420-2-1-.02 Definitions. The following definitions apply to these rules:
(1) Advanced Cardiac Life Support (ACLS). The course of instruction of the same title developed and sponsored by the American Heart Association.
(2) Advanced Life Support (ALS). The treatment of potentially life-threatening medical emergencies through the use of invasive medical techniques specified as advanced life support techniques in these rules, which ordinarily would be performed or provided by physicians, but which may be performed by emergency medical technicians pursuant to these rules.
(3) Advanced Trauma Life Support (ATLS). The course of instruction of the same title developed and sponsored by the American College of Surgeons.
(4) Advisory Board. The twenty-six member Advisory Board authorized by the Code of Alabama, 1975, §22-18-5, to assist in the establishment of rules necessary to carry out the provisions of said Act.
(5) The Alabama Department of Public Health (ADPH). The State of Alabama, Department of Public Health, as defined by Section 22-1-1, Code of Ala. 1975, and any officer, agent or employee of the said department authorized to act for the department with respect to the enforcement and administration of these rules.
(6) Basic Life Support (BLS). A level of prehospital care involving non-invasive life support measures.
(7) "The Board" or "The State Board of Health". The Board of Health of the State of Alabama as defined by Section 22-2-1, Code of Ala. 1975, or the State Health Officer, or his designee, when acting for the Board.
(8) Convalescent Ambulance. A vehicle that is intended to be used for and is maintained or operated for making non-emergency calls for patients in a recumbent position who require transportation to or from a physician's office, hospital, other health care facility, or residence, provided a convalescent ambulance shall not include a hospital operated vehicle used exclusively for intra-hospital facility transfers.
(9) Criminal History Release Authorization. A specific form which authorizes the Emergency Medical Services Division to review and utilize an EMT's or applicant's criminal history for licensure purposes.
(10) The Emergency Medical Services (EMS) Division. The subdivision of the Alabama Department of Public Health directly involved with the enforcement and administration of these rules.
(11) Emergency Medical Services Do Not Attempt Resuscitation (DNAR) Order. A written physician's order in a form prescribed by the State Board of Health which authorizes emergency medical services personnel to withhold resuscitative measures from a patient in the event of cardiac or respiratory arrest.
(12) Emergency Medical Services Provider. Any entity licensed in the State of Alabama to provide a ground ambulance or other emergency medical response, whether basic life support (BLS) or advanced life support (ALS), and whether a non-transport or a transport service.
(13) Ground Ambulance. A motor vehicle including a convalescent ambulance that is intended to be used for and is maintained or operated for the transportation to a medical care facility of persons who are sick or injured.
(14) Hospital. A facility licensed as a hospital by the State Board of Health.
(15) Impaired EMT or Impaired Ambulance Driver. An individual licensed under these rules who misuses or abuses alcohol, drugs, or both or has a mental condition, which could affect the individual's ability to practice as an EMT or ambulance driver, and against whom no complaint has been filed.
(16) Licensed Ambulance Driver. Any individual who successfully completes the course of instruction for emergency vehicle operation prescribed by the State Board of Health, and who has been granted a current, valid license by the State Board of Health.
(17) Licensed Ambulance Service Operator. Any person, firm, or corporation engaged in the business of operating a ground ambulance or convalescent ambulance.
(18) Licensed Emergency Medical Technician-Basic. Any person 18 years of age or older who has successfully completed the basic emergency medical technician course of instruction, or its equivalent, as approved by the State Board of Health or its designee, and passed the state EMT-basic examination, and who has been granted a current, valid license by the State Board of Health of its designee.
(19) Licensed Emergency Medical Technician-Intermediate. Any person 18 years of age or older who has successfully completed the intermediate emergency medical technician course of instruction, or its equivalent, as approved by the State Board of Health, and passed the state EMT-Intermediate examination, as well as having met the requirements for becoming a licensed emergency medical technician-basic, and who has been granted a current, valid license by the State Board of Health.
(20) Licensed Emergency Medical Technician-Paramedic. Any person 18 years of age or older who has successfully completed the EMT-paramedic course of instruction, or its equivalent, as approved by the State Board of Health, and passed the state EMT-paramedic examination, as well as having met the requirements for becoming a licensed emergency medical technician-intermediate, and who has been granted a current, valid license by the State Board of Health.
(21) Medical Control and Accountability. Directions and advice provided from designated medical facilities staffed by appropriately trained physicians utilizing regionally developed and approved procedures for prehospital Advanced Life Support care and mechanisms for medical accountability approved by the State Board of Health.
(22) Non-Transport Vehicle. A vehicle operated with the intent to provide BLS or ALS stabilization on scene, but not intended to be or used as a vehicle that will actually transport a patient to a hospital.
(23) On-line Medical Control Physician. A physician licensed in Alabama and working in a designated associate or resource hospital who has successfully completed, and maintains currency in, ACLS and ATLS and who has successfully completed the approved Alabama EMS Medical Directors Course.
(24) Off-line Medical Director. A physician who shall be from a broad-based medical specialty such as emergency medicine, internal medicine, surgery, family practice or general practice and shall hold and maintain a current ACLS certificate of successful course completion or be board certified in emergency medicine. The physician must have successfully completed the Alabama EMS Medical Directors Course. The physician shall possess a current license from the Medical Licensure Commission of Alabama or obtain a variance as provided for in these rules.
(25) On-line Medical Director. A physician licensed in Alabama and working in a designated associate or resource hospital who has successfully completed, and maintains currency in, ACLS and ATLS and who has successfully completed the approved Alabama EMS Medical Directors Course. This physician is responsible for overseeing and coordinating the medical control functions of the associate or resource hospital to which they are assigned.
(26) Patient. An individual who receives or requests medical care, or for whom medical care is requested, because such individual is sick or injured.
(27) Physician. An individual currently licensed to practice medicine or osteopathy by the Medical Licensure Commission of Alabama.
(28) Rapid Responder Service. An organization that routinely treats, but does not transport, emergency patients utilizing licensed EMT-Basics, EMT-Intermediates, and EMT Paramedics. These organizations may be licensed by the State Board of Health to provide ALS services, or may provide BLS services only.
(29) Regional EMS Agency. The agency or institution recognized or designated by the State Board of Health as the lead organization for the implementation of a regional emergency medical services system.
(30) Regional Medical Director. The licensed Alabama physician nominated by the regional medical control and accountability committee and the regional governing body and approved by the State Board of Health to provide medical guidance and Direction to the designated regional EMS agency.
(31) Required Continuing Education. These are educational courses or classes of instruction which have been approved by the EMS Division and must be taken by a licensed ambulance driver or EMT as deemed appropriate by the EMS Division, in order to meet relicensure requirements.
(32) Resuscitative measures. Cardiopulmonary resuscitation, cardiac compression, endotracheal incubation and other advanced airway management, artificial ventilation, cardiac resuscitation medications, and cardiac defibrillation delivered by any means. This term does not mean and shall not be deemed to include such medical interventions as intravenous fluids, oxygen, suction, control of bleeding, administration of pain medication by properly licensed and authorized personnel, and the provision of support and comfort to patients, family members, friends, and other individuals.
(33) Shall. The term indicates mandatory requirements.
(34) Should. The term indicates policies and practices recommended by the State Board of Health but which are not mandatory .
(35) Semi-automatic Defibrillator. A cardiac defibrillator that is capable of rhythm analysis, but requires user action in order to deliver a countershock after the presence of cardiac arrhythmia is detected.
(36) Standard EMS Provider Notice. A readily-identifiable card form, bracelet, or necklace of uniform design, which is manufactured and utilized under specifications approved by the State Board of Health, and which may be issued to a patient only under protocols approved by the State Board of Health.
(37) State Emergency Medical Control Committee (SEMCC). The eleven physician committee authorized by the Code of Ala. 1975, §22-18-6, to assist in the establishment of rules necessary to carry out the provisions of the Act.
(38) Training Program. A single program designed and organized for the purpose of conducting one or more training courses which will enable successful graduates to be examined for licensure as emergency medical technicians.
Author: John W. Story
Statutory Authority: Code of Ala. 1975, §22-18-1, et seq.
History: Filed September 1, 1982. Amended: Filed May 24, 1984. Amended: Filed January 20, 1995; effective February 24, 1995. Repealed and Replaced: Filed September 20, 1996; effective October 24, 1996.