Section 518.1000 Definitions

Section 518

Section 518.1000  Definitions

For the purposes of this Part:

Act – the

Emergency Medical Services (EMS) Systems 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 provisions

of the National EMS Education Standards relating to Advanced Life Support and

any modifications to that curriculum specified in

this Part and in the

Emergency Medical Services, Trauma Center, Comprehensive Stroke Center, Primary

Stroke Center and Acute Stroke Ready Hospital Code.  (Section 3.10 of the Act)

Advanced

Practice Registered Nurse or APRN – has the meanings ascribed in Section 50-10

of the Nurse Practice Act.

Ambulance –

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

constructed or modified and equipped, 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)

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; having a basic or

comprehensive emergency department with 24-hour physician coverage; and having

a functioning intensive care unit and/or a cardiac care unit

als.

(Section 3.85 of the Act)

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; having a basic or

comprehensive emergency department with 24-hour physician coverage; and having

a functioning intensive care unit and/or a cardiac care unit.

Auxiliary

Nursing Personnel – unlicensed direct care staff or unlicensed staff providing

direct patient care or unlicensed staff providing care directly to patients.

Basic Life

Support Services

or BLS

– a basic level of pre-hospital and

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

medical monitoring, clinical observation, airway management, cardiopulmonary

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

as outlined in the provisions of the National EMS Education Standards relating

to Basic Life Support and any modifications to that curriculum specified in

the Emergency Medical Services and Trauma Center Code.  (Section 3.10 of the

Act)

Communicable

Disease – has the meaning set forth in the Control of Communicable Diseases

Code.

Comprehensive

Emergency Treatment Services – emergency treatment services provided in

accordance with Section 518.2020 of this Part.

Contagious

Disease − has the meaning set forth in the Control of Communicable

Diseases Code.

Department –

the Illinois Department of Public Health.

(Section 3.5 of the Act)

Diagnostic

Imaging Specialist – a person who possesses the knowledge, training and

experience to apply the principles of radiological physics to diagnostic x-ray

applications. The diagnostic imaging specialist shall be approved and

registered by the Illinois Emergency Management Agency – Division of Nuclear

Safety pursuant to 32 Ill. Adm. Code 410.

Director – the

Director of the Illinois Department of Public Health

or the Director's

designee

ses the knowledge, training and

experience to apply the principles of radiological physics to diagnostic x-ray

applications. The diagnostic imaging specialist shall be approved and

registered by the Illinois Emergency Management Agency – Division of Nuclear

Safety pursuant to 32 Ill. Adm. Code 410.

Director – the

Director of the Illinois Department of Public Health

or the Director's

designee.  (Section 3.5 of the Act)

Drugs – the

term "drugs" means and includes:

articles

recognized in the official United States Pharmacopoeia-National Formulary, or

any supplement to it, and being intended for and having for their main use the

diagnosis, cure, mitigation, treatment or prevention of disease in man or other

animals;

all other

articles intended for and having for their main use the diagnosis, cure,

mitigation, treatment or prevention of disease in man or other animals;

articles

(other than food) having for their main use to affect the structure or any

function of the body of man or other animals, and intended to affect the

structure or any function of the body of man or other animals; and

articles

having for their main use and intended for use as a component of any articles

specified above, but does not include devices or their components, parts or

accessories.

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

articles

having for their main use and intended for use as a component of any articles

specified above, but does not include devices or their components, parts or

accessories.

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

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 of the Act)

Emergency

Medical Technician-Basic or EMT-B – a person who has successfully completed a

course of instruction in basic life support as prescribed by the Department, is

currently licensed by the Department in accordance with standards prescribed by

the

Act and

the Emergency Medical Services, Trauma Center,

Comprehensive Stroke Center, Primary Stroke Center and Acute Stroke Ready

Hospital Code

and practices within an EMS System

.  (Section 3.50 of the

Act)

Emergency

Medical Technician-Intermediate or EMT-I – a person who has successfully

completed a course of instruction in intermediate life support as prescribed by

the

Act and

the Emergency Medical Services, Trauma Center,

Comprehensive Stroke Center, Primary Stroke Center and Acute Stroke Ready

Hospital Code

and practices within an Intermediate or Advanced Life Support

EMS System

of the

Act)

Emergency

Medical Technician-Intermediate or EMT-I – a person who has successfully

completed a course of instruction in intermediate life support as prescribed by

the

Act and

the Emergency Medical Services, Trauma Center,

Comprehensive Stroke Center, Primary Stroke Center and Acute Stroke Ready

Hospital Code

and practices within an Intermediate or Advanced Life Support

EMS System.

(Section 3.50 of the Act)

Emergency

Medical Technician-Paramedic or EMT-P – a person who has successfully completed

a course of instruction in advanced life support care as prescribed by the

Department, is licensed by the Department in accordance with standards

prescribed by

the

Act and

the Emergency Medical Services, Trauma

Center, Comprehensive Stroke Center, Primary Stroke Center and Acute Stroke

Ready Hospital Code

and practices within an Advanced Life Support EMS System

.

(Section 3.50 of the Act)

EMS System

Program Plan – the document approved by the Department pursuant to 77 Ill. Adm.

Code 515 that describes the EMS System program and directs the program's

operation.

Freestanding

Emergency Center

or FEC or Facility

– a facility that provides

comprehensive emergency treatment services 24 hours per day, on an outpatient

basis

and has been issued a license by the Department as a Freestanding

Emergency Center.  (Section 32.5 of the Act)

Hospital – has

the meaning ascribed in Section 3 of the Hospital Licensing Act.

House Staff

Member – an individual who is a graduate of a medical, dental, osteopathic or

podiatric school; who is licensed as appropriate; who is appointed to the FEC's

medical, osteopathic, dental, or podiatric graduate training program, which is

approved or recognized in accordance with the statutory requirements applicable

to the practitioner; and who is participating in patient care under the

direction of licensed practitioners who have clinical privileges in the FEC and

are members of the FEC's medical staff

as appropriate; who is appointed to the FEC's

medical, osteopathic, dental, or podiatric graduate training program, which is

approved or recognized in accordance with the statutory requirements applicable

to the practitioner; and who is participating in patient care under the

direction of licensed practitioners who have clinical privileges in the FEC and

are members of the FEC's medical staff.

Infectious

Disease – has the meaning established in the Control of Communicable Diseases

Code.

Intermediate

Life Support Services

or ILS Services

– an intermediate level of

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

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

the Emergency Medical

Services and Trauma Center Code.  (Section 3.10 of the Act)

Licensee – the

person or entity licensed to operate the FEC pursuant to the Act.

Medical Staff –

an organized body composed of the following individuals granted the privilege

by the governing authority of the FEC to practice in the FEC:  persons who are

graduates of a college or school approved or recognized by the Illinois

Department of Financial and Professional Regulation, and who are currently

licensed by the Department of Financial and Professional Regulation to practice

medicine in all its branches; practice dental surgery; or practice podiatric

medicine in Illinois, regardless of the title of the degree awarded by the

approving college or school.

Medicines – drugs

or chemicals or preparations thereof in suitable form intended for and having

for their main use the prevention, treatment, relief, or cure of diseases when

used either internally or externally

e

medicine in all its branches; practice dental surgery; or practice podiatric

medicine in Illinois, regardless of the title of the degree awarded by the

approving college or school.

Medicines – drugs

or chemicals or preparations thereof in suitable form intended for and having

for their main use the prevention, treatment, relief, or cure of diseases when

used either internally or externally.

Morbidity – a

negative outcome that is the result of the original trauma and/or treatment

rendered or omitted.

Nursing Staff –

registered nurses, licensed practical nurses, and others rendering patient care

under the supervision of a registered professional nurse.

Outpatient – a

person who visits an FEC for diagnosis or treatment.  There are no overnight

stays in an FEC.

Owning or

Controlling Hospital – the Associate or Resource Hospital that wholly owns or

controls a freestanding emergency center.

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.

Patient – a

person who visits an FEC and requires medical care on an outpatient basis.

Pharmacist – a

person who holds a certificate of registration as a registered pharmacist under

the Pharmacy Practice Act.

"Pharmacy"

− a location where pharmacist care is provided by a pharmacist and where

drugs and medicines are dispensed, sold, offered or displayed for sale at

retail; where prescriptions of physicians, dentists, advanced practice

registered nurses, physician assistants, podiatric physicians, or optometrists,

within the limits of their licenses, are compounded, filled or dispensed; and

which has a sign bearing the word or words "Pharmacist",

Druggist", "Pharmacy", "Pharmaceutical Care", or

similar terms or where the characteristic prescription sign

(

Rx

)

or

similar design is exhibited

. (Section 3 of the Pharmacy Practice Act)

d nurses, physician assistants, podiatric physicians, or optometrists,

within the limits of their licenses, are compounded, filled or dispensed; and

which has a sign bearing the word or words "Pharmacist",

Druggist", "Pharmacy", "Pharmaceutical Care", or

similar terms or where the characteristic prescription sign

(

Rx

)

or

similar design is exhibited

. (Section 3 of the Pharmacy Practice Act).  Any

room or designated area where drugs and medicines are dispensed (including the

repackaging for distribution) shall be considered to be a pharmacy and shall be

required to be licensed by the Department of Financial and Professional

Regulation.

Pharmacy practice – includes the

following services as defined in the Pharmacy Practice Act:

the interpretation and the

provision of assistance in the monitoring, evaluation, and implementation of

prescription drug orders;

the dispensing

of prescription drug orders;

participation

in drug and device selection;

drug administration limited to

the administration of oral, topical, injectable, and inhalation as follows:

in the context of patient

education on the proper use or delivery of medications;

pursuant to a valid

prescription or standing order by a physician licensed to practice medicine in

all its branches, upon completion of appropriate training, including how to

address contraindications and adverse reaction

pursuant to Pharmacy

Practice Act rules

(68 Ill. Adm. Code 1330)

,

with notification

to the patient's physician and appropriate record retention, or pursuant to

hospital pharmacy and therapeutics committee policies and procedures:

vaccination of

patients 7 years of age and older;

following the initial

administration of long-acting or extended-release form opioid antagonists by a

physician licensed to practice medicine in all its branches, administration of

injections of long-action or extended-release form opioid antagonists

retention, or pursuant to

hospital pharmacy and therapeutics committee policies and procedures:

vaccination of

patients 7 years of age and older;

following the initial

administration of long-acting or extended-release form opioid antagonists by a

physician licensed to practice medicine in all its branches, administration of

injections of long-action or extended-release form opioid antagonists.

administration of injections of

alpha-hydroxyprogesterone caproate;

administration of injections of

long-term antipsychotic medications

(appropriate training must be conducted

by an

Accreditation Council of Pharmaceutical Education accredited

provider);

drug regimen

review;

drug or drug-related

research;

the provision

of patient counseling;

the practice

of telepharmacy;

the provision of those acts or

services necessary to provide pharmacist care;

medication

therapy management; and

the

responsibility for compounding and labeling of drugs and devices (except

labeling by a manufacturer, repackager, or distributor of non‑prescription

drugs and commercially packaged legend drugs and devices), proper and safe

storage of drugs and devices, and maintenance of required records as defined

in the Pharmacy Practice Act. (Section 3 of the Pharmacy Practice Act)

Physician – any

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

Practice Act of 1987.

Physician

Assistant – has the meaning ascribed in Section 4 of the Physician Assistant

Practice Act of 1987.

Plan of

Correction or POC – the response the facility must develop to address/answer

deficiencies identified during a survey.

Program

Narrative – a written description of the services provided at the FEC.

Radiation

hazard – the danger to the health of an individual arising from exposure to

ionizing radiation that exceeds public dose limits as defined in 32 Ill. Adm.

Code 340.

Registered

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

professional nurse under the Nurse Practice Act

am

Narrative – a written description of the services provided at the FEC.

Radiation

hazard – the danger to the health of an individual arising from exposure to

ionizing radiation that exceeds public dose limits as defined in 32 Ill. Adm.

Code 340.

Registered

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

professional nurse under the Nurse Practice Act.

Resource

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

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

Social Worker –

a person who is a licensed social worker or a licensed clinical social worker

under the Clinical Social Work and Social Work Practice Act.

Survey – a

detailed critical inspection or investigation by the Department.

Therapeutic radiological physicist – an individual who has

the knowledge, training and experience to measure ionizing radiation, evaluate

safety techniques, advise regarding radiation protection needs and apply the

principles of radiological physics to clinical radiation therapy. The

therapeutic radiological physicist shall be approved and registered by the

Illinois Emergency Management Agency – Division of Nuclear Safety pursuant to

32 Ill. Adm. Code 410.

Unit – a

specific distinctly separated area within the FEC.

Working Days –

Monday through Friday, except State holidays.