The following words and terms, when used in §§197.3
- 197.6 of this chapter shall have the following meanings, unless
the context clearly indicates otherwise.
(1) Advanced life support--Emergency prehospital care
that involves invasive medical interventions including, but not limited
to, the delivery or assisted delivery of medications, defibrillation,
and advanced airway management. The provision of advanced life support
shall be under the medical direction and/or supervision and control
of a licensed physician.
(2) Basic life support--Emergency prehospital care
that involves noninvasive medical interventions. The provision of
basic life support may be under the medical direction and/or supervision
and control of a licensed physician.
(3) Board--The Texas Medical Board.
(4) Delegated practice--Permission given by a physician
licensed by the board, either in person or by treatment protocols
or standing orders to a specific prehospital provider to provide medical
(5) Direct medical control--Immediate and concurrent
clinical direction either on-scene or via electronic communication
from a physician licensed by the board and designated by the EMS medical
director. If an EMS system does not have an EMS Medical Director,
then such designation should be by a physician advisor, or in his
or her absence, the director of the EMS system.
(6) Emergency medical services personnel--Those individuals
certified or licensed by the Texas Department of State Health Services
(DSHS) to provide emergency medical care.
(7) Emergency medical services provider--As defined
under 25 TAC §157.2(30) (relating to Definitions), a provider
that uses, operates or maintains EMS vehicles and EMS personnel to
(8) Emergency medical services system--All components
needed to provide a continuum of prehospital medical care including,
but not limited to, a medical director, transport vehicles, trained
personnel, access and dispatch, communications, and receiving medical
(9) Intervenor physician--A physician licensed by the
board, who, without having established a prior physician/patient relationship
with the emergency patient, accepts responsibility for the prehospital
care, and who shall provide proof of a current medical license when
(10) Medical director--A physician licensed by the
board who is responsible for all aspects of the operation of an EMS
system concerning provision of medical care. This physician may also
be referred to as the off-line medical director.
(11) Prehospital providers--All DSHS certified or licensed
personnel providing medical care in an out-of-hospital environment.
(12) Protocols--Written instructions providing prehospital
personnel with a standardized approach to commonly encountered problems
in the out-of-hospital setting, typically in regard to patient care.
Protocols may include standing orders to be implemented prior to,
or in lieu of, establishing communication with direct medical control.
(13) Standing delegation orders--Instructions or orders
provided by the EMS medical director to EMS personnel, directing them
to perform certain medical care in the absence of any communication
with direct medical control.
|Source Note: The provisions of this §197.2 adopted to be effective February 28, 1999, 24 TexReg 1157; amended to be effective January 9, 2003, 28 TexReg 73; amended to be effective September 20, 2007, 32 TexReg 6316; amended to be effective January 2, 2013, 37 TexReg 10213; amended to be effective April 3, 2016, 41 TexReg 2315