| (81) Scope of practice - The procedures, actions and
processes that an EMS personnel are permitted to undertake in keeping
with the terms of their professional license or certification and
approved by their EMS provider's medical director.
(82) Severe trauma patient - A person with injuries
or potential injuries that require treatment at a tertiary trauma
facility. These patients may be identified by an alteration in vital
signs and/or level of consciousness or by the presence of significant
injuries and shall initiate a system's and/or health care entity's
highest level of trauma response including prehospital triage to a
designated trauma facility. For performance improvement purposes,
these patients are also identified retrospectively by an injury severity
score of 15 or above.
(83) Shall - Mandatory requirements.
(84) Site survey - An on-site review of a trauma facility
applicant to determine if it meets the criteria for a particular level
of designation.
(85) Sole provider - The only licensed emergency medical
service provider in a geographically contiguous service area and in
which the next closest provider is greater than 20 miles from the
limits of the area.
(86) Specialized emergency medical services vehicle
- A vehicle that is designed for responding to and transporting sick
or injured persons by any means of transportation other than by standard
automotive ground ambulance or rotor or fixed wing air craft and that
has sufficient staffing, equipment and supplies to provide for the
specialized needs of the patient transported. This category includes,
but is not limited to, water craft, off-road vehicles, and specially
designed, configured or equipped vehicles used for transporting special
care patients such as critical neonatal or burn patients.
(87) Specialty centers - Entities that care for specific
types of patients such as trauma, pediatric, stroke, cardiac hospitals
and burn units that have received certification, categorization, verification
or other form of recognition by an appropriate agency regarding their
capability to definitively treat these types of patients.
(88) Staffing plan - A document which indicates the
overall working schedule patterns of EMS personnel.
(89) Standard of care - Care equivalent to what any
reasonable, prudent person of like certification level would have
given in a similar situation, based on locally, regionally and nationally
adopted standard emergency medical services curricula as adopted by
reference in §157.32 of this title (relating to Emergency Medical
Services Training and Course Approval).
(90) Substation - An EMS provider station location
that is not the fixed station and which is likely to provide rapid
access to a location to which the EMS vehicle may be dispatched.
(91) Trauma - An injury or wound to a living body caused
by the application of an external force or violence, including burn
injuries. Poisonings, near-drownings and suffocations, other than
those due to external forces are to be excluded from this definition.
(92) Trauma facility - A hospital that has successfully
completed the designation process, is capable of stabilization and/or
definitive treatment of critically injured persons and actively participates
in a regional EMS/trauma system.
(93) Trauma nurse coordinator/trauma program manager
- A registered nurse with demonstrated interest, education, and experience
in trauma care and who, in partnership with the trauma medical director
and hospital administration, is responsible for coordination of trauma
care at a designated trauma facility. This coordination should include
active participation in the trauma performance improvement program,
the authority to positively impact trauma care of trauma patients
in all areas of the hospital, and targeted prevention and education
activities for the public and health care professionals.
(94) Trauma patient - Any critically injured person
who has been evaluated by a physician, a registered nurse, or emergency
medical services personnel, and found to require medical care in a
trauma facility based on local, regional or national medical standards.
(95) Trauma registry - A statewide database which documents
and integrates medical and system information related to the provision
of trauma care by health care entities.
(96) Trauma Service Area - An organized geographical
area of at least three counties administered by a regional advisory
council for the purpose of providing prompt and efficient transportation
and/or treatment of sick and injured patients.
(97) When in service - The period of time when an EMS
vehicle is at the scene or when enroute to a facility with a patient.
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