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| Public Act 099-0661 | ||||
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AN ACT concerning regulation.
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Be it enacted by the People of the State of Illinois, | ||||
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 and 3.10 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 on-going 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), or Pre-Hospital | ||
Registered Nurse (PHRN). | ||
"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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"Medical monitoring" means the performance of medical | ||
tests and physical exams to evaluate an individual's on-going | ||
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. | ||
"Trauma" means any significant injury which
involves | ||
single or multiple organ systems.
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(Source: P.A. 98-973, eff. 8-15-14.)
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(210 ILCS 50/3.10)
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Sec. 3.10. Scope of Services.
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(a) "Advanced Life Support (ALS) Services" means
an | ||
advanced level of pre-hospital and inter-hospital emergency
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care and non-emergency medical services that includes basic | ||
life
support care, cardiac monitoring, cardiac defibrillation,
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electrocardiography, intravenous therapy, administration of
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medications, drugs and solutions, use of adjunctive medical
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devices, trauma care, and other authorized techniques and
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procedures, as outlined in the provisions of the National EMS | ||
Education Standards relating to Advanced Life Support and any | ||
modifications to that curriculum
specified in rules adopted by | ||
the Department pursuant to
this Act.
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That care shall be initiated as authorized by the EMS
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Medical Director in a Department approved advanced life
support | ||
EMS System, under the written or verbal direction of
a | ||
physician licensed to practice medicine in all of its
branches | ||
or under the verbal direction of an Emergency
Communications | ||
Registered Nurse.
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(b) "Intermediate Life Support (ILS) Services"
means an | ||
intermediate level of pre-hospital and inter-hospital
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emergency care and non-emergency medical services that | ||
includes
basic life support care plus intravenous cannulation | ||
and
fluid therapy, invasive airway management, trauma care, and
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other authorized techniques and procedures, as outlined in
the | ||
Intermediate Life Support national curriculum of the
United | ||
States Department of Transportation and any
modifications to | ||
that curriculum specified in rules adopted
by the Department | ||
pursuant to this Act.
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That care shall be initiated as authorized by the EMS
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Medical Director in a Department approved intermediate or
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advanced life support EMS System, under the written or
verbal | ||
direction of a physician licensed to practice
medicine in all | ||
of its branches or under the verbal
direction of an Emergency | ||
Communications Registered Nurse.
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(c) "Basic Life Support (BLS) Services" means a
basic level | ||
of pre-hospital and inter-hospital emergency care and
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non-emergency medical services that includes medical | ||
monitoring, clinical observation, airway management,
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cardiopulmonary resuscitation (CPR), control of shock and
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bleeding and splinting of fractures, as outlined in the | ||
provisions of the National EMS Education Standards relating to | ||
Basic Life Support and any modifications to that
curriculum | ||
specified in rules adopted by the Department
pursuant to this | ||
Act.
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That care shall be initiated, where authorized by the
EMS | ||
Medical Director in a Department approved EMS System,
under the | ||
written or verbal direction of a physician
licensed to practice | ||
medicine in all of its branches or
under the verbal direction | ||
of an Emergency Communications
Registered Nurse.
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(d) "Emergency Medical Responder Services" means a | ||
preliminary
level of pre-hospital emergency care that includes
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cardiopulmonary resuscitation (CPR), monitoring vital signs
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and control of bleeding, as outlined in the Emergency Medical | ||
Responder (EMR) curriculum of the National EMS Education | ||
Standards
and any modifications to that curriculum specified in | ||
rules
adopted by the Department pursuant to this Act.
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(e) "Pre-hospital care" means those
medical services | ||
rendered to patients for analytic,
resuscitative, stabilizing, | ||
or preventive purposes,
precedent to and during transportation | ||
of such patients to
health care facilities.
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(f) "Inter-hospital care" means those
medical services | ||
rendered to patients for
analytic, resuscitative, stabilizing, | ||
or preventive
purposes, during transportation of such patients | ||
from one
hospital to another hospital.
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(f-5) "Critical care transport" means the pre-hospital or | ||
inter-hospital transportation of a critically injured or ill | ||
patient by a vehicle service provider, including the provision | ||
of medically necessary supplies and services, at a level of | ||
service beyond the scope of the Paramedic. When medically | ||
indicated for a patient, as determined by a physician licensed | ||
to practice medicine in all of its branches, an advanced | ||
practice nurse, or a physician's assistant, in compliance with | ||
subsections (b) and (c) of Section 3.155 of this Act, critical | ||
care transport may be provided by: | ||
(1) Department-approved critical care transport | ||
providers, not owned or operated by a hospital, utilizing | ||
Paramedics with additional training, nurses, or other | ||
qualified health professionals; or | ||
(2) Hospitals, when utilizing any vehicle service | ||
provider or any hospital-owned or operated vehicle service | ||
provider. Nothing in Public Act 96-1469 requires a hospital | ||
to use, or to be, a Department-approved critical care | ||
transport provider when transporting patients, including | ||
those critically injured or ill. Nothing in this Act shall | ||
restrict or prohibit a hospital from providing, or | ||
arranging for, the medically appropriate transport of any | ||
patient, as determined by a physician licensed to practice | ||
in all of its branches, an advanced practice nurse, or a | ||
physician's assistant. | ||
(g) "Non-emergency medical services" means medical care, | ||
clinical observation, or medical monitoring rendered to
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patients whose conditions do not meet this Act's definition of | ||
emergency, before or
during transportation of such patients to | ||
or from health care facilities visited for the
purpose of | ||
obtaining medical or health care services which are not | ||
emergency in
nature, using a vehicle regulated by this Act.
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(g-5) The Department shall have the authority to promulgate | ||
minimum standards for critical care transport providers | ||
through rules adopted pursuant to this Act. All critical care | ||
transport providers must function within a Department-approved | ||
EMS System. Nothing in Department rules shall restrict a | ||
hospital's ability to furnish personnel, equipment, and | ||
medical supplies to any vehicle service provider, including a | ||
critical care transport provider. Minimum critical care | ||
transport provider standards shall include, but are not limited | ||
to: | ||
(1) Personnel staffing and licensure. | ||
(2) Education, certification, and experience. | ||
(3) Medical equipment and supplies. | ||
(4) Vehicular standards. | ||
(5) Treatment and transport protocols. | ||
(6) Quality assurance and data collection. | ||
(h)
The provisions of this Act shall not apply to
the use | ||
of an ambulance or SEMSV, unless and until
emergency or | ||
non-emergency medical services are needed
during the use of the | ||
ambulance or SEMSV.
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(Source: P.A. 98-973, eff. 8-15-14.)
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