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| Public Act 103-0521 | ||||
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Emergency Medical Services (EMS) Systems | ||||
Act is amended by changing Sections 3.5, 3.25, 3.40, 3.45, and | ||||
3.55 as follows:
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(210 ILCS 50/3.5)
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Sec. 3.5. Definitions. As used in this Act:
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"Clinical observation" means the ongoing observation of a | ||||
patient's condition by a licensed health care professional | ||||
utilizing a medical skill set while continuing assessment and | ||||
care. | ||||
"Department" means the Illinois Department of Public | ||||
Health.
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"Director" means the Director of the Illinois Department | ||||
of Public Health.
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"Emergency" means a medical condition of recent onset and | ||||
severity that
would lead a prudent layperson, possessing an | ||||
average knowledge of medicine and
health, to believe that | ||||
urgent or unscheduled medical care is required.
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"Emergency Medical Services personnel" or "EMS personnel" | ||||
means persons licensed as an Emergency Medical Responder (EMR) | ||||
(First Responder), Emergency Medical Dispatcher (EMD), | ||||
Emergency Medical Technician (EMT), Emergency Medical | ||
Technician-Intermediate (EMT-I), Advanced Emergency Medical | ||
Technician (A-EMT), Paramedic (EMT-P), Emergency | ||
Communications Registered Nurse (ECRN), Pre-Hospital | ||
Registered Nurse (PHRN), Pre-Hospital Advanced Practice | ||
Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant | ||
(PHPA). | ||
"Exclusive representative" has the same meaning as defined | ||
in Section 3 of the Illinois Public Labor Relations Act. | ||
"Health care facility" means a hospital,
nursing home, | ||
physician's office or other fixed location at which
medical | ||
and health care services are performed. It does not
include | ||
"pre-hospital emergency care settings" which utilize EMS | ||
personnel to render
pre-hospital emergency care prior to the
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arrival of a transport vehicle, as defined in this Act.
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"Hospital" has the meaning ascribed to that
term in the | ||
Hospital Licensing Act.
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"Labor organization" has the same meaning as defined in | ||
Section 3 of the Illinois Public Labor Relations Act. | ||
"Medical monitoring" means the performance of medical | ||
tests and physical exams to evaluate an individual's ongoing | ||
exposure to a factor that could negatively impact that | ||
person's health. "Medical monitoring" includes close | ||
surveillance or supervision of patients liable to suffer | ||
deterioration in physical or mental health and checks of | ||
various parameters such as pulse rate, temperature, | ||
respiration rate, the condition of the pupils, the level of | ||
consciousness and awareness, the degree of appreciation of | ||
pain, and blood gas concentrations such as oxygen and carbon | ||
dioxide. | ||
"Silver spanner program" means a
program in which a member | ||
under a fire department's or fire
protection district's | ||
collective bargaining agreement works on
or at the EMS System | ||
under another fire department's or fire
protection district's | ||
collective bargaining agreement and (i)
the other fire | ||
department or fire protection district is not
the member's | ||
full-time employer and (ii) any EMS services not
included | ||
under the original fire department's or fire protection | ||
district's collective bargaining agreement are
included in the | ||
other fire department's or fire protection district's | ||
collective bargaining agreement. | ||
"Trauma" means any significant injury which
involves | ||
single or multiple organ systems.
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(Source: P.A. 100-1082, eff. 8-24-19; 101-81, eff. 7-12-19.)
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(210 ILCS 50/3.25)
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Sec. 3.25. EMS Region Plan; Development.
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(a) Within 6 months after designation of an EMS
Region, an | ||
EMS Region Plan addressing at least the information
prescribed | ||
in Section 3.30 shall be submitted to the
Department for | ||
approval. The Plan shall be developed by the
Region's EMS | ||
Medical Directors Committee with advice from the
Regional EMS | ||
Advisory Committee; portions of the plan
concerning trauma | ||
shall be developed jointly with the Region's
Trauma Center | ||
Medical Directors or Trauma Center Medical
Directors | ||
Committee, whichever is applicable, with advice from
the | ||
Regional Trauma Advisory Committee, if such Advisory
Committee | ||
has been established in the Region. Portions of the Plan | ||
concerning stroke shall be developed jointly with the Regional | ||
Stroke Advisory Subcommittee.
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(1) A Region's EMS Medical Directors
Committee shall | ||
be comprised of the Region's EMS Medical Directors,
along | ||
with the medical advisor to a fire department
vehicle | ||
service provider. For regions which include a municipal | ||
fire
department serving a population of over 2,000,000 | ||
people, that fire
department's medical advisor shall serve | ||
on the Committee. For other regions,
the fire department | ||
vehicle service providers shall select which medical
| ||
advisor to serve on the Committee on an annual basis.
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(2) A Region's Trauma Center Medical Directors
| ||
Committee shall be comprised of the Region's Trauma Center
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Medical Directors.
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(b) A Region's Trauma Center Medical Directors may
choose | ||
to participate in the development of the EMS Region
Plan | ||
through membership on the Regional EMS Advisory
Committee, | ||
rather than through a separate Trauma Center Medical Directors
| ||
Committee. If that option is selected,
the Region's Trauma | ||
Center Medical Director shall also
determine whether a | ||
separate Regional Trauma Advisory
Committee is necessary for | ||
the Region.
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(c) In the event of disputes over content of the
Plan | ||
between the Region's EMS Medical Directors Committee and the
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Region's Trauma Center Medical Directors or Trauma Center
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Medical Directors Committee, whichever is applicable, the
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Director of the Illinois Department of Public Health shall
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intervene through a mechanism established by the Department
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through rules adopted pursuant to this Act. An individual | ||
interviewed or investigated by an EMS Medical Director or the | ||
Department shall have the right to a union representative and | ||
legal counsel of the individual's choosing present at any | ||
interview. The union representative must comply with any | ||
confidentiality requirements and requirements for the | ||
protection of any patient information presented during the | ||
proceeding.
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(d) "Regional EMS Advisory Committee" means a
committee | ||
formed within an Emergency Medical Services (EMS)
Region to | ||
advise the Region's EMS Medical Directors
Committee and to | ||
select the Region's representative to the
State Emergency | ||
Medical Services Advisory Council,
consisting of at least the | ||
members of the Region's EMS
Medical Directors Committee, the | ||
Chair of the Regional
Trauma Committee, the EMS System | ||
Coordinators from each
Resource Hospital within the Region, | ||
one administrative
representative from an Associate Hospital | ||
within the Region,
one administrative representative from a | ||
Participating
Hospital within the Region, one administrative
| ||
representative from the vehicle service provider which
| ||
responds to the highest number of calls for emergency service | ||
within
the Region, one representative from the vehicle service | ||
provider that responds to the highest number of calls for | ||
non-emergency services within the Region, one representative | ||
from the labor organization recognized as the exclusive | ||
representative of employees of the vehicle service provider | ||
that responds to the highest number of calls for non-emergency | ||
services within the Region, if applicable, one administrative | ||
representative of a vehicle
service provider from each System | ||
within the Region, one representative from a labor | ||
organization recognized as the exclusive representative of a | ||
vehicle service provider's employees in each System and | ||
selected by a statewide organization of such labor | ||
organizations, one individual from each level of license | ||
provided in Section 3.50 of this Act, one Pre-Hospital | ||
Registered Nurse
practicing within the Region,
and one | ||
registered professional nurse currently practicing
in an | ||
emergency department within the Region.
Of the 2 | ||
administrative representatives of vehicle service providers, | ||
at
least one shall be an administrative representative of a | ||
private vehicle
service provider. The
Department's Regional | ||
EMS Coordinator for each Region shall
serve as a non-voting | ||
member of that Region's EMS Advisory
Committee.
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Every 2 years, the members of the Region's EMS Medical
| ||
Directors Committee shall rotate serving as Committee Chair,
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and select the Associate Hospital, Participating Hospital
and | ||
vehicle service providers which shall send
representatives to | ||
the Advisory Committee, and the
EMS personnel and nurse who | ||
shall serve on the
Advisory Committee.
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(e) "Regional Trauma Advisory Committee" means a
committee | ||
formed within an Emergency Medical Services (EMS)
Region, to | ||
advise the Region's Trauma Center Medical
Directors Committee, | ||
consisting of at least the Trauma
Center Medical Directors and | ||
Trauma Coordinators from each
Trauma Center within the Region, | ||
one EMS Medical Director
from a resource hospital within the | ||
Region, one EMS System
Coordinator from another resource | ||
hospital within the
Region, one representative each from a | ||
public and private
vehicle service provider which transports | ||
trauma patients
within the Region, an administrative | ||
representative from
each trauma center within the Region, one | ||
EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, or PHRN | ||
representing
the highest level of EMS personnel practicing | ||
within the Region, one
emergency physician, and one Trauma | ||
Nurse Specialist (TNS)
currently practicing in a trauma | ||
center. The Department's
Regional EMS Coordinator for each | ||
Region shall serve as a
non-voting member of that Region's | ||
Trauma Advisory
Committee.
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Every 2 years, the members of the Trauma Center Medical
| ||
Directors Committee shall rotate serving as Committee Chair,
| ||
and select the vehicle service providers, EMS personnel, | ||
emergency
physician, EMS System Coordinator and TNS who shall | ||
serve on
the Advisory Committee.
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(Source: P.A. 98-973, eff. 8-15-14.)
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(210 ILCS 50/3.40)
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Sec. 3.40. EMS System Participation Suspensions and
Due | ||
Process. | ||
(a) An EMS Medical Director may suspend from
participation | ||
within the System any EMS personnel, EMS Lead Instructor (LI), | ||
individual, individual
provider or other participant | ||
considered not to be meeting
the requirements of the Program | ||
Plan of that approved EMS
System. An EMS Medical Director must | ||
submit a suspension order to the Department describing which | ||
requirements of the Program Plan were not met and the | ||
suspension's duration. The Department shall review and confirm | ||
receipt of the suspension order, request additional | ||
information, or initiate an investigation. The Department | ||
shall incorporate the duration of that suspension into any | ||
further action taken by the Department to suspend, revoke, or | ||
refuse to issue or renew the license of the individual or | ||
entity for any violation of this Act or the Program Plan | ||
arising from the same conduct for which the suspension order | ||
was issued if the suspended party has neither requested a | ||
Department hearing on the suspension nor worked as a provider | ||
in any other System during the term of the suspension.
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(b) Prior to suspending any individual or entity, an EMS | ||
Medical Director
shall provide an opportunity for a hearing | ||
before the
local System review board in accordance with | ||
subsection (f) and the rules
promulgated by the Department.
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(1) If the local System review board affirms or | ||
modifies the EMS Medical
Director's suspension order, the | ||
individual or entity shall have the opportunity for
a | ||
review of the local board's decision by the State EMS | ||
Disciplinary Review
Board, pursuant to Section 3.45 of | ||
this Act.
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(2) If the local System review board reverses or | ||
modifies the EMS Medical
Director's order, the EMS Medical | ||
Director shall have the
opportunity for a review of the | ||
local board's decision by the State EMS
Disciplinary | ||
Review Board, pursuant to Section 3.45 of this Act.
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(3) The suspension shall commence only upon the | ||
occurrence of one of the
following:
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(A) the individual or entity has waived the | ||
opportunity for a hearing before
the local System | ||
review board; or
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(B) the order has been affirmed or modified by the | ||
local system review
board
and the individual or entity | ||
has waived the opportunity for review by the State
| ||
Board; or
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(C) the order has been affirmed or modified by the | ||
local system review
board,
and the local board's | ||
decision has been affirmed or modified by the State
| ||
Board. | ||
(c) An individual interviewed or investigated by the local | ||
system review board or the Department shall have the right to a | ||
union representative and legal counsel of the individual's | ||
choosing present at any interview. The union representative | ||
must comply with any confidentiality requirements and | ||
requirements for the protection of any patient information | ||
presented during the proceeding.
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(d) (c) An EMS Medical Director may immediately suspend an | ||
EMR, EMD, EMT, EMT-I, A-EMT, Paramedic, ECRN, PHRN, LI, PHPA, | ||
PHAPRN, or other individual or entity if he or she finds that | ||
the
continuation in practice by the individual or entity would | ||
constitute an
imminent danger to the public. The suspended | ||
individual or entity shall be
issued an immediate verbal | ||
notification followed by a written suspension order
by the EMS | ||
Medical Director which states the
length, terms and basis for | ||
the suspension.
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(1) Within 24 hours following the commencement of the | ||
suspension, the EMS
Medical Director shall deliver to the | ||
Department, by messenger, telefax, or other | ||
Department-approved electronic communication, a
copy of | ||
the suspension order and copies of any written materials | ||
which relate
to the EMS Medical Director's decision to | ||
suspend the individual or entity. All medical and | ||
patient-specific information, including Department | ||
findings with respect to the quality of care rendered, | ||
shall be strictly confidential pursuant to the Medical | ||
Studies Act (Part 21 of Article VIII of the Code of Civil | ||
Procedure).
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(2) Within 24 hours following the commencement of the | ||
suspension, the
suspended individual or entity may deliver | ||
to the Department, by messenger,
telefax, or other | ||
Department-approved electronic communication, a written | ||
response to the suspension order and copies of any written
| ||
materials which the individual or entity feels are | ||
appropriate. All medical and patient-specific information, | ||
including Department findings with respect to the quality | ||
of care rendered, shall be strictly confidential pursuant | ||
to the Medical Studies Act.
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(3) Within 24 hours following receipt of the EMS | ||
Medical Director's
suspension order or the individual or | ||
entity's written response, whichever is later,
the | ||
Director or the Director's designee shall determine | ||
whether the suspension
should be stayed pending an | ||
opportunity for a hearing or
review in accordance with | ||
this Act, or whether the suspension should continue
during | ||
the course of that hearing or review. The Director or the | ||
Director's
designee shall issue this determination to the | ||
EMS Medical Director, who shall
immediately notify the | ||
suspended individual or entity. The suspension shall | ||
remain
in effect during this period of review by the | ||
Director or the Director's
designee.
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(e) (d) Upon issuance of a suspension order for reasons | ||
directly related to
medical care, the EMS Medical Director | ||
shall also provide the individual or entity
with the | ||
opportunity for a hearing before the local System review | ||
board, in
accordance with subsection (f) and the rules | ||
promulgated by the Department.
| ||
(1) If the local System review board affirms or | ||
modifies the EMS Medical
Director's suspension order, the | ||
individual or entity shall have the opportunity for
a | ||
review of the local board's decision by the State EMS | ||
Disciplinary Review
Board, pursuant to Section 3.45 of | ||
this Act.
| ||
(2) If the local System review board reverses or | ||
modifies the EMS Medical
Director's suspension order, the | ||
EMS Medical Director shall have the
opportunity for a | ||
review of the local board's decision by the State EMS
| ||
Disciplinary Review Board, pursuant to Section 3.45 of | ||
this Act.
| ||
(3) The suspended individual or entity may elect to | ||
bypass the local System review board
and seek direct | ||
review of the EMS Medical Director's suspension order by | ||
the
State EMS Disciplinary Review Board.
| ||
(f) (e) The Resource Hospital shall designate a local | ||
System review board in
accordance with the rules of the | ||
Department, for the purpose of providing a
hearing to any | ||
individual or entity participating within the
System who is | ||
suspended from participation by the EMS Medical Director. The
| ||
EMS Medical Director shall arrange for a certified shorthand | ||
reporter to make a
stenographic record of that hearing and | ||
thereafter prepare a transcript of the
proceedings. The EMS | ||
Medical Director shall inform the individual of the | ||
individual's right to have a union representative and legal | ||
counsel of the individual's choosing present at any interview. | ||
The union representative must comply with any confidentiality | ||
requirements and requirements for the protection of any | ||
patient information presented during the proceeding. The | ||
transcript, all documents or materials received as evidence
| ||
during the hearing and the local System review board's written | ||
decision shall
be retained in the custody of the EMS system. | ||
The System shall implement a
decision of the local System | ||
review board unless that decision has been
appealed to the | ||
State Emergency Medical Services Disciplinary Review Board in
| ||
accordance with this Act and the rules of the Department.
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(g) (f) The Resource Hospital shall implement a decision | ||
of the State Emergency
Medical Services Disciplinary Review | ||
Board which has been rendered in
accordance with this Act and | ||
the rules of the Department.
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(Source: P.A. 100-201, eff. 8-18-17; 100-1082, eff. 8-24-19.)
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(210 ILCS 50/3.45)
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Sec. 3.45. State Emergency Medical Services Disciplinary
| ||
Review Board. | ||
(a) The Governor shall appoint a State Emergency
Medical | ||
Services Disciplinary Review Board, composed of an
EMS Medical | ||
Director, an EMS System Coordinator, a Paramedic, an Emergency
| ||
Medical Technician (EMT), and the following members,
who shall | ||
only review cases in which a party is from the
same | ||
professional category: a Pre-Hospital Registered Nurse, a | ||
Pre-Hospital Advanced Practice Registered Nurse, a | ||
Pre-Hospital Physician Assistant, an ECRN, a
Trauma Nurse | ||
Specialist, an Emergency Medical
Technician-Intermediate | ||
(EMT-I), an Advanced Emergency Medical Technician (A-EMT), a | ||
representative from a
private vehicle service provider, a | ||
representative from a
public vehicle service provider, and an | ||
emergency physician
who monitors telecommunications from and | ||
gives voice orders
to EMS personnel. The Governor shall also | ||
appoint one
alternate for each member of the Board, from the | ||
same
professional category as the member of the Board.
| ||
(b) The members
shall be appointed for a term of 3 years. | ||
All appointees
shall serve until their successors are | ||
appointed. The
alternate members shall be appointed and serve | ||
in the same
fashion as the members of the Board. If a member | ||
resigns
his or her appointment, the corresponding alternate | ||
shall serve the
remainder of that member's term until a | ||
subsequent member is
appointed by the Governor.
| ||
(c) The function of the Board is to review and affirm,
| ||
reverse or modify disciplinary orders.
| ||
(d) Any individual or entity, who received an immediate | ||
suspension from an EMS
Medical Director may request the Board | ||
to reverse or modify
the suspension order. If the suspension | ||
had been affirmed
or modified by a local System review board, | ||
the suspended individual or entity
may request the Board to | ||
reverse or modify the
local board's decision.
| ||
(e) Any individual or entity who received a non-immediate | ||
suspension order
from an EMS Medical Director which was | ||
affirmed or modified
by a local System review board may | ||
request the Board to
reverse or modify the local board's | ||
decision. The individual shall be informed of the individual's | ||
right to have one representative from the labor organization | ||
recognized as the exclusive representative of that | ||
individual's bargaining unit present and a legal | ||
representative present during the State Emergency Medical | ||
Services Disciplinary Review Board proceedings during open | ||
session. The labor organization's representative must also | ||
comply with all confidentiality requirements and requirements | ||
for the protection of any patient information presented during | ||
the proceeding.
| ||
(f) An EMS Medical Director whose suspension order
was | ||
reversed or modified by a local System review board may
| ||
request the Board to reverse or modify the local board's
| ||
decision.
| ||
(g) The Board shall meet on the first
Tuesday of every | ||
month, unless no requests for review have
been submitted. | ||
Additional meetings of the Board shall be
scheduled to ensure | ||
that a request for direct
review of an immediate suspension | ||
order is scheduled within
14 days after the Department | ||
receives the request for review
or as soon thereafter as a | ||
quorum is available. The Board
shall meet in Springfield or | ||
Chicago, whichever location is
closer to the majority of the | ||
members or alternates
attending the meeting. The Department | ||
shall reimburse the
members and alternates of the Board for | ||
reasonable travel
expenses incurred in attending meetings of | ||
the Board.
| ||
(h) A request for review shall be submitted in
writing to | ||
the Chief of the Department's Division of Emergency
Medical | ||
Services and Highway Safety, within 10 days after
receiving | ||
the local board's decision or the EMS Medical
Director's | ||
suspension order, whichever is applicable, a copy
of which | ||
shall be enclosed.
| ||
(i) At its regularly scheduled meetings, the Board
shall | ||
review requests which have been received by the
Department at | ||
least 10 working days prior to the Board's
meeting date. | ||
Requests for review which are received less
than 10 working | ||
days prior to a scheduled meeting shall be
considered at the | ||
Board's next scheduled meeting, except
that requests for | ||
direct review of an immediate suspension
order may be | ||
scheduled up to 3 working days prior to the
Board's meeting | ||
date.
| ||
(j) A quorum shall be required for the Board to
meet, which | ||
shall consist of 3 members or alternates, including
the EMS | ||
Medical Director or alternate and the member or
alternate from | ||
the same professional category as the subject
of the | ||
suspension order. At each meeting of the Board, the
members or | ||
alternates present shall select a Chairperson to
conduct the | ||
meeting.
| ||
(k) Deliberations for decisions of the State EMS
| ||
Disciplinary Review
Board shall be conducted in closed | ||
session. Department
staff may attend for the purpose of | ||
providing clerical
assistance, but no other persons may be in | ||
attendance except
for the parties to the dispute being | ||
reviewed by the Board
and their attorneys, unless by request | ||
of the Board.
| ||
(l) The Board shall review the transcript,
evidence, and | ||
written decision of the local review board, or the
written | ||
decision and supporting documentation of the EMS
Medical | ||
Director, whichever is applicable, along with any
additional | ||
written or verbal testimony or argument offered
by the parties | ||
to the dispute.
| ||
(m) At the conclusion of its review, the Board
shall issue | ||
its decision and the basis for its decision on a form
provided | ||
by the Department, and shall submit to the
Department its | ||
written decision together with the record of
the local System | ||
review board. The Department shall
promptly issue a copy of | ||
the Board's decision to all
affected parties. The Board's | ||
decision shall be binding on
all parties.
| ||
(Source: P.A. 100-1082, eff. 8-24-19.)
| ||
(210 ILCS 50/3.55)
| ||
Sec. 3.55. Scope of practice.
| ||
(a) Any person currently licensed as an EMR, EMT, EMT-I,
| ||
A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform emergency | ||
and non-emergency medical
services as defined in this Act, in | ||
accordance with his or her level of
education, training and | ||
licensure, the standards of
performance and conduct prescribed | ||
by the Department in
rules adopted pursuant to this Act, and | ||
the requirements of
the EMS System in which he or she | ||
practices, as contained in the
approved Program Plan for that | ||
System. The Director may, by written order, temporarily modify | ||
individual scopes of practice in response to public health | ||
emergencies for periods not exceeding 180 days.
| ||
(a-5) EMS personnel who have successfully completed a | ||
Department approved
course in automated defibrillator | ||
operation and who are functioning within a
Department approved | ||
EMS System may utilize such automated defibrillator
according | ||
to the standards of performance and conduct prescribed by the
| ||
Department
in rules adopted pursuant to this Act and the | ||
requirements of the EMS System in
which they practice, as | ||
contained in the approved Program Plan for that
System.
| ||
(a-7) An EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | ||
Paramedic
who has successfully completed a Department approved | ||
course in the
administration of epinephrine shall be required | ||
to carry epinephrine
with him or her as part of the EMS | ||
personnel medical supplies whenever
he or she is performing | ||
official duties as determined by the EMS System. The | ||
epinephrine may be administered from a glass vial, | ||
auto-injector, ampule, or pre-filled syringe.
| ||
(b) An EMR, EMT,
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | ||
Paramedic may practice as an EMR, EMT, EMT-I, A-EMT, or | ||
Paramedic or utilize his or her EMR, EMT, EMT-I, A-EMT, PHRN, | ||
PHAPRN, PHPA, or Paramedic license
in pre-hospital or | ||
inter-hospital emergency care settings or
non-emergency | ||
medical transport situations, under the
written or verbal | ||
direction of the EMS Medical Director.
For purposes of this | ||
Section, a "pre-hospital emergency care
setting" may include a | ||
location, that is not a health care
facility, which utilizes | ||
EMS personnel to render pre-hospital
emergency care prior to | ||
the arrival of a transport vehicle.
The location shall include | ||
communication equipment and all
of the portable equipment and | ||
drugs appropriate for the EMR, EMT, EMT-I, A-EMT, or | ||
Paramedic's
level of care, as required by this Act, rules | ||
adopted
by the Department pursuant to this Act, and the | ||
protocols of
the EMS Systems, and shall operate only with the | ||
approval
and under the direction of the EMS Medical Director.
| ||
This Section shall not prohibit an EMR, EMT, EMT-I, A-EMT, | ||
PHRN, PHAPRN, PHPA, or Paramedic
from practicing within an | ||
emergency department or
other health care setting for the | ||
purpose of receiving
continuing education or training approved | ||
by the EMS Medical
Director. This Section shall also not | ||
prohibit an EMT,
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | ||
Paramedic from seeking credentials other than his or her EMT, | ||
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic
license and | ||
utilizing such credentials to work in emergency
departments or | ||
other health care settings under the
jurisdiction of that | ||
employer.
| ||
(c) An EMT,
EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic | ||
may honor Do Not Resuscitate (DNR) orders and powers
of | ||
attorney for health care only in accordance with rules
adopted | ||
by the Department pursuant to this Act and protocols
of the EMS | ||
System in which he or she practices.
| ||
(d) A student enrolled in a Department approved EMS | ||
personnel
program, while fulfilling the
clinical training and | ||
in-field supervised experience
requirements mandated for | ||
licensure or approval by the
System and the Department, may | ||
perform prescribed procedures
under the direct supervision of | ||
a physician licensed to
practice medicine in all of its | ||
branches, a qualified
registered professional nurse, or | ||
qualified EMS personnel, only when
authorized by the EMS | ||
Medical Director.
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(e) An EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or | ||
Paramedic may transport a police dog injured in the line of | ||
duty to a veterinary clinic or similar facility if there are no | ||
persons requiring medical attention or transport at that time. | ||
For the purposes of this subsection, "police dog" means a dog | ||
owned or used by a law enforcement department or agency in the | ||
course of the department or agency's work, including a search | ||
and rescue dog, service dog, accelerant detection canine, or | ||
other dog that is in use by a county, municipal, or State law | ||
enforcement agency. | ||
(f) Nothing in this Act shall be construed to prohibit an | ||
EMT, EMT-I, A-EMT, Paramedic, or PHRN from completing an | ||
initial Occupational Safety and Health Administration | ||
Respirator Medical Evaluation Questionnaire on behalf of fire | ||
service personnel, as permitted by his or her EMS System | ||
Medical Director. | ||
(g) A member of a fire department's or fire protection | ||
district's collective bargaining unit shall be eligible to | ||
work under a silver spanner program for another EMS System's | ||
fire department or fire protection district that is not the | ||
full-time employer of that member, for a period not to exceed 2 | ||
weeks, if the member: (1) is under the direct supervision of | ||
another licensed individual operating at the same or higher | ||
licensure level as the member; (2) made a written request to | ||
the EMS System's Medical Director for approval to work under | ||
the silver spanner program, which shall be approved or denied | ||
within 24 hours after the EMS System's Medical Director | ||
received the request; and (3) tests into the EMS System based | ||
upon appropriate standards as outlined in the EMS System | ||
Program Plan. The EMS System within which the member is | ||
seeking to join must make all required testing available to | ||
the member within 2 weeks of the written request. Failure to do | ||
so by the EMS System shall allow the member to continue working | ||
under a silver spanner program until all required testing | ||
becomes available. | ||
(Source: P.A. 102-79, eff. 1-1-22.)
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