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Chapter 2. Definitions of California Health And Safety Code >> Division 2.5. >> Chapter 2.
Unless the context otherwise requires, the definitions
contained in this chapter shall govern the provisions of this
division.
"Advanced life support" means special services designed to
provide definitive prehospital emergency medical care, including,
but not limited to, cardiopulmonary resuscitation, cardiac
monitoring, cardiac defibrillation, advanced airway management,
intravenous therapy, administration of specified drugs and other
medicinal preparations, and other specified techniques and procedures
administered by authorized personnel under the direct supervision of
a base hospital as part of a local EMS system at the scene of an
emergency, during transport to an acute care hospital, during
interfacility transfer, and while in the emergency department of an
acute care hospital until responsibility is assumed by the emergency
or other medical staff of that hospital.
"Alternative base station" means a facility or service
operated and directly supervised by, or directly supervised by, a
physician and surgeon who is trained and qualified to issue advice
and instructions to prehospital emergency medical care personnel,
which has been approved by the medical director of the local EMS
agency to provide medical direction to advanced life support or
limited advanced life support personnel responding to a medical
emergency as part of the local EMS system, when no qualified hospital
is available to provide that medical direction.
"Authority" means the Emergency Medical Services Authority
established by this division.
"Authorized registered nurse," "mobile intensive care
nurse," or "MICN" means a registered nurse who is functioning
pursuant to Section 2725 of the Business and Professions Code and who
has been authorized by the medical director of the local EMS agency
as qualified to provide prehospital advanced life support or to issue
instructions to prehospital emergency medical care personnel within
an EMS system according to standardized procedures developed by the
local EMS agency consistent with statewide guidelines established by
the authority. Nothing in this section shall be deemed to abridge or
restrict the duties or functions of a registered nurse or mobile
intensive care nurse as otherwise provided by law.
"Base hospital" means one of a limited number of hospitals
which, upon designation by the local EMS agency and upon the
completion of a written contractual agreement with the local EMS
agency, is responsible for directing the advanced life support system
or limited advanced life support system and prehospital care system
assigned to it by the local EMS agency.
"Base hospital physician" or "BHP" means a physician and
surgeon who is currently licensed in California, who is assigned to
the emergency department of a base hospital, and who has been trained
to issue advice and instructions to prehospital emergency medical
care personnel consistent with statewide guidelines established by
the authority. Nothing in this section shall be deemed to abridge or
restrict the duties or functions of a physician and surgeon as
otherwise provided by law.
"Basic life support" means emergency first aid and
cardiopulmonary resuscitation procedures which, as a minimum, include
recognizing respiratory and cardiac arrest and starting the proper
application of cardiopulmonary resuscitation to maintain life without
invasive techniques until the victim may be transported or until
advanced life support is available.
(a) "Certificate" or "license" means a specific document
issued to an individual denoting competence in the named area of
prehospital service.
(b) "Certificate status" or "license status" means the active, expired, denied, suspended, revoked, or placed on probation designation applied to a certificate or license issued pursuant to this division.
(b) "Certificate status" or "license status" means the active, expired, denied, suspended, revoked, or placed on probation designation applied to a certificate or license issued pursuant to this division.
"Certifying entity" means a public safety agency or the
office of the State Fire Marshal if the agency has a training program
for EMT-I personnel that is approved pursuant to the standards
developed pursuant to Section 1797.109, or the medical director of a
local EMS agency.
"Certifying examination" or "examination for certification"
means an examination designated by the authority for a specific
level of prehospital emergency medical care personnel that must be
satisfactorily passed prior to certification or recertification at
the specific level and may include any examination or examinations
designated by the authority, including, but not limited to, any of
the following options determined appropriate by the authority:
(a) An examination developed either by the authority or under the auspices of the authority or approved by the authority and administered by the authority or any entity designated by the authority to administer the examination.
(b) An examination developed and administered by the National Registry of Emergency Medical Technicians.
(c) An examination developed administered, or approved by a certifying agency pursuant to standards adopted by the authority for the certification examination.
(a) An examination developed either by the authority or under the auspices of the authority or approved by the authority and administered by the authority or any entity designated by the authority to administer the examination.
(b) An examination developed and administered by the National Registry of Emergency Medical Technicians.
(c) An examination developed administered, or approved by a certifying agency pursuant to standards adopted by the authority for the certification examination.
"Commission" means the Commission on Emergency Medical
Services created pursuant to the provisions of Section 1799.
"Competency based curriculum" means a curriculum in which
specific objectives are defined for each of the separate skills
taught in training programs with integrated didactic and practical
instruction and successful completion of an examination demonstrating
mastery of every skill.
"Designated facility" means a hospital which has been
designated by a local EMS agency to perform specified emergency
medical services systems functions pursuant to guidelines established
by the authority.
"Director" means the Director of the Emergency Medical
Services Authority.
"Emergency" means a condition or situation in which an
individual has a need for immediate medical attention, or where the
potential for such need is perceived by emergency medical personnel
or a public safety agency.
"Emergency medical services" means the services utilized
in responding to a medical emergency.
"Emergency medical services area" or "EMS area" means the
geographical area within the jurisdiction of the designated local EMS
agency.
"Emergency medical services plan" means a plan for the
delivery of emergency medical services consistent with state
guidelines addressing the components listed in Section 1797.103.
"Emergency medical services system" or "system" means a
specially organized arrangement which provides for the personnel,
facilities, and equipment for the effective and coordinated delivery
in an EMS area of medical care services under emergency conditions.
"Emergency Medical Technician-I" or "EMT-I" means an
individual trained in all facets of basic life support according to
standards prescribed by this part and who has a valid certificate
issued pursuant to this part. This definition shall include, but not
be limited to, EMT-I (FS) and EMT-I-A.
"Emergency Medical Technician-II," "EMT-II," "Advanced
Emergency Medical Technician," or "Advanced EMT" means an EMT-I with
additional training in limited advanced life support according to
standards prescribed by this part and who has a valid certificate
issued pursuant to this part.
"Emergency Medical Technician-Paramedic," "EMT-P,"
"paramedic" or "mobile intensive care paramedic" means an individual
whose scope of practice to provide advanced life support is according
to standards prescribed by this division and who has a valid
certificate issued pursuant to this division.
"Exclusive operating area" means an EMS area or subarea
defined by the emergency medical services plan for which a local EMS
agency, upon the recommendation of a county, restricts operations to
one or more emergency ambulance services or providers of limited
advanced life support or advanced life support.
"Health systems agency" means a health systems agency as
defined in subsection (a) of Section 300(l)-1 of Title 42 of the
United States Code.
"Hospital" means an acute care hospital licensed under
Chapter 2 (commencing with Section 1250) of Division 2, with a permit
for basic emergency service or an out-of-state acute care hospital
which substantially meets the requirements of Chapter 2 (commencing
with Section 1250) of Division 2, as determined by the local EMS
agency which is utilizing the hospital in the emergency medical
services system, and is licensed in the state in which it is located.
"Medical control" means the medical management of the
emergency medical services system pursuant to the provisions of
Chapter 5 (commencing with Section 1798).
"Limited advanced life support" means special service
designed to provide prehospital emergency medical care limited to
techniques and procedures that exceed basic life support but are less
than advanced life support and are those procedures specified
pursuant to Section 1797.171.
"Local EMS agency" means the agency, department, or office
having primary responsibility for administration of emergency
medical services in a county and which is designated pursuant to
Chapter 4 (commencing with Section 1797.200).
"Poison control center" or "PCC" means a hospital-based
facility or other facility which, as a minimum, provides information
and advice regarding the management of individuals who have or may
have ingested or otherwise been exposed to poisonous or possibly
toxic substances, and which has been designated by the Emergency
Medical Services Authority according to the standards prescribed by
this division.
