| (F) licensed paramedic.
(34) Emergency medical services (EMS) provider - A
person who uses, operates or maintains EMS vehicles and EMS personnel
to provide EMS. See §157.11 of this title regarding fee exemption.
(35) Emergency medical services (EMS) volunteer provider
- An EMS provider that has at least 75% of the total personnel as
volunteers and is a nonprofit organization. See §157.11 of this
title regarding fee exemption.
(36) Emergency medical services (EMS) volunteer - EMS
personnel who provide emergency prehospital or interfacility care
in affiliation with a licensed EMS provider or a registered First
Responder organization without remuneration, except for reimbursement
for expenses.
(37) Emergency medical technician (EMT) - An individual
who is certified by the department as minimally proficient to perform
emergency prehospital care that is necessary for basic life support
and that includes the control of hemorrhaging and cardiopulmonary
resuscitation.
(38) Emergency medical technician-paramedic (EMT-P)
- An individual who is certified by the department as minimally proficient
to provide emergency prehospital or interfacility care in health care
facility's emergency or urgent care clinical setting, including a
hospital emergency room and a freestanding emergency medical care
facility by providing advanced life support that includes initiation
and maintenance under medical supervision of certain procedures, including
intravenous therapy, endotracheal or esophageal intubation or both,
electrical cardiac defibrillation or cardioversion, and drug therapy.
(39) Emergency medical services vehicle -
(A) basic life support (BLS) vehicle;
(B) advanced life support (ALS) vehicle;
(C) mobile intensive care unit (MICU);
(D) MICU rotor wing and MICU fixed wing air medical
vehicles; or
(E) specialized emergency medical service vehicle.
(40) Emergency Medical Task Force (EMTF) - A unit specially
organized to provide coordinated emergency medical response operation
systems during large scale EMS incidents.
(41) Emergency prehospital care - Care provided to
the sick and injured within a health care facility's emergency or
urgent care clinical setting, including a hospital emergency room
and a freestanding emergency medical care facility, before or during
transportation to a medical facility, including any necessary stabilization
of the sick or injured in connection with that transportation.
(42) Facility triage - The process of assigning patients
to an appropriate trauma facility based on injury severity and facility
availability.
(43) Fixed location - The address as it appears on
the initial and/or renewal EMS provider license application in which
the patient care records and administrative offices will be located.
(44) General trauma facility - A hospital designated
by the department as having met the criteria for a Level III and Level
IV trauma facility as described in §157.125 of this title. General
trauma facilities provide resuscitation, stabilization, and assessment
of injury victims and either provide treatment or arrange for appropriate
transfer to a higher level trauma facility, provide ongoing educational
opportunities in trauma related topics for health care professionals
and the public, and implement targeted injury prevention programs.
(45) Governmental entity - A county, a city or town,
a school district, or a special district or authority created in accordance
with the Texas Constitution, including a rural fire prevention district,
an emergency services district, a water district, a municipal utility
district, and a hospital district.
(46) Health care entity - A first responder, EMS provider,
physician, nurse, hospital, designated trauma facility, or a rehabilitation
program.
(47) Inactive EMS provider status - The period when
a licensed EMS provider is not able to respond or response ready to
an emergency or non-emergency medical dispatch.
(48) Industrial ambulance - Any vehicle owned and operated
by an industrial facility as defined in the Texas Transportation Code, §541.201,
and used for initial transport or transfer of company employees who
become urgently ill or injured on company premises to an appropriate
medical facility.
(49) Interfacility care - Care provided while transporting
a patient between medical facilities.
(50) Lead trauma facility - A trauma facility which
usually offers the highest level of trauma care in a given trauma
service area, and which includes receipt of major and severe trauma
patients transferred from lower level trauma facilities. It also includes
on-going support of the regional advisory council and the provision
of regional outreach, prevention, and trauma educational activities
to all trauma care providers in the trauma service area regardless
of health care system affiliation.
(51) Legal entity name - The name of the lawful or
legally standing association, corporation, partnership, proprietorship,
trust, or individual. Has legal capacity to:
(A) enter into agreements or contracts;
(B) assume obligations;
(C) incur and pay debts;
(D) sue and be sued in its own right; and
(E) to be accountable for illegal activities.
(52) Licensee - A person who holds a current paramedic
license from the Texas Department of State Health Services (department)
or a person who uses, maintains or operates EMS vehicles and EMS personnel
to provide EMS and who holds an EMS provider license from the department.
(53) Major trauma facility - A hospital designated
by the department as having met the criteria for a Level II trauma
facility as described in §157.125 of this title. Major trauma
facilities provide similar services to the Level I trauma facility
although research and some medical specialty areas are not required
for Level II facilities, provide ongoing educational opportunities
in trauma related topics for health care professionals and the public,
and implement targeted injury prevention programs.
(54) Major trauma patient - A person with injuries,
or potential injuries, severe enough to benefit from treatment at
a trauma facility. These patients may or may not present with alterations
in vital signs or level of consciousness or obvious significant injuries
(see severe trauma patient), but have been involved in an incident
which results in a high index of suspicion for significant injury
and/or disability. Co-morbid factors such as age and/or the presence
of significant medical problems should also be considered. These patients
should initiate a system's or health care entity's 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 9 or above.
(55) Medical control - The supervision of prehospital
emergency medical service providers by a licensed physician. This
encompasses on-line (direct voice contact) and off-line (written protocol
and procedural review).
(56) Medical Director - The licensed physician who
provides medical supervision to the EMS personnel of a licensed EMS
provider or a recognized First Responder Organization under the terms
of the Medical Practices Act (Occupations Code, Chapters 151 - 165
and rules promulgated by the Texas Medical Board. Also may be referred
to as off-line medical control.
(57) Medical oversight - The assistance and management
given to health care providers and/or entities involved in regional
EMS/trauma systems planning by a physician or group of physicians
designated to provide technical assistance.
(58) Medical supervision - Direction given to emergency
medical services personnel by a licensed physician under the terms
of the Medical Practice Act, (Occupations Code, Chapters 151 - 165)
and rules promulgated by the Texas Medical Board pursuant to the terms
of the Medical Practice Act.
(59) Mobile intensive care unit (MICU) - A vehicle
that is designed for transporting the sick or injured and that meets
the requirements of the advanced life support vehicle and which has
sufficient equipment and supplies to provide cardiac monitoring, defibrillation,
cardioversion, drug therapy, and two-way communication with at least
one paramedic on the vehicle when providing EMS.
(60) Off-line medical direction - The licensed physician
who provides approved protocols and medical supervision to the EMS
personnel of a licensed EMS provider under the terms of the Medical
Practices Act (Occupations Code, Chapters 151 - 165) and a rules promulgated
by the Texas Medical Board (22 Texas Administrative Code, §197.3).
(61) Online course - A directed learning process, comprised
of educational information (articles, videos, images, web links),
communication (messaging, discussion forums) with a process and some
way to measure students' knowledge.
Cont'd... |
