This section indicates that, unless there's a reason to interpret differently, the definitions provided in this chapter should be used throughout this division.
Unless the context otherwise requires, the definitions contained in this chapter shall govern the provisions of this division.
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(Amended by Stats. 1986, Ch. 248, Sec. 123.)
This law defines 'advanced life support' as a set of special services that provide prehospital emergency medical care. It includes actions like performing CPR, monitoring the heart, using a defibrillator, managing airways, administering IV therapy, and giving specific drugs. These tasks are done by authorized personnel under the supervision of a base hospital as part of a local EMS system. This care can happen at the emergency scene, during transport to the hospital, during transfer between facilities, and in the emergency department until the hospital staff takes over.
“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.
advanced life support prehospital emergency care cardiopulmonary resuscitation cardiac monitoring cardiac defibrillation advanced airway management intravenous therapy emergency medical services base hospital supervision local EMS system emergency scene care transport to hospital interfacility transfer emergency department procedures authorized personnel
(Amended by Stats. 1984, Ch. 1391, Sec. 4.)
An "alternative base station" is a medical facility or service that offers guidance to emergency medical personnel. It's supervised by a trained and qualified doctor who can provide instructions during emergencies. This facility steps in when no hospital is available to help guide emergency responders and must be approved by the local EMS agency's medical director to provide such support.
“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.
alternative base station prehospital emergency care medical direction emergency medical personnel advanced life support limited advanced life support local EMS system medical emergency facility supervision qualified physician EMS agency approval emergency response medical guidance
(Added by Stats. 1988, Ch. 1390, Sec. 1.)
In this section, "Authority" refers to the Emergency Medical Services Authority that is created under this division of the law.
“Authority” means the Emergency Medical Services Authority established by this division.
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(Amended by Stats. 1986, Ch. 248, Sec. 124.)
This section defines an "authorized registered nurse" or "mobile intensive care nurse" (MICN) as a registered nurse who is allowed to offer advanced medical support before a patient reaches the hospital. They can also instruct emergency medical teams based on procedures developed by local Emergency Medical Services (EMS) agencies in line with statewide guidelines. This authorization does not limit their other legal duties and responsibilities as nurses.
“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.
authorized registered nurse mobile intensive care nurse MICN pre-hospital advanced life support EMS system emergency medical care local EMS agency statewide guidelines medical director authorization nurse qualifications emergency medical care instructions standardized procedures nurse duties and functions prehospital emergency care Section 2725 Business and Professions Code
(Amended by Stats. 1984, Ch. 1391, Sec. 5.)
A 'base hospital' is a hospital chosen by the local EMS agency that signs a contract with them. It's responsible for managing advanced life support and prehospital care systems assigned by the local EMS agency.
“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 local EMS agency advanced life support prehospital care contractual agreement hospital designation limited advanced life support EMS responsibilities EMS system management prehospital system assignment
(Amended by Stats. 1984, Ch. 1391, Sec. 6.)
This law defines a 'Base Hospital Physician' (BHP) as a licensed doctor in California who works in the emergency department of a base hospital. These physicians are specifically trained to give guidance and instructions to emergency medical personnel in the field, following state guidelines. The law also clarifies that this role does not limit any other legal responsibilities or duties that a physician might have.
“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.
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(Added by Stats. 1984, Ch. 1391, Sec. 7.)
This law defines 'basic life support' as emergency actions like first aid and CPR. It includes knowing how to spot when someone's heart or breathing has stopped and starting CPR to keep them alive. You do this without surgery or advanced equipment until help arrives or the person can be moved to get advanced care.
“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.
basic life support emergency first aid cardiopulmonary resuscitation CPR procedures respiratory arrest cardiac arrest non-invasive techniques life maintenance first responder actions emergency care procedures victim transport advanced life support emergency medical response initial life-saving measures
(Added by Stats. 1980, Ch. 1260.)
This law explains the terms 'certificate' or 'license' as documents that certify a person's skills in prehospital services, like emergency medical care.
It also defines 'certificate status' or 'license status,' which can show whether these documents are active, have expired, been denied, suspended, revoked, or are on probation.
(a)CA Health and Safety Code § 1797.61(a) “Certificate” or “license” means a specific document issued to an individual denoting competence in the named area of prehospital service.
(b)CA Health and Safety Code § 1797.61(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.
prehospital service competence document emergency medical service certification certificate status license status active certificate expired certificate denied certificate suspended certificate revoked certificate probation status medical license paramedic certification emergency services qualifications
(Added by Stats. 2008, Ch. 274, Sec. 2. Effective January 1, 2009.)
This section defines a "certifying entity" as either a public safety agency or the State Fire Marshal's office if they have an approved training program for EMT-I personnel. Alternatively, it can be the medical director of a local EMS agency. The training program must meet specific standards outlined in another section of the law.
“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 entity public safety agency State Fire Marshal EMT-I training program approved training program medical director local EMS agency Section 1797.109 standards emergency medical technician EMT certification EMS training public health safety emergency medical services training approval process local agency medical director
(Repealed and added by Stats. 2008, Ch. 274, Sec. 4. Effective January 1, 2009.)
This law section explains what a 'certifying examination' is for emergency medical personnel. Before someone can be certified or recertified at a specific level of prehospital emergency care, they must pass an exam approved by the authority. The type of exam can vary. It might be an exam created by the authority, the National Registry of Emergency Medical Technicians, or another agency with exams that meet the authority's standards.
“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)CA Health and Safety Code § 1797.63(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)CA Health and Safety Code § 1797.63(b)
An examination developed and administered by the National Registry of Emergency Medical Technicians.
(c)CA Health and Safety Code § 1797.63(c)
An examination developed administered, or approved by a certifying agency pursuant to standards adopted by the authority for the certification examination.
certifying examination prehospital emergency medical care certification recertification authority approved exam National Registry of Emergency Medical Technicians certifying agency emergency medical personnel certification standards emergency medical technician testing
(Added by Stats. 1989, Ch. 1362, Sec. 3. Effective October 2, 1989.)
This section defines the term "Commission" as referring to the Commission on Emergency Medical Services, which is established according to another section, 1799.
“Commission” means the Commission on Emergency Medical Services created pursuant to the provisions of Section 1799.
Commission on Emergency Medical Services emergency medical services definition of commission Section 1799 EMS Commission establishment of commission health services commission medical commission emergency services governance California EMS Commission medical services oversight EMS legislation emergency healthcare commission definition EMS regulations
(Added by Stats. 1980, Ch. 1260.)
A 'competency based curriculum' is an educational program where each skill you learn has specific goals. The program combines classroom learning with hands-on practice. To finish, you must pass a test proving you've mastered all the skills taught.
“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.
competency based curriculum training programs specific objectives skills mastery didactic instruction practical instruction examination skills demonstration education goals hands-on practice learning program curriculum design training completion instruction methods educational program
(Added by Stats. 1980, Ch. 1260.)
A 'designated facility' is a hospital chosen by a local emergency medical services (EMS) agency to carry out certain emergency services according to guidelines set by a central authority.
“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.
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(Added by Stats. 1983, Ch. 1246, Sec. 12.)
This law section defines the term 'Director' as referring to the person in charge of the Emergency Medical Services Authority.
“Director” means the Director of the Emergency Medical Services Authority.
Director Emergency Medical Services EMS Authority EMS Director California EMS emergency services medical authority EMS oversight health services management public health director
(Amended by Stats. 1983, Ch. 1246, Sec. 13.)
This section defines an 'emergency' as a situation where someone needs urgent medical care or where emergency personnel or a public safety agency thinks there might be such a need.
“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.
immediate medical attention urgent healthcare emergency medical condition public safety agency emergency medical personnel perceived medical need urgent care situation medical emergency emergency situation healthcare urgency need for immediate care emergency response urgent medical assistance perceived emergency
(Added by Stats. 1980, Ch. 1260.)
This law defines 'emergency medical services' as the help provided during a medical emergency.
“Emergency medical services” means the services utilized in responding to a medical emergency.
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(Added by Stats. 1980, Ch. 1260.)
An "emergency medical services area" refers to the specific geographic region that a local emergency medical services agency oversees.
“Emergency medical services area” or “EMS area” means the geographical area within the jurisdiction of the designated local EMS agency.
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(Amended by Stats. 1984, Ch. 1391, Sec. 8.)
This section defines what an 'emergency medical services plan' is. It's a plan designed to deliver emergency medical services, and it must follow state guidelines. These guidelines cover specific aspects listed in another section, Section 1797.103.
“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 emergency services plan state guidelines medical service delivery healthcare planning EMS components emergency care standards service plan requirements Section 1797.103 medical response plan
(Amended by Stats. 1983, Ch. 1246, Sec. 14.)
This section defines an 'emergency medical services system' as a structured setup that ensures medical care is efficiently and smoothly provided during emergencies. It involves organizing people, places, and tools to deliver medical services effectively in emergency situations within a specific area.
“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 services EMS system coordinated delivery medical care services emergency conditions EMS area personnel facilities equipment emergency response medical emergencies healthcare arrangement crisis medical care organized medical system emergency healthcare delivery
(Added by Stats. 1980, Ch. 1260.)
An Emergency Medical Technician-I (EMT-I) is someone who is trained in providing basic life support according to set standards and holds a valid certificate confirming this training. This category includes specific types of EMTs such as EMT-I (FS) and EMT-I-A.
“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 EMT-I basic life support valid certificate EMT-I (FS) EMT-I-A emergency medical training life-saving skills medical certification healthcare standards pre-hospital care emergency services medical professionals first responder certified EMT
(Added by Stats. 1980, Ch. 1260.)
This section defines an 'Emergency Medical Technician-II' or 'Advanced EMT' as someone who is an EMT-I but has received extra training in advanced life support. They must have a valid certificate that proves they meet these special training standards.
“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-II EMT-II Advanced EMT EMT training advanced life support valid certificate medical certification EMT-I additional training California EMT standards advanced EMT training emergency medical services
(Amended by Stats. 2008, Ch. 275, Sec. 2. Effective January 1, 2009.)
This section defines what an Emergency Medical Technician-Paramedic (EMT-P), often simply called a paramedic, is. It means a person authorized to provide advanced life support following specific standards. They must also hold a valid certificate issued under this set of rules.
“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.
Emergency Medical Technician-Paramedic EMT-P paramedic mobile intensive care paramedic advanced life support scope of practice paramedic certification certified paramedic life support standards California paramedic emergency medical services paramedic qualifications medical personnel certification mobile intensive care emergency care providers
(Amended by Stats. 1986, Ch. 248, Sec. 125.)
This section defines an 'exclusive operating area' as a specific geographic region where a local EMS agency, with county input, decides to limit emergency ambulance and advanced life support operations to certain approved services or providers.
“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.
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(Added by Stats. 1984, Ch. 1349, Sec. 2.)
This section defines the term "health systems agency" as it is described in a specific part of U.S. federal law, particularly within Title 42 of the U.S. Code.
“Health systems agency” means a health systems agency as defined in subsection (a) of Section 300(
health systems agency definition federal law reference Title 42 U.S. Code subsection (a) Section 300 health care regulation agency definition Health System Agencies U.S. federal code 42 USC subsection cross-reference health agency description federal statute reference
(Added by Stats. 1980, Ch. 1260.)
This law defines what qualifies as a 'hospital' for emergency medical services. It must be an acute care hospital with a license for basic emergency services, either located within California or out-of-state but meeting similar requirements. Additionally, an out-of-state hospital must be approved by the local EMS agency and be licensed in its own state to be included in the emergency medical system.
“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.
acute care hospital basic emergency service local EMS agency emergency medical services system out-of-state hospital hospital requirements Chapter 2 Division 2 state hospital licensing hospital utilization local EMS approval
(Amended by Stats. 1986, Ch. 1162, Sec. 1. Effective September 26, 1986.)
This section defines "medical control" as the management of emergency medical services by medical personnel according to specific guidelines starting in Chapter 5.
“Medical control” means the medical management of the emergency medical services system pursuant to the provisions of Chapter 5 (commencing with Section 1798).
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(Added by Stats. 1980, Ch. 1260.)
Limited advanced life support refers to emergency medical services that offer more than just basic care but are not as comprehensive as advanced life support. These services include specific techniques and procedures outlined in another section.
“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.
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(Added by Stats. 1980, Ch. 1260.)
This law section defines a "Local EMS agency" as the specific group or office responsible for handling emergency medical services within a county. This group is officially designated according to the rules starting from Section 1797.200.
“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).
Local EMS agency emergency medical services county administration primary responsibility designated agency emergency services administration local health department EMS office agency designation county EMS management Chapter 4 Section 1797.200 local emergency management
(Added by Stats. 1980, Ch. 1260.)
A "mobile stroke unit" is a special ambulance that travels across different areas and is equipped to handle emergency stroke cases. It operates with the approval of local emergency medical services (EMS) agencies and functions as a critical care ambulance. This unit can perform diagnostic tests like scans and lab tests and provide medical treatment to stroke patients under the guidance of a doctor, whether they're present in person or connected via telehealth. The definition is consistent with federal guidelines that cover mobile stroke units.
“Mobile stroke unit” means a multijurisdictional mobile facility that serves as an emergency response critical care ambulance under the direction and approval of a local emergency medical services (EMS) agency, and as a diagnostic, evaluation, and treatment unit, providing radiographic imaging, laboratory testing, and medical treatment under the supervision of a physician in person or by telehealth, for patients with symptoms of a stroke, to the extent consistent with any federal definition of a mobile stroke unit as set forth in Section 1395m of Title 42 of the United States Code, Section 410.78 of Title 42 of the Code of Federal Regulations,
and any other federal law.
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(Added by Stats. 2022, Ch. 772, Sec. 1. (AB 2117) Effective January 1, 2023.)
This section defines a 'Poison control center' (PCC) as a facility, usually hospital-based, that gives information and advice about handling cases where people have been exposed to poison or toxic substances. Such centers must meet certain standards and be designated by the Emergency Medical Services Authority.
“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.
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(Amended by Stats. 1987, Ch. 972, Sec. 1.)