La. Admin. Code tit. 48 § I-6003

Current through Register Vol. 50, No. 11, November 20, 2024
Section I-6003 - Definitions [Formerly section 6001]

Advanced Life Support (ALS)-the provision of medically necessary supplies and services by EMS practitioners who are licensed at least to the level of advanced emergency medical technician or equivalent.

Air Ambulance-any aircraft, either fixed-winged or rotary-winged, designed and operated as a part of a regular course of conduct or business to transport a sick or injured individual, or which is advertised or otherwise held out to the public as such.

Air Ambulance Service-any person, firm, association, or government entity owning, controlling, or operating any business or service which furnishes, operates, conducts, maintains, advertises, engages in, proposes to engage in, or professes to engage in the business or service of transporting, in air ambulances, individuals who may need medical attention during transport.

Ambulance-any authorized emergency vehicle, equipped with warning devices, designed and operated as a part of a regular course of conduct or business to transport a sick or injured individual, or which is advertised or otherwise held out to the public as such.

1. For purposes of these provisions, ambulance shall not mean a hearse or other funeral home vehicle utilized for the transportation of the dead.
2. Transportation by ambulance is inclusive of ground transport vehicles or by aircraft, either fixed-winged or rotary-winged.

Ambulance Service or Ambulance Provider-any person, firm, association, or government entity owning, controlling, or operating any business or service which furnishes, operates, conducts, maintains, advertises, engages in, proposes to engage in, or professes to engage in the business or service of transporting, in ambulances, individuals who may need medical attention during transport.

1. Ambulance services/providers shall not include any of the following:
a. an agency of the federal government;
b. a volunteer nonprofit organization or municipal nonprofit organization operating an invalid coach or coaches;
c. an entity rendering assistance to a licensed ambulance or ambulances in the case of a major disaster;
d. a licensed hospital providing nonemergency, noncritical, inter-hospital transfer and patient transportation for diagnostic and therapeutic purposes when such transportation originates at a licensed hospital;
e. an entity operating an ambulance(s) from a location outside of the state to transport patients from a location outside of the state to a location inside the state or to transport a patient(s) from a medical facility inside of the state to a location outside of the state; or
f. an entity providing transportation to employees, who become sick or injured during the course of their employment, from a job site to the nearest appropriate medical facility.

Appropriate Facility-an institution generally equipped to provide the needed hospital or skilled nursing care for the illness or injury involved. In the case of a hospital, a physician or a physician specialist is available to provide the necessary care required to treat the patient's condition.

Basic Life Support (BLS)-a basic level of out-of-hospital, hospital, inter-hospital, and emergency service care which includes an assessment or intervention by a licensed emergency medical services practitioner who possesses a Louisiana Bureau of Emergency Medical Services license at the Emergency Medical Technical level.

Bureau of Emergency Medical Services (Bureau of EMS, BEMS)-the EMS regulatory agency that licenses EMS practitioners and ambulance services/providers.

Certified Ambulance Operator-an individual who is certified by the Bureau of EMS as a certified ambulance operator. Documentation outlined in statute must be submitted before certification is received.

Cessation of Business-occurs when an ambulance service is non-operational and voluntarily stops rendering services to the community.

Change of Ownership (CHOW)-the sale or transfer (whether by purchase, lease, gift or otherwise) of an ambulance service/provider by a person/entity with controlling interest that results in a change of ownership, or control of 30 percent or greater of either the voting rights or assets of an ambulance service/provider, or that results in the acquiring person/corporation holding a 50 percent or greater interest in the ownership or control of the ambulance service/provider.

Commission-the Louisiana Emergency Medical Services Certification Commission.

Department-the Louisiana Department of Health (LDH).

Emergency Medical Personnel or Emergency Service Person-an individual who possesses a Bureau of EMS license as an EMS Practitioner.

Emergency Medical Response Vehicle (EMRV)-a marked emergency vehicle with fully visual and/or audible warning signals, operated by a licensed ambulance service/provider, whose primary purpose is to respond to the scene of a medical emergency to provide emergency medical stabilization or support, command, control, and communications, but which is not an ambulance designed or intended for the purpose of transporting a victim from the scene to a medical facility, regardless of its designation.

1. Included are such vehicles referred to, but not limited to, the designation as "sprint car", "quick response vehicle", "special response vehicle", "triage trucks", "staff cars", "supervisor units", and other similar designations.
2. Emergency medical response vehicles shall not include fire apparatus and law enforcement patrol vehicles that carry BLS first aid or BLS emergency medical supplies, and that respond to medical emergencies as part of their routine duties.

Emergency Medical Services (EMS)-a system that represents the combined efforts of several professionals and agencies to provide out-of-hospital nonemergency, urgent, and emergency care to the sick and injured.

EMS Medical Director-a physician (MD or DO) licensed by the Louisiana State Board of Medical Examiners who has responsibility and authority to ensure the quality of care and provide guidance for all out-of-hospital medical care provided by EMS ambulance services and EMS Practitioners.

EMS Practitioner-an individual who possesses a Bureau of EMS license as an emergency medical responder (EMR), an emergency medical technician (EMT), an advanced emergency medical technician (AEMT), or a paramedic.

EMS Task Force-composed of individuals, subject to the approval of the secretary of the department, which advises and make recommendations to the bureau and the department on matters related to emergency medical services.

Emergency Vehicle-a vehicle that meets the definition of an "authorized emergency vehicle" in the Louisiana Highway Regulatory Act (R.S. 32:1).

Headquarters-an ambulance service's center of operation and control.

Industrial Ambulance-any vehicle owned and operated by an industrial facility and used for transporting any employee who becomes sick, injured or otherwise incapacitated in the course and scope of his employment from a job site to an appropriate medical facility.

Infant-a child not previously subjected to abuse or neglect, who is not more than sixty days old as determined within a reasonable degree of medical certainty by an examining physician.

LERN-the Louisiana Emergency Response Network

Licensed Emergency Medical Services Practitioner-an individual who has successfully completed an emergency medical services education program based on national EMS education standards, and is licensed as any one of the following:

1. a licensed emergency medical technician;
2. a licensed advanced emergency medical technician; or
3. a licensed paramedic.

Licensed Emergency Medical Technician-an individual who has successfully completed the emergency medical technician training program adopted by the bureau, who is licensed by the bureau.

Licensed Advanced Emergency Medical Technician- an individual who has successfully completed the advanced emergency medical technician training program adopted by the bureau, who is licensed by the bureau.

Licensed Paramedic-an individual who has successfully completed the paramedic training program adopted by the bureau, who is licensed by the bureau.

Licensed Emergency Medical Responder-an individual who has successfully completed a training course adopted by the bureau for emergency medical responders and who is licensed by the bureau.

Moral Turpitude-an act of baseness, vileness, or depravity in the duties which one person owes another, or to society in general, which is contrary to the usual, accepted and customary rule of right and duty which a person should follow.

Municipal Nonprofit Organization-an organization owned by a parish, municipality or entity of a parish or municipality which in its regular course of business responds to a call for help and renders medical treatment and whose attendants are emergency medical personnel, a registered nurse or a physician.

National EMS Education Standards-the document that outlines current national EMS education standards.

Non-Operational-an EMS ambulance service that is not available for operation on designated days and hours as stated in the licensing application and as defined in operational requirements pursuant to this Chapter.

Operational-an ambulance service that has a functional communications center (either owned and operated, or contracted) on duty 24 hours a day, 365 days a year. There shall also be at least one staffed ambulance at the service's level of care on duty and able to respond to requests for service 24 hours a day, 365 days a year within the ambulance service's/provider's service area unless excepted under other provisions of this Chapter.

Pediatric Emergency Care Coordinator-an individual or team that facilitates continued pediatric emergency education; ensures quality improvement for pediatric patients; enhances the availability of pediatric medications, equipment, and supplies; represents the pediatric perspective in the development of EMS protocols; and participates in pediatric research. A person and/or team in this role would be expected to oversee the system-based care of pediatric patients and would promote the integration of pediatric elements into day-to-day services as well as local and/or regional disaster planning, while also serving as a pediatric health care liaison among the EMS agency, community pediatricians, and medical home in addition to the local health care facilities.

Physician-a physician licensed to practice medicine by the Louisiana State Board of Medical Examiners.

Safe Haven-a mechanism whereby any parent may relinquish the care of a Safe Haven infant to the state in safety, anonymity, and without fear of prosecution, pursuant to Louisiana Safe Haven statutes.

Scope of Practice-the procedures, actions, and processes that a healthcare practitioner is permitted to undertake in keeping with the term of their professional licensure in accordance with state laws, rules, and regulations. The scope of practice is limited to that which the law allows for specific education and experience, and specific demonstrated competency.

V-MED 28-the National Emergency Medical Services Mutual Aid (radio) frequency of 155.340 MHZ in the VHF broad band frequency spectrum.

Volunteer Nonprofit Organization-an organization which in its regular course of business responds to a call for help and renders medical treatment, whose attendants are emergency medical personnel, a registered nurse, or a physician and which is chartered as a nonprofit organization under Section 501c of the United States Internal Revenue Code, as a volunteer fire department by the Louisiana State Fire Marshal's Office, or as a nonprofit organization by the Louisiana Secretary of State.

La. Admin. Code tit. 48, § I-6003

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 35:467 (March 2009), Amended Department of Health, Office of Public Health, Bureau of Emergency Medical Services, LR 49880 (5/1/2023).
AUTHORITY NOTE: Promulgated in accordance with R.S. 40:1131.