTH / CHAPTER I: DEPARTMENT OF PUBLIC HEALTH / Part 515 EMERGENCY MEDICAL SERVICES, TRAUMA CENTERS, PEDIATRIC EMERGENCY AND CRITICAL CARE CENTERS, STROKE CENTERS HOSPITAL CODE / Section 515.100 Definitions

## Text

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.

## Nearby sections

- [77 Ill. Adm. Code 515.100 Section 515.100  Definitions](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P515_S515_100.md)
- [77 Ill. Adm. Code 515.150 Section 515.150  Waiver Provisions](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P515_S515_150.md)
- [77 Ill. Adm. Code 515.160 Section 515.160  Facility, System and Equipment Violations, Hearings and Fines](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P515_S515_160.md)
- [77 Ill. Adm. Code 515.165 Section 515.165  Suspension, Revocation and Denial of Licensure](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P515_S515_165.md)
- [77 Ill. Adm. Code 515.170 Section 515.170  Employer Responsibility](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P515_S515_170.md)
- [77 Ill. Adm. Code 515.180 Section 515.180  Administrative Hearings](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P515_S515_180.md)
- [77 Ill. Adm. Code 515.190 Section 515.190  Felony Convictions](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P515_S515_190.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P515_S515_100. Check the current official text before relying on it. Not legal advice.