Full Text of SB3261 97th General Assembly
SB3261 97TH GENERAL ASSEMBLY |
| | 97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012 SB3261 Introduced 2/1/2012, by Sen. Heather A. Steans SYNOPSIS AS INTRODUCED: |
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Amends the Emergency Medical Services (EMS) Systems Act. Makes changes in the provision concerning definitions to include "Emergency Medical Services Personnel". Makes changes in the provisions concerning scope of services, Emergency Medical Services (EMS) Regions, Emergency Medical Services (EMS) Systems, the development and content of EMS Region Plans, Emergency Medical Services (EMS) Resource Hospitals, EMS System participation suspensions and due process, the State Emergency Medical Services Disciplinary Review Board, Emergency Medical Services Personnel licensure levels (now Emergency Medical Technician (EMT) licensure), scope of practice, EMS Lead Instructors, Emergency Medical Dispatchers, Trauma Nurse Specialist (TNS) licensure (now certification), Pre-Hospital RNs and Emergency Communications Registered Nurses, Trauma Center designations, Trauma Center misrepresentation, complaint investigations, violations and fines, misrepresentation, falsification of documents, criminal penalties, injunctions, the State Emergency Medical Services Advisory Council, and the State Trauma Advisory Council. Repeals a provision concerning First Responders. Effective on January 1, 2013.
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| | CORRECTIONAL BUDGET AND IMPACT NOTE ACT MAY APPLY | | FISCAL NOTE ACT MAY APPLY |
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| 1 | | AN ACT concerning health facilities.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Emergency Medical Services (EMS) Systems Act | 5 | | is amended by changing Sections 3.5, 3.10, 3.15, 3.20, 3.25, | 6 | | 3.30, 3.35, 3.40, 3.45, 3.50, 3.55, 3.65, 3.70, 3.75, 3.80, | 7 | | 3.90, 3.105, 3.125, 3.140, 3.165, 3.170, 3.175, 3.180, 3.200, | 8 | | and 3.205 as follows:
| 9 | | (210 ILCS 50/3.5)
| 10 | | Sec. 3.5. Definitions. As used in this Act:
| 11 | | "Department" means the Illinois Department of Public | 12 | | Health.
| 13 | | "Director" means the Director of the Illinois Department of | 14 | | Public Health.
| 15 | | "Emergency" means a medical condition of recent onset and | 16 | | severity that
would lead a prudent layperson, possessing an | 17 | | average knowledge of medicine and
health, to believe that | 18 | | urgent or unscheduled medical care is required.
| 19 | | "Emergency Medical Services Personnel" or "EMS Personnel" | 20 | | means an Emergency Medical Responder, Emergency Medical | 21 | | Technician, Advanced Emergency Medical Technician, or | 22 | | Emergency Medical Technician-Intermediate and Paramedic. | 23 | | "Health Care Facility" means a hospital,
nursing home, |
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| 1 | | physician's office or other fixed location at which
medical and | 2 | | health care services are performed. It does not
include | 3 | | "pre-hospital emergency care settings" which utilize EMS | 4 | | Personnel EMTs to render
pre-hospital emergency care prior to | 5 | | the
arrival of a transport vehicle, as defined in this Act.
| 6 | | "Hospital" has the meaning ascribed to that
term in the | 7 | | Hospital Licensing Act.
| 8 | | "Trauma" means any significant injury which
involves | 9 | | single or multiple organ systems.
| 10 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 11 | | (210 ILCS 50/3.10)
| 12 | | Sec. 3.10. Scope of Services.
| 13 | | (a) "Advanced Life Support (ALS) Services" means
an | 14 | | advanced level of pre-hospital and inter-hospital emergency
| 15 | | care and non-emergency medical services that includes basic | 16 | | life
support care, cardiac monitoring, cardiac defibrillation,
| 17 | | electrocardiography, intravenous therapy, administration of
| 18 | | medications, drugs and solutions, use of adjunctive medical
| 19 | | devices, trauma care, and other authorized techniques and
| 20 | | procedures, as outlined as in the Advanced Life Support in the | 21 | | National EMS Educational Standards
national curriculum of the | 22 | | United States Department of
Transportation and any | 23 | | modifications to that curriculum
specified in rules adopted by | 24 | | the Department pursuant to
this Act.
| 25 | | That care shall be initiated as authorized by the EMS
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| 1 | | Medical Director in a Department approved advanced life
support | 2 | | EMS System, under the written or verbal direction of
a | 3 | | physician licensed to practice medicine in all of its
branches | 4 | | or under the verbal direction of an Emergency
Communications | 5 | | Registered Nurse.
| 6 | | (b) "Intermediate Life Support (ILS) Services"
means an | 7 | | intermediate level of pre-hospital and inter-hospital
| 8 | | emergency care and non-emergency medical services that | 9 | | includes
basic life support care plus intravenous cannulation | 10 | | and
fluid therapy, invasive airway management, trauma care, and
| 11 | | other authorized techniques and procedures, as outlined in
the | 12 | | Intermediate Life Support national curriculum of the
United | 13 | | States Department of Transportation and any
modifications to | 14 | | that curriculum specified in rules adopted
by the Department | 15 | | pursuant to this Act.
| 16 | | That care shall be initiated as authorized by the EMS
| 17 | | Medical Director in a Department approved intermediate or
| 18 | | advanced life support EMS System, under the written or
verbal | 19 | | direction of a physician licensed to practice
medicine in all | 20 | | of its branches or under the verbal
direction of an Emergency | 21 | | Communications Registered Nurse.
| 22 | | (c) "Basic Life Support (BLS) Services" means a
basic level | 23 | | of pre-hospital and inter-hospital emergency care and
| 24 | | non-emergency medical services that includes airway | 25 | | management,
cardiopulmonary resuscitation (CPR), control of | 26 | | shock and
bleeding and splinting of fractures, as outlined as |
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| 1 | | in the Basic Life Support in the National EMS Educational | 2 | | Standards
national curriculum of the United States
Department | 3 | | of Transportation and any modifications to that
curriculum | 4 | | specified in rules adopted by the Department
pursuant to this | 5 | | Act.
| 6 | | That care shall be initiated, where authorized by the
EMS | 7 | | Medical Director in a Department approved EMS System,
under the | 8 | | written or verbal direction of a physician
licensed to practice | 9 | | medicine in all of its branches or
under the verbal direction | 10 | | of an Emergency Communications
Registered Nurse.
| 11 | | (d) " Emergency Medical Responder First Response Services" | 12 | | means a preliminary
level of pre-hospital emergency care that | 13 | | includes
cardiopulmonary resuscitation (CPR), monitoring vital | 14 | | signs
and control of bleeding, as outlined in the Emergency | 15 | | Medical Responder (EMR) curricula of the National EMS | 16 | | Educational Standards First Responder
curriculum of the United | 17 | | States Department of Transportation
and any modifications to | 18 | | that curriculum specified in rules
adopted by the Department | 19 | | pursuant to this Act.
| 20 | | (e) "Pre-hospital care" means those emergency
medical | 21 | | services rendered to emergency patients for analytic,
| 22 | | resuscitative, stabilizing, or preventive purposes,
precedent | 23 | | to and during transportation of such patients to
hospitals.
| 24 | | (f) "Inter-hospital care" means those emergency
medical | 25 | | services rendered to emergency patients for
analytic, | 26 | | resuscitative, stabilizing, or preventive
purposes, during |
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| 1 | | transportation of such patients from one
hospital to another | 2 | | hospital.
| 3 | | (f-5) "Critical care transport" means the pre-hospital or | 4 | | inter-hospital transportation of a critically injured or ill | 5 | | patient by a vehicle service provider, including the provision | 6 | | of medically necessary supplies and services, at a level of | 7 | | service beyond the scope of the Paramedic EMT-paramedic . When | 8 | | medically indicated for a patient, as determined by a physician | 9 | | licensed to practice medicine in all of its branches, an | 10 | | advanced practice nurse, or a physician's assistant, in | 11 | | compliance with subsections (b) and (c) of Section 3.155 of | 12 | | this Act, critical care transport may be provided by: | 13 | | (1) Department-approved critical care transport | 14 | | providers, not owned or operated by a hospital, utilizing | 15 | | Paramedics EMT-paramedics with additional training, | 16 | | nurses, or other qualified health professionals; or | 17 | | (2) Hospitals, when utilizing any vehicle service | 18 | | provider or any hospital-owned or operated vehicle service | 19 | | provider. A Nothing in this amendatory Act of the 96th | 20 | | General Assembly requires a hospital is not required to | 21 | | use, or to be, a Department-approved critical care | 22 | | transport provider when transporting patients, including | 23 | | those critically injured or ill. Nothing in this Act shall | 24 | | restrict or prohibit a hospital from providing, or | 25 | | arranging for, the medically appropriate transport of any | 26 | | patient, as determined by a physician licensed to practice |
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| 1 | | in all of its branches, an advanced practice nurse, or a | 2 | | physician's assistant. | 3 | | (g) "Non-emergency medical services" means medical care or | 4 | | monitoring rendered to
patients whose conditions do not meet | 5 | | this Act's definition of emergency, before or
during | 6 | | transportation of such patients to or from health care | 7 | | facilities visited for the
purpose of obtaining medical or | 8 | | health care services which are not emergency in
nature, using a | 9 | | vehicle regulated by this Act.
| 10 | | (g-5) The Department shall have the authority to promulgate | 11 | | minimum standards for critical care transport providers | 12 | | through rules adopted pursuant to this Act. All critical care | 13 | | transport providers must function within a Department-approved | 14 | | EMS System. Nothing in Department rules shall restrict a | 15 | | hospital's ability to furnish personnel, equipment, and | 16 | | medical supplies to any vehicle service provider, including a | 17 | | critical care transport provider. Minimum critical care | 18 | | transport provider standards shall include, but are not limited | 19 | | to: | 20 | | (1) Personnel staffing and licensure. | 21 | | (2) Education, certification, and experience. | 22 | | (3) Medical equipment and supplies. | 23 | | (4) Vehicular standards. | 24 | | (5) Treatment and transport protocols. | 25 | | (6) Quality assurance and data collection. | 26 | | (h)
The provisions of this Act shall not apply to
the use |
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| 1 | | of an ambulance or SEMSV, unless and until
emergency or | 2 | | non-emergency medical services are needed
during the use of the | 3 | | ambulance or SEMSV.
| 4 | | (Source: P.A. 96-1469, eff. 1-1-11.)
| 5 | | (210 ILCS 50/3.15)
| 6 | | Sec. 3.15. Emergency Medical Services (EMS) Regions. The | 7 | | Beginning September 1, 1995, the Department shall
designate | 8 | | Emergency Medical Services (EMS) Regions within the
State, | 9 | | consisting of specific geographic areas encompassing
EMS | 10 | | Systems and trauma centers, in which emergency medical
| 11 | | services, trauma services, and non-emergency medical
services | 12 | | are coordinated under an EMS Region Plan.
| 13 | | In designating EMS Regions, the Department shall take
into | 14 | | consideration, but not be limited to, the location of
existing | 15 | | EMS Systems, Trauma Regions and trauma centers,
existing | 16 | | patterns of inter-System transports, population
locations and | 17 | | density, transportation modalities, and
geographical distance | 18 | | from available trauma and emergency
department care.
| 19 | | Use of the term Trauma Region to identify a specific
| 20 | | geographic area shall be discontinued upon designation of
areas | 21 | | as EMS Regions.
| 22 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 23 | | (210 ILCS 50/3.20)
| 24 | | Sec. 3.20. Emergency Medical Services (EMS) Systems. |
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| 1 | | (a) "Emergency Medical Services (EMS) System" means an
| 2 | | organization of hospitals, vehicle service providers and
| 3 | | personnel approved by the Department in a specific
geographic | 4 | | area, which coordinates and provides pre-hospital
and | 5 | | inter-hospital emergency care and non-emergency medical
| 6 | | transports at a BLS, ILS and/or ALS level pursuant to a
System | 7 | | program plan submitted to and approved by the
Department, and | 8 | | pursuant to the EMS Region Plan adopted for
the EMS Region in | 9 | | which the System is located. | 10 | | (b) One hospital in each System program plan must be
| 11 | | designated as the Resource Hospital. All other hospitals
which | 12 | | are located within the geographic boundaries of a
System and | 13 | | which have standby, basic or comprehensive level
emergency | 14 | | departments must function in that EMS System as
either an | 15 | | Associate Hospital or Participating Hospital and
follow all | 16 | | System policies specified in the System Program
Plan, including | 17 | | but not limited to the replacement of drugs
and equipment used | 18 | | by providers who have delivered patients
to their emergency | 19 | | departments. All hospitals and vehicle
service providers | 20 | | participating in an EMS System must
specify their level of | 21 | | participation in the System Program
Plan. | 22 | | (c) The Department shall have the authority and
| 23 | | responsibility to: | 24 | | (1) Approve BLS, ILS and ALS level EMS Systems which
| 25 | | meet minimum standards and criteria established in rules
| 26 | | adopted by the Department pursuant to this Act, including
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| 1 | | the submission of a Program Plan for Department approval.
| 2 | | Beginning September 1, 1997, the Department shall approve
| 3 | | the development of a new EMS System only when a local or
| 4 | | regional need for establishing such System has been
| 5 | | verified by the Department. This shall not be construed as | 6 | | a needs assessment for health
planning or
other purposes | 7 | | outside of this Act.
Following Department approval, EMS | 8 | | Systems must
be fully operational within one year from the | 9 | | date of
approval. | 10 | | (2) Monitor EMS Systems, based on minimum standards for
| 11 | | continuing operation as prescribed in rules adopted by the
| 12 | | Department pursuant to this Act, which shall include
| 13 | | requirements for submitting Program Plan amendments to the
| 14 | | Department for approval. | 15 | | (3) Renew EMS System approvals every 4 years, after
an | 16 | | inspection, based on compliance with the standards for
| 17 | | continuing operation prescribed in rules adopted by the
| 18 | | Department pursuant to this Act. | 19 | | (4) Suspend, revoke, or refuse to renew approval of
any | 20 | | EMS System, after providing an opportunity for a
hearing, | 21 | | when findings show that it does not meet the
minimum | 22 | | standards for continuing operation as prescribed by
the | 23 | | Department, or is found to be in violation of its
| 24 | | previously approved Program Plan. | 25 | | (5) Require each EMS System to adopt written protocols
| 26 | | for the bypassing of or diversion to any hospital, trauma
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| 1 | | center or regional trauma center, which provide that a | 2 | | person
shall not be transported to a facility other than | 3 | | the nearest
hospital, regional trauma center or trauma | 4 | | center unless the
medical benefits to the patient | 5 | | reasonably expected from the
provision of appropriate | 6 | | medical treatment at a more distant
facility outweigh the | 7 | | increased risks to the patient from
transport to the more | 8 | | distant facility, or the transport is in
accordance with | 9 | | the System's protocols for patient
choice or refusal. | 10 | | (6) Require that the EMS Medical Director of an ILS or
| 11 | | ALS level EMS System be a physician licensed to practice
| 12 | | medicine in all of its branches in Illinois, and certified | 13 | | by
the American Board of Emergency Medicine or the American | 14 | | Board
of Osteopathic Emergency Medicine, and that the EMS | 15 | | Medical
Director of a BLS level EMS System be a physician | 16 | | licensed to
practice medicine in all of its branches in | 17 | | Illinois, with
regular and frequent involvement in | 18 | | pre-hospital emergency
medical services. In addition, all | 19 | | EMS Medical Directors shall: | 20 | | (A) Have experience on an EMS vehicle at the
| 21 | | highest level available within the System, or make | 22 | | provision
to gain such experience within 12 months | 23 | | prior to the
date responsibility for the System is | 24 | | assumed or within 90
days after assuming the position; | 25 | | (B) Be thoroughly knowledgeable of all skills
| 26 | | included in the scope of practices of all levels of EMS
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| 1 | | personnel within the System; | 2 | | (C) Have or make provision to gain experience
| 3 | | instructing students at a level similar to that of the | 4 | | levels
of EMS personnel within the System; and | 5 | | (D) For ILS and ALS EMS Medical Directors,
| 6 | | successfully complete a Department-approved EMS | 7 | | Medical
Director's Course. | 8 | | (7) Prescribe statewide EMS data elements to be
| 9 | | collected and documented by providers in all EMS Systems | 10 | | for
all emergency and non-emergency medical services, with | 11 | | a
one-year phase-in for commencing collection of such data
| 12 | | elements. | 13 | | (8) Define, through rules adopted pursuant to this Act,
| 14 | | the terms "Resource Hospital", "Associate Hospital",
| 15 | | "Participating Hospital", "Basic Emergency Department",
| 16 | | "Standby Emergency Department", "Comprehensive Emergency | 17 | | Department", "EMS
Medical Director", "EMS Administrative
| 18 | | Director", and "EMS System Coordinator". | 19 | | (A) Upon the effective date of this amendatory Act | 20 | | of 1995,
all existing Project Medical Directors shall | 21 | | be considered EMS
Medical Directors, and all persons | 22 | | serving in such capacities
on the effective date of | 23 | | this amendatory Act of 1995 shall be exempt from
the | 24 | | requirements of paragraph (7) of this subsection; | 25 | | (B) Upon the effective date of this amendatory Act | 26 | | of 1995, all
existing EMS System Project Directors |
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| 1 | | shall be considered EMS
Administrative Directors. | 2 | | (9) Investigate the
circumstances that caused a | 3 | | hospital
in an EMS system
to go on
bypass status to | 4 | | determine whether that hospital's decision to go on bypass
| 5 | | status was reasonable. The Department may impose | 6 | | sanctions, as
set forth in Section 3.140 of the Act, upon a | 7 | | Department determination that the
hospital unreasonably
| 8 | | went on bypass status in violation of the Act. | 9 | | (10) Evaluate the capacity and performance of any | 10 | | freestanding emergency center established under Section | 11 | | 32.5 of this Act in meeting emergency medical service needs | 12 | | of the public, including compliance with applicable | 13 | | emergency medical standards and assurance of the | 14 | | availability of and immediate access to the highest quality | 15 | | of medical care possible.
| 16 | | (11) Permit limited EMS System participation by | 17 | | facilities operated by the United States Department of | 18 | | Veterans Affairs, Veterans Health Administration. Subject | 19 | | to patient preference, Illinois EMS providers may | 20 | | transport patients to Veterans Health Administration | 21 | | facilities that voluntarily participate in an EMS System. | 22 | | Any Veterans Health Administration facility seeking | 23 | | limited participation in an EMS System shall agree to | 24 | | comply with all Department administrative rules | 25 | | implementing this Section. The Department may promulgate | 26 | | rules, including, but not limited to, the types of Veterans |
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| 1 | | Health Administration facilities that may participate in | 2 | | an EMS System and the limitations of participation. | 3 | | (Source: P.A. 96-1009, eff. 1-1-11; 96-1469, eff. 1-1-11; | 4 | | 97-333, eff. 8-12-11.)
| 5 | | (210 ILCS 50/3.25)
| 6 | | Sec. 3.25. EMS Region Plan; Development.
| 7 | | (a) Within 6 months after designation of an EMS
Region, an | 8 | | EMS Region Plan addressing at least the information
prescribed | 9 | | in Section 3.30 shall be submitted to the
Department for | 10 | | approval. The Plan shall be developed by the
Region's EMS | 11 | | Medical Directors Committee with advice from the
Regional EMS | 12 | | Advisory Committee; portions of the plan
concerning trauma | 13 | | shall be developed jointly with the Region's
Trauma Center | 14 | | Medical Directors or Trauma Center Medical
Directors | 15 | | Committee, whichever is applicable, with advice from
the | 16 | | Regional Trauma Advisory Committee, if such Advisory
Committee | 17 | | has been established in the Region. Portions of the Plan | 18 | | concerning stroke shall be developed jointly with the Regional | 19 | | Stroke Advisory Subcommittee.
| 20 | | (1) A Region's EMS Medical Directors
Committee shall be | 21 | | comprised of the Region's EMS Medical Directors,
along with | 22 | | the medical advisor to a fire department
vehicle service | 23 | | provider. For regions which include a municipal fire
| 24 | | department serving a population of over 2,000,000 people, | 25 | | that fire
department's medical advisor shall serve on the |
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| 1 | | Committee. For other regions,
the fire department vehicle | 2 | | service providers shall select which medical
advisor to | 3 | | serve on the Committee on an annual basis.
| 4 | | (2) A Region's Trauma Center Medical Directors
| 5 | | Committee shall be comprised of the Region's Trauma Center
| 6 | | Medical Directors.
| 7 | | (b) A Region's Trauma Center Medical Directors may
choose | 8 | | to participate in the development of the EMS Region
Plan | 9 | | through membership on the Regional EMS Advisory
Committee, | 10 | | rather than through a separate Trauma Center Medical Directors
| 11 | | Committee. If that option is selected,
the Region's Trauma | 12 | | Center Medical Director shall also
determine whether a separate | 13 | | Regional Trauma Advisory
Committee is necessary for the Region.
| 14 | | (c) In the event of disputes over content of the
Plan | 15 | | between the Region's EMS Medical Directors Committee and the
| 16 | | Region's Trauma Center Medical Directors or Trauma Center
| 17 | | Medical Directors Committee, whichever is applicable, the
| 18 | | Director of the Illinois Department of Public Health shall
| 19 | | intervene through a mechanism established by the Department
| 20 | | through rules adopted pursuant to this Act.
| 21 | | (d) "Regional EMS Advisory Committee" means a
committee | 22 | | formed within an Emergency Medical Services (EMS)
Region to | 23 | | advise the Region's EMS Medical Directors
Committee and to | 24 | | select the Region's representative to the
State Emergency | 25 | | Medical Services Advisory Council,
consisting of at least the | 26 | | members of the Region's EMS
Medical Directors Committee, the |
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| 1 | | Chair of the Regional
Trauma Committee, the EMS System | 2 | | Coordinators from each
Resource Hospital within the Region, one | 3 | | administrative
representative from an Associate Hospital | 4 | | within the Region,
one administrative representative from a | 5 | | Participating
Hospital within the Region, one administrative
| 6 | | representative from the vehicle service provider which
| 7 | | responds to the highest number of calls for emergency service | 8 | | within
the Region, one administrative representative of a | 9 | | vehicle
service provider from each System within the Region, | 10 | | one
Emergency Medical Technician , one individual from each | 11 | | level of licensee described in Section 3.50 of this Act and a | 12 | | Pre-Hospital (EMT)/Pre-Hospital RN from each
level of | 13 | | EMT/Pre-Hospital RN practicing within the Region,
and one | 14 | | registered professional nurse currently practicing
in an | 15 | | emergency department within the Region.
Of the 2 administrative | 16 | | representatives of vehicle service providers, at
least one | 17 | | shall be an administrative representative of a private vehicle
| 18 | | service provider. The
Department's Regional EMS Coordinator | 19 | | for each Region shall
serve as a non-voting member of that | 20 | | Region's EMS Advisory
Committee.
| 21 | | Every 2 years, the members of the Region's EMS Medical
| 22 | | Directors Committee shall rotate serving as Committee Chair,
| 23 | | and select the Associate Hospital, Participating Hospital
and | 24 | | vehicle service providers which shall send
representatives to | 25 | | the Advisory Committee, and the EMS Personnel/Pre-Hospital
| 26 | | EMTs/Pre-Hospital RN and nurse who shall serve on the
Advisory |
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| 1 | | Committee.
| 2 | | (e) "Regional Trauma Advisory Committee" means a
committee | 3 | | formed within an Emergency Medical Services (EMS)
Region, to | 4 | | advise the Region's Trauma Center Medical
Directors Committee, | 5 | | consisting of at least the Trauma
Center Medical Directors and | 6 | | Trauma Coordinators from each
Trauma Center within the Region, | 7 | | one EMS Medical Director
from a resource hospital within the | 8 | | Region, one EMS System
Coordinator from another resource | 9 | | hospital within the
Region, one representative each from a | 10 | | public and private
vehicle service provider which transports | 11 | | trauma patients
within the Region, an administrative | 12 | | representative from
each trauma center within the Region, one | 13 | | EMS Personnel EMT representing
the highest level of EMS | 14 | | Personnel EMT practicing within the Region, one
emergency | 15 | | physician and one Trauma Nurse Specialist (TNS)
currently | 16 | | practicing in a trauma center. The Department's
Regional EMS | 17 | | Coordinator for each Region shall serve as a
non-voting member | 18 | | of that Region's Trauma Advisory
Committee.
| 19 | | Every 2 years, the members of the Trauma Center Medical
| 20 | | Directors Committee shall rotate serving as Committee Chair,
| 21 | | and select the vehicle service providers, EMS Personnel EMT , | 22 | | emergency
physician, EMS System Coordinator and TNS who shall | 23 | | serve on
the Advisory Committee.
| 24 | | (Source: P.A. 96-514, eff. 1-1-10.)
| 25 | | (210 ILCS 50/3.30)
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| 1 | | Sec. 3.30. EMS Region Plan; Content.
| 2 | | (a) The EMS Medical Directors Committee shall address
at | 3 | | least the following:
| 4 | | (1) Protocols for inter-System/inter-Region
patient | 5 | | transports, including identifying the conditions of
| 6 | | emergency patients which may not be transported to the
| 7 | | different levels of emergency department, based on their
| 8 | | Department classifications and relevant Regional
| 9 | | considerations (e.g. transport times and distances);
| 10 | | (2) Regional standing medical orders;
| 11 | | (3) Patient transfer patterns, including criteria
for | 12 | | determining whether a patient needs the specialized
| 13 | | services of a trauma center, along with protocols for the
| 14 | | bypassing of or diversion to any hospital, trauma center or
| 15 | | regional trauma center which are consistent with | 16 | | individual
System bypass or diversion protocols and | 17 | | protocols for
patient choice or refusal;
| 18 | | (4) Protocols for resolving Regional or
Inter-System | 19 | | conflict;
| 20 | | (5) An EMS disaster preparedness plan which
includes | 21 | | the actions and responsibilities of all EMS
participants | 22 | | within the Region. Within 90 days of the effective date of | 23 | | this
amendatory Act of 1996, an EMS System shall submit to | 24 | | the Department for review
an internal disaster plan. At a | 25 | | minimum, the plan shall include contingency
plans for the | 26 | | transfer of patients to other facilities if an evacuation |
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| 1 | | of the
hospital becomes necessary due to a catastrophe, | 2 | | including but not limited to, a
power failure;
| 3 | | (6) Regional standardization of continuing
education | 4 | | requirements;
| 5 | | (7) Regional standardization of Do Not
Resuscitate | 6 | | (DNR) policies, and protocols for power of
attorney for | 7 | | health care;
| 8 | | (8) Protocols for disbursement of Department
grants; | 9 | | and
| 10 | | (9) Protocols for the triage, treatment, and transport | 11 | | of possible acute stroke patients. | 12 | | (b) The Trauma Center Medical Directors or Trauma
Center | 13 | | Medical Directors Committee shall address at least
the | 14 | | following:
| 15 | | (1) The identification of Regional Trauma
Centers;
| 16 | | (2) Protocols for inter-System and inter-Region
trauma | 17 | | patient transports, including identifying the
conditions | 18 | | of emergency patients which may not be
transported to the | 19 | | different levels of emergency department,
based on their | 20 | | Department classifications and relevant
Regional | 21 | | considerations (e.g. transport times and
distances);
| 22 | | (3) Regional trauma standing medical orders;
| 23 | | (4) Trauma patient transfer patterns, including
| 24 | | criteria for determining whether a patient needs the
| 25 | | specialized services of a trauma center, along with
| 26 | | protocols for the bypassing of or diversion to any |
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| 1 | | hospital,
trauma center or regional trauma center which are | 2 | | consistent
with individual System bypass or diversion | 3 | | protocols and
protocols for patient choice or refusal;
| 4 | | (5) The identification of which types of patients
can | 5 | | be cared for by Level I and Level II Trauma Centers;
| 6 | | (6) Criteria for inter-hospital transfer of
trauma | 7 | | patients;
| 8 | | (7) The treatment of trauma patients in each
trauma | 9 | | center within the Region;
| 10 | | (8) A program for conducting a quarterly
conference | 11 | | which shall include at a minimum a discussion of
morbidity | 12 | | and mortality between all professional staff
involved in | 13 | | the care of trauma patients;
| 14 | | (9) The establishment of a Regional trauma
quality | 15 | | assurance and improvement subcommittee, consisting of
| 16 | | trauma surgeons, which shall perform periodic medical | 17 | | audits
of each trauma center's trauma services, and forward
| 18 | | tabulated data from such reviews to the Department; and
| 19 | | (10) The establishment , within 90 days of the effective | 20 | | date of this
amendatory Act of 1996, of an internal | 21 | | disaster plan, which shall include, at a
minimum, | 22 | | contingency plans for the transfer of patients to other | 23 | | facilities if
an evacuation of the hospital becomes | 24 | | necessary due to a catastrophe, including
but not limited | 25 | | to, a power failure.
| 26 | | (c) The Region's EMS Medical Directors and Trauma
Center |
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| 1 | | Medical Directors Committees shall appoint any
subcommittees | 2 | | which they deem necessary to address specific
issues concerning | 3 | | Region activities.
| 4 | | (Source: P.A. 96-514, eff. 1-1-10.)
| 5 | | (210 ILCS 50/3.35)
| 6 | | Sec. 3.35. Emergency Medical Services (EMS) Resource
| 7 | | Hospital; Functions.
The Resource Hospital of an EMS System | 8 | | shall:
| 9 | | (a) Prepare a Program Plan in accordance with the
| 10 | | provisions of this Act and minimum standards and criteria
| 11 | | established in rules adopted by the Department pursuant to
this | 12 | | Act, and submit such Program Plan to the Department for
| 13 | | approval.
| 14 | | (b) Appoint an EMS Medical Director, who will
continually | 15 | | monitor and supervise the System and who will
have the | 16 | | responsibility and authority for total management
of the System | 17 | | as delegated by the EMS Resource Hospital.
| 18 | | The Program Plan shall require the EMS Medical Director to
| 19 | | appoint an alternate EMS Medical Director and establish a
| 20 | | written protocol addressing the functions to be carried out
in | 21 | | his or her absence.
| 22 | | (c) Appoint an EMS System Coordinator and EMS
| 23 | | Administrative Director in consultation with the EMS Medical
| 24 | | Director and in accordance with rules adopted by the Department
| 25 | | pursuant to this Act.
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| 1 | | (d) Identify potential EMS System participants and
obtain | 2 | | commitments from them for the provision of services.
| 3 | | (e) Educate or coordinate the education of EMS Personnel | 4 | | and all other licensees and certificate holders EMT
personnel | 5 | | in accordance with the requirements of this Act,
rules adopted | 6 | | by the Department pursuant to this Act, and
the EMS System | 7 | | Program Plan.
| 8 | | (f) Notify the Department of EMS Personnel, licensees, and | 9 | | certificate holders EMT provider personnel
who have | 10 | | successfully completed requirements for licensure or | 11 | | certification or relicensure or recertification
testing and | 12 | | relicensure by the Department , except that an
ILS or ALS level | 13 | | System may require its EMT-B personnel to
apply directly to the | 14 | | Department for determination of
successful completion of | 15 | | relicensure requirements .
| 16 | | (g) Educate or coordinate the education of Emergency
| 17 | | Medical Dispatcher candidates, in accordance with the
| 18 | | requirements of this Act, rules adopted by the Department
| 19 | | pursuant to this Act, and the EMS System Program Plan.
| 20 | | (h) Establish or approve protocols for prearrival
medical | 21 | | instructions to callers by System Emergency Medical
| 22 | | Dispatchers who provide such instructions.
| 23 | | (i) Educate or coordinate the education of
Pre-Hospital RN | 24 | | and ECRN candidates, in accordance with the requirements of
| 25 | | this Act, rules adopted by the Department
pursuant to this Act, | 26 | | and the EMS System Program Plan.
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| 1 | | (j) Approve Pre-Hospital RN and ECRN candidates to
practice | 2 | | within the System, and reapprove Pre-Hospital RNs
and ECRNs | 3 | | every 4 years in accordance with the
requirements of the | 4 | | Department and the System Program Plan.
| 5 | | (k) Establish protocols for the use of Pre-Hospital
RNs | 6 | | within the System.
| 7 | | (l) Establish protocols for utilizing ECRNs and
physicians | 8 | | licensed to practice medicine in all of its
branches to monitor | 9 | | telecommunications from, and give voice
orders to, EMS | 10 | | personnel, under the authority of the EMS
Medical Director.
| 11 | | (m) Monitor emergency and non-emergency medical
transports | 12 | | within the System, in accordance with rules
adopted by the | 13 | | Department pursuant to this Act.
| 14 | | (n) Utilize levels of personnel required by the
Department | 15 | | to provide emergency care to the sick and injured
at the scene | 16 | | of an emergency, during transport to a hospital
or during | 17 | | inter-hospital transport and within the hospital
emergency | 18 | | department until the responsibility for the care
of the patient | 19 | | is assumed by the medical personnel of a
hospital emergency | 20 | | department or other facility within the
hospital to which the | 21 | | patient is first delivered by System
personnel.
| 22 | | (o) Utilize levels of personnel required by the
Department | 23 | | to provide non-emergency medical services during
transport to a | 24 | | health care facility and within the health
care facility until | 25 | | the responsibility for the care of the
patient is assumed by | 26 | | the medical personnel of the health
care facility to which the |
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| 1 | | patient is delivered by System
personnel.
| 2 | | (p) Establish and implement a program for System
| 3 | | participant information and education, in accordance with
| 4 | | rules adopted by the Department pursuant to this Act.
| 5 | | (q) Establish and implement a program for public
| 6 | | information and education, in accordance with rules adopted
by | 7 | | the Department pursuant to this Act.
| 8 | | (r) Operate in compliance with the EMS Region Plan.
| 9 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 10 | | (210 ILCS 50/3.40)
| 11 | | Sec. 3.40. EMS System Participation Suspensions and
Due | 12 | | Process. | 13 | | (a) An EMS Medical Director may suspend from
participation | 14 | | within the System any EMS Personnel, Pre-Hospital RN, Emergency | 15 | | Communications Registered Nurse (ECRN), Trauma Nurse | 16 | | Specialist (TNS), EMS Lead Instructor, individual, individual
| 17 | | provider or other participant considered not to be meeting
the | 18 | | requirements of the Program Plan of that approved EMS
System.
| 19 | | (b) Prior to suspending any individual or entity an EMT or | 20 | | other provider , an EMS Medical Director
shall provide an the | 21 | | EMT or provider with the opportunity for a hearing before the
| 22 | | local System review board in accordance with subsection (f) and | 23 | | the rules
promulgated by the Department.
| 24 | | (1) If the local System review board affirms or | 25 | | modifies the EMS Medical
Director's suspension order, the |
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| 1 | | EMS Personnel, Pre-Hospital RN, Emergency Communications | 2 | | Registered Nurse (ECRN), Trauma Nurse Specialist (TNS), | 3 | | EMS Lead Instructor, or other individual or entity EMT or | 4 | | provider shall have the opportunity for
a review of the | 5 | | local board's decision by the State EMS Disciplinary Review
| 6 | | Board, pursuant to Section 3.45 of this Act.
| 7 | | (2) If the local System review board reverses or | 8 | | modifies the EMS Medical
Director's suspension order, the | 9 | | EMS Medical Director shall have the
opportunity for a | 10 | | review of the local board's decision by the State EMS
| 11 | | Disciplinary Review Board, pursuant to Section 3.45 of this | 12 | | Act.
| 13 | | (3) The suspension shall commence only upon the | 14 | | occurrence of one of the
following:
| 15 | | (A) the EMS Personnel, Pre-Hospital RN, Emergency | 16 | | Communications Registered Nurse (ECRN), Trauma Nurse | 17 | | Specialist (TNS), EMS Lead Instructor, or other | 18 | | individual or entity EMT or provider has waived the | 19 | | opportunity for a hearing before
the local System | 20 | | review board; or
| 21 | | (B) the suspension order has been affirmed or | 22 | | modified by the local
board
and the EMS Personnel, | 23 | | Pre-Hospital RN, Emergency Communications Registered | 24 | | Nurse (ECRN), Trauma Nurse Specialist (TNS), EMS Lead | 25 | | Instructor, or other individual or entity EMT or | 26 | | provider has waived the opportunity for review by the |
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| 1 | | State
Board; or
| 2 | | (C) the suspension order has been affirmed or | 3 | | modified by the local
board,
and the local board's | 4 | | decision has been affirmed or modified by the State
| 5 | | Board.
| 6 | | (c) An EMS Medical Director may immediately suspend an EMS | 7 | | Personnel, a Pre-hospital RN, an Emergency Communications | 8 | | Registered Nurse (ECRN), a Trauma Nurse Specialist (TNS), an | 9 | | EMS Lead Instructor, or other individual or entity an EMT or | 10 | | other
provider if he or she finds that the information in his | 11 | | or her possession
indicates that the
continuation in practice | 12 | | by an EMS Personnel, a Pre-hospital RN, an Emergency | 13 | | Communications Registered Nurse (ECRN), a Trauma Nurse | 14 | | Specialist (TNS), an EMS Lead Instructor, or other individual | 15 | | or entity EMT or other provider would constitute an
imminent | 16 | | danger to the public. The suspended individual or entity EMT or | 17 | | other provider shall be
issued an immediate verbal notification | 18 | | followed by a written suspension order
to the EMT or other | 19 | | provider by the EMS Medical Director which states the
length, | 20 | | terms and basis for the suspension.
| 21 | | (1) Within 24 hours following the commencement of the | 22 | | suspension, the EMS
Medical Director shall deliver to the | 23 | | Department, by messenger or telefax, a
copy of the | 24 | | suspension order and copies of any written materials which | 25 | | relate
to the EMS Medical Director's decision to suspend | 26 | | the individual or entity EMT or provider .
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| 1 | | (2) Within 24 hours following the commencement of the | 2 | | suspension, the
suspended individual or entity EMT or | 3 | | provider may deliver to the Department, by messenger or
| 4 | | telefax, a written response to the suspension order and | 5 | | copies of any written
materials which the individual or | 6 | | entity EMT or provider feels appropriate relate to that | 7 | | response .
| 8 | | (3) Within 24 hours following receipt of the EMS | 9 | | Medical Director's
suspension order or the individual's or | 10 | | entity's EMT or provider's written response, whichever is | 11 | | later,
the Director or the Director's designee shall | 12 | | determine whether the suspension
should be stayed pending | 13 | | the EMT's or provider's opportunity for hearing or
review | 14 | | in accordance with this Act, or whether the suspension | 15 | | should continue
during the course of that hearing or | 16 | | review. The Director or the Director's
designee shall issue | 17 | | this determination to the EMS Medical Director, who shall
| 18 | | immediately notify the suspended individual or entity EMT | 19 | | or provider . The suspension shall remain
in effect during | 20 | | this period of review by the Director or the Director's
| 21 | | designee.
| 22 | | (d) Upon issuance of a suspension order for reasons | 23 | | directly related to
medical care, the EMS Medical Director | 24 | | shall also provide the EMT or provider
with the opportunity for | 25 | | a hearing before the local System review board, in
accordance | 26 | | with subsection (f) and the rules promulgated by the |
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| 1 | | Department.
(1) If the local System review board affirms or | 2 | | modifies the EMS Medical
Director's suspension order, the | 3 | | individual or entity EMT or provider shall have the opportunity | 4 | | for
a review of the local board's decision by the State EMS | 5 | | Disciplinary Review
Board, pursuant to Section 3.45 of this | 6 | | Act.
| 7 | | (2) If the local System review board reverses or modifies | 8 | | the EMS Medical
Director's suspension order, the EMS Medical | 9 | | Director shall have the
opportunity for a review of the local | 10 | | board's decision by the State EMS
Disciplinary Review Board, | 11 | | pursuant to Section 3.45 of this Act.
| 12 | | (3) The individual or entity EMT or provider may elect to | 13 | | bypass the local System review board
and seek direct review of | 14 | | the EMS Medical Director's suspension order by the
State EMS | 15 | | Disciplinary Review Board.
| 16 | | (e) The Resource Hospital shall designate a local System | 17 | | review board in
accordance with the rules of the Department, | 18 | | for the purpose of providing a
hearing to any individual or | 19 | | individual provider participating within the
System who is | 20 | | suspended from participation by the EMS Medical Director. The
| 21 | | EMS Medical Director shall arrange for a certified shorthand | 22 | | reporter to make a
stenographic record of that hearing and | 23 | | thereafter prepare a transcript of the
proceedings. The | 24 | | transcript, all documents or materials received as evidence
| 25 | | during the hearing and the local System review board's written | 26 | | decision shall
be retained in the custody of the EMS system. |
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| 1 | | The System shall implement a
decision of the local System | 2 | | review board unless that decision has been
appealed to the | 3 | | State Emergency Medical Services Disciplinary Review Board in
| 4 | | accordance with this Act and the rules of the Department.
| 5 | | (f) The Resource Hospital shall implement a decision of the | 6 | | State Emergency
Medical Services Disciplinary Review Board | 7 | | which has been rendered in
accordance with this Act and the | 8 | | rules of the Department.
| 9 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 10 | | (210 ILCS 50/3.45)
| 11 | | Sec. 3.45. State Emergency Medical Services Disciplinary
| 12 | | Review Board. | 13 | | (a) The Governor shall appoint a State Emergency
Medical | 14 | | Services Disciplinary Review Board, composed of an
EMS Medical | 15 | | Director, an EMS System Coordinator, a Paramedic an
Emergency | 16 | | Medical Technician-Paramedic (EMT-P) , an Emergency Medical | 17 | | Technician (EMT) Emergency
Medical Technician-Basic (EMT-B) , | 18 | | and the following members,
who shall only review cases in which | 19 | | a party is from the
same professional category: a Pre-Hospital | 20 | | RN, an ECRN, a
Trauma Nurse Specialist, an Emergency Medical
| 21 | | Technician-Intermediate (EMT-I), Advanced Emergency Medical | 22 | | Technician, a representative from a
private vehicle service | 23 | | provider, a representative from a
public vehicle service | 24 | | provider, and an emergency physician
who monitors | 25 | | telecommunications from and gives voice orders
to EMS |
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| 1 | | personnel. The Governor shall also appoint one
alternate for | 2 | | each member of the Board, from the same
professional category | 3 | | as the member of the Board.
| 4 | | (b) The Of the members first appointed, 2 members shall
be | 5 | | appointed for a term of one year, 2 members shall be
appointed | 6 | | for a term of 2 years and the remaining members
shall be | 7 | | appointed for a term of 3 years. The terms of
subsequent | 8 | | appointments shall be 3 years. All appointees
shall serve until | 9 | | their successors are appointed. The
alternate members shall be | 10 | | appointed and serve in the same
fashion as the members of the | 11 | | Board. If a member resigns
his or her appointment, the | 12 | | corresponding alternate shall serve the
remainder of that | 13 | | member's term until a subsequent member is
appointed by the | 14 | | Governor.
| 15 | | (c) The function of the Board is to review and affirm,
| 16 | | reverse , or modify disciplinary orders to suspend an EMT or | 17 | | other
individual provider from participating within an EMS | 18 | | System .
| 19 | | (d) Any An individual or entity , individual provider or | 20 | | other
participant who received an immediate suspension from an | 21 | | EMS
Medical Director may request the Board to reverse or modify
| 22 | | the suspension order. If the suspension had been affirmed
or | 23 | | modified by a local System review board, the suspended | 24 | | individual or entity
participant may request the Board to | 25 | | reverse or modify the
local board's decision.
| 26 | | (e) Any An individual or entity , individual provider or |
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| 1 | | other
participant who received a non-immediate suspension | 2 | | order
from an EMS Medical Director which was affirmed or | 3 | | modified
by a local System review board may request the Board | 4 | | to
reverse or modify the local board's decision.
| 5 | | (f) An EMS Medical Director whose suspension order
was | 6 | | reversed or modified by a local System review board may
request | 7 | | the Board to reverse or modify the local board's
decision.
| 8 | | (g) The Board shall regularly meet on the first
Tuesday of | 9 | | every month, unless no requests for review have
been submitted. | 10 | | Additional meetings of the Board shall be
scheduled as | 11 | | necessary to ensure insure that a request for direct
review of | 12 | | an immediate suspension order is scheduled within
14 days after | 13 | | the Department receives the request for review
or as soon | 14 | | thereafter as a quorum is available. The Board
shall meet in | 15 | | Springfield or Chicago, whichever location is
closer to the | 16 | | majority of the members or alternates
attending the meeting. | 17 | | The Department shall reimburse the
members and alternates of | 18 | | the Board for reasonable travel
expenses incurred in attending | 19 | | meetings of the Board.
| 20 | | (h) A request for review shall be submitted in
writing to | 21 | | the Chief of the Department's Division of Emergency
Medical | 22 | | Services and Highway Safety , within 10 days after
receiving the | 23 | | local board's decision or the EMS Medical
Director's suspension | 24 | | order, whichever is applicable, a copy
of which shall be | 25 | | enclosed.
| 26 | | (i) At its regularly scheduled meetings, the Board
shall |
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| 1 | | review requests which have been received by the
Department at | 2 | | least 10 working days prior to the Board's
meeting date. | 3 | | Requests for review which are received less
than 10 working | 4 | | days prior to a scheduled meeting shall be
considered at the | 5 | | Board's next scheduled meeting, except
that requests for direct | 6 | | review of an immediate suspension
order may be scheduled up to | 7 | | 3 working days prior to the
Board's meeting date.
| 8 | | (j) A quorum shall be required for the Board to
meet, which | 9 | | shall consist of 3 members or alternates, including
the EMS | 10 | | Medical Director or alternate and the member or
alternate from | 11 | | the same professional category as the subject
of the suspension | 12 | | order. At each meeting of the Board, the
members or alternates | 13 | | present shall select a Chairperson to
conduct the meeting.
| 14 | | (k) Deliberations for decisions of the State EMS
| 15 | | Disciplinary Review
Board shall be conducted in closed session. | 16 | | Department
staff may attend for the purpose of providing | 17 | | clerical
assistance, but no other persons may be in attendance | 18 | | except
for the parties to the dispute being reviewed by the | 19 | | Board
and their attorneys, unless by request of the Board.
| 20 | | (l) The Board shall review the transcript,
evidence and | 21 | | written decision of the local review board or the
written | 22 | | decision and supporting documentation of the EMS
Medical | 23 | | Director, whichever is applicable, along with any
additional | 24 | | written or verbal testimony or argument offered
by the parties | 25 | | to the dispute.
| 26 | | (m) At the conclusion of its review, the Board
shall issue |
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| 1 | | its decision and the basis for its decision on a form
provided | 2 | | by the Department, and shall submit to the
Department its | 3 | | written decision together with the record of
the local System | 4 | | review board. The Department shall
promptly issue a copy of the | 5 | | Board's decision to all
affected parties. The Board's decision | 6 | | shall be binding on
all parties.
| 7 | | (Source: P.A. 89-177, eff. 7-19-95; 90-144, eff. 7-23-97.)
| 8 | | (210 ILCS 50/3.50)
| 9 | | Sec. 3.50. Emergency Medical Services Personnel licensure | 10 | | levels Technician (EMT) Licensure .
| 11 | | (a) "Emergency Medical Technician Technician-Basic " or
| 12 | | " EMT EMT-B " means a person who has successfully completed a | 13 | | course of
instruction in basic life support
as approved | 14 | | prescribed by the
Department, is currently licensed by the | 15 | | Department in
accordance with standards prescribed by this Act | 16 | | and rules
adopted by the Department pursuant to this Act, and | 17 | | practices within an EMS
System.
| 18 | | (a-5) "Emergency Medical Responder" means a person who has | 19 | | successfully completed a course of instruction for the | 20 | | Emergency Medical Responder as approved by the Department and | 21 | | who provides Emergency Medical Responder services prior to the | 22 | | arrival of an ambulance or specialized emergency medical | 23 | | services vehicle in accordance with the level of care | 24 | | established in the National EMS Educational Standards | 25 | | Emergency Medical Responder course and as modified by the |
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| 1 | | Department. An Emergency Medical Responder who provides | 2 | | services as part of an EMS System response plan shall comply | 3 | | with the applicable sections of the Program Plan of that EMS | 4 | | System, as approved by the Department. The Department shall | 5 | | have the authority to adopt administrative rules governing the | 6 | | practice and necessary equipment applicable to Emergency | 7 | | Medical Responders. | 8 | | Persons possessing a license issued by the Department on | 9 | | the effective date of this amendatory Act of the 97th General | 10 | | Assembly who have already completed a Department-approved | 11 | | course of instruction in first responder defibrillator | 12 | | training based on or equivalent to the National EMS Educational | 13 | | Standards, or as otherwise previously recognized by the | 14 | | Department, shall be eligible for licensure as an Emergency | 15 | | Medical Responder upon meeting their recertification | 16 | | requirements with an application to the Department. | 17 | | (a-10) "Advanced Emergency Medical Technician" or "AEMT" | 18 | | means a person who (1) has successfully completed a | 19 | | Department-approved course in basic and limited advanced | 20 | | emergency medical care or is currently licensed by the | 21 | | Department in accordance with standards prescribed by this Act | 22 | | and rules adopted by the Department pursuant to this Act and | 23 | | (2) practices within an intermediate or advanced Emergency | 24 | | Medical Technician course. | 25 | | (b) "Emergency Medical Technician-Intermediate"
or "EMT-I" | 26 | | means a person who has successfully completed a
course of |
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| 1 | | instruction in intermediate life support
as approved
| 2 | | prescribed by the Department, is currently licensed by the
| 3 | | Department in accordance with standards prescribed by this
Act | 4 | | and rules adopted by the Department pursuant to this
Act, and | 5 | | practices within an Intermediate or Advanced
Life Support EMS | 6 | | System.
| 7 | | (c) "Paramedic" "Emergency Medical Technician-Paramedic" | 8 | | or "EMT-P" means a person who
has successfully completed a
| 9 | | course of instruction in advanced life support care
as approved
| 10 | | prescribed by the Department, is licensed by the Department
in | 11 | | accordance with standards prescribed by this Act and
rules | 12 | | adopted by the Department pursuant to this Act, and
practices | 13 | | within an Advanced Life Support EMS System.
| 14 | | (d) The Department shall have the authority and
| 15 | | responsibility to:
| 16 | | (1) Prescribe education and training requirements, | 17 | | which
includes training in the use of epinephrine,
for all | 18 | | levels of EMS Personnel, except for EMRs EMT , based on the | 19 | | National EMS Educational Standards respective national
| 20 | | curricula of the United States Department of | 21 | | Transportation
and any modifications to the such curricula | 22 | | specified by the
Department through rules adopted pursuant | 23 | | to this Act.
| 24 | | (2) Prescribe licensure testing requirements
for all | 25 | | levels of EMS Personnel EMT , which shall include a | 26 | | requirement that
all phases of instruction, training, and |
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| 1 | | field experience be
completed before taking the | 2 | | appropriate EMT licensure examination.
Candidates may | 3 | | elect to take the appropriate National Registry of
| 4 | | Emergency Medical Technicians examination in lieu of the
| 5 | | Department's examination, but are responsible for making
| 6 | | their own arrangements for taking the National Registry
| 7 | | examination.
| 8 | | (2.5) Review applications for EMS Personnel EMT | 9 | | licensure from
honorably discharged members of the armed | 10 | | forces of the United States with military emergency medical | 11 | | training. Applications shall be filed with the Department | 12 | | within one year after military discharge and shall contain: | 13 | | (i) proof of successful completion of military emergency | 14 | | medical training; (ii) a detailed description of the | 15 | | emergency medical curriculum completed; and (iii) a | 16 | | detailed description of the applicant's clinical | 17 | | experience. The Department may request additional and | 18 | | clarifying information. The Department shall evaluate the | 19 | | application, including the applicant's training and | 20 | | experience, consistent with the standards set forth under | 21 | | subsections (a), (b), (c), and (d) of Section 3.10. If the | 22 | | application clearly demonstrates that the training and | 23 | | experience meets such standards, the Department shall | 24 | | offer the applicant the opportunity to successfully | 25 | | complete a Department-approved EMS Personnel
EMT | 26 | | examination for which the applicant is qualified. Upon |
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| 1 | | passage of an examination, the Department shall issue a | 2 | | license, which shall be subject to all provisions of this | 3 | | Act that are otherwise applicable to the class of EMS | 4 | | Personnel EMT
license issued.
| 5 | | (3) License individuals as an EMR, EMT, AEMT EMT-B , | 6 | | EMT-I,
or Paramedic EMT-P who have met the Department's | 7 | | education, training and
examination requirements.
| 8 | | (4) Prescribe annual continuing education and
| 9 | | relicensure requirements for all EMS Personnel licensure
| 10 | | Levels levels of EMT .
| 11 | | (5) Relicense individuals as an EMR, EMT, AEMT EMT-B , | 12 | | EMT-I,
or Paramedic EMT-P every 4 years, based on their | 13 | | compliance with
continuing education and relicensure | 14 | | requirements. An Illinois licensed EMS Personnel Emergency | 15 | | Medical Technician whose license has been expired for less | 16 | | than 36 months may apply for reinstatement by the | 17 | | Department. Reinstatement shall require that the applicant | 18 | | (i) submit satisfactory proof of completion of continuing | 19 | | medical education and clinical requirements to be | 20 | | prescribed by the Department in an administrative rule; | 21 | | (ii) submit a positive recommendation from an Illinois EMS | 22 | | Medical Director attesting to the applicant's | 23 | | qualifications for retesting; and (iii) pass a Department | 24 | | approved test for the level of EMS Personnel EMT license | 25 | | sought to be reinstated.
| 26 | | (6) Grant inactive status to any EMS Personnel EMT who
|
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| 1 | | qualifies, based on standards and procedures established | 2 | | by
the Department in rules adopted pursuant to this Act.
| 3 | | (7) Charge a fee for EMS Personnel EMT examination, | 4 | | licensure, and license renewal.
| 5 | | (8) Suspend, revoke, or refuse to issue or renew the
| 6 | | license of any licensee, after an opportunity for an | 7 | | impartial hearing before a neutral administrative law | 8 | | judge appointed by the Director, where the preponderance of | 9 | | the evidence shows one or more of the following:
| 10 | | (A) The licensee has not met continuing
education | 11 | | or relicensure requirements as prescribed by the | 12 | | Department;
| 13 | | (B) The licensee has failed to maintain
| 14 | | proficiency in the level of skills for which he or she | 15 | | is licensed;
| 16 | | (C) The licensee, during the provision of
medical | 17 | | services, engaged in dishonorable, unethical, or
| 18 | | unprofessional conduct of a character likely to | 19 | | deceive,
defraud, or harm the public;
| 20 | | (D) The licensee has failed to maintain or
has | 21 | | violated standards of performance and conduct as | 22 | | prescribed
by the Department in rules adopted pursuant | 23 | | to this Act or
his or her EMS System's Program Plan;
| 24 | | (E) The licensee is physically impaired to
the | 25 | | extent that he or she cannot physically perform the | 26 | | skills and
functions for which he or she is licensed, |
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| 1 | | as verified by a
physician, unless the person is on | 2 | | inactive status pursuant
to Department regulations;
| 3 | | (F) The licensee is mentally impaired to the
extent | 4 | | that he or she cannot exercise the appropriate | 5 | | judgment,
skill and safety for performing the | 6 | | functions for which he
or she is licensed, as verified | 7 | | by a physician, unless the person
is on inactive status | 8 | | pursuant to Department regulations;
| 9 | | (G) The licensee has violated this Act or any
rule | 10 | | adopted by the Department pursuant to this Act; or | 11 | | (H) The licensee has been convicted (or entered a | 12 | | plea of guilty or nolo-contendere) by a court of | 13 | | competent jurisdiction of a Class X, Class 1, or Class | 14 | | 2 felony in this State or an out-of-state equivalent | 15 | | offense. | 16 | | (d-5) EMS Personnel (9) An EMT who are members is a member | 17 | | of the Illinois National Guard or , an Illinois State Trooper , | 18 | | or who exclusively serve serves as a volunteer for units of | 19 | | local government with a population base of less than 5,000 or | 20 | | as a volunteer
for a not-for-profit organization that serves a | 21 | | service area
with a population base of less than 5,000 may | 22 | | submit an application to the Department for a waiver of the | 23 | | these fees specified in this Section on a form prescribed by | 24 | | the Department. | 25 | | The education requirements prescribed by the Department | 26 | | under this Section subsection must allow for the suspension of |
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| 1 | | those requirements in the case of a member of the armed | 2 | | services or reserve forces of the United States or a member of | 3 | | the Illinois National Guard who is on active duty pursuant to | 4 | | an executive order of the President of the United States, an | 5 | | act of the Congress of the United States, or an order of the | 6 | | Governor at the time that the member would otherwise be | 7 | | required to fulfill a particular education requirement. Such a | 8 | | person must fulfill the education requirement within 6 months | 9 | | after his or her release from active duty.
| 10 | | (e) In the event that any rule of the
Department or an EMS | 11 | | Medical Director that requires testing for drug
use as a | 12 | | condition for EMS Personnel EMT licensure conflicts with or
| 13 | | duplicates a provision of a collective bargaining agreement
| 14 | | that requires testing for drug use, that rule shall not
apply | 15 | | to any person covered by the collective bargaining
agreement.
| 16 | | (Source: P.A. 96-540, eff. 8-17-09; 96-1149, eff. 7-21-10; | 17 | | 96-1469, eff. 1-1-11; 97-333, eff. 8-12-11; 97-509, eff. | 18 | | 8-23-11; revised 11-18-11.)
| 19 | | (210 ILCS 50/3.55)
| 20 | | Sec. 3.55. Scope of practice.
| 21 | | (a) Any person currently licensed as an EMR, EMT, AEMT | 22 | | EMT-B , EMT-I,
or Paramedic EMT-P may perform emergency and | 23 | | non-emergency medical
services as defined in this Act, in | 24 | | accordance with his or her level of
education, training and | 25 | | licensure, the standards of
performance and conduct prescribed |
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| 1 | | by the Department in
rules adopted pursuant to this Act, and | 2 | | the requirements of
the EMS System in which he or she | 3 | | practices, as contained in the
approved Program Plan for that | 4 | | System.
| 5 | | (a-5) EMS Personnel A person currently approved as a First | 6 | | Responder or licensed as an
EMT-B, EMT-I, or EMT-P who have has | 7 | | successfully completed a Department approved
course in | 8 | | automated defibrillator operation and who are is functioning | 9 | | within a
Department approved EMS System may utilize such | 10 | | automated defibrillator
according to the standards of | 11 | | performance and conduct prescribed by the
Department
in rules | 12 | | adopted pursuant to this Act and the requirements of the EMS | 13 | | System in
which they practice he or she practices , as contained | 14 | | in the approved Program Plan for that
System.
| 15 | | (a-7) An EMT, AEMT A person currently licensed as an EMT-B , | 16 | | EMT-I, or Paramedic EMT-P
who has successfully completed a | 17 | | Department approved course in the
administration of | 18 | | epinephrine , shall be required to carry epinephrine
with him or | 19 | | her as part of the EMS Personnel EMT medical supplies whenever
| 20 | | he or she is performing official the duties of an emergency | 21 | | medical
technician .
| 22 | | (b) An EMT, AEMT A person currently licensed as an EMT-B ,
| 23 | | EMT-I, or Paramedic EMT-P may only practice as EMS Personnel an | 24 | | EMT or utilize his or her EMS Personnel EMT license only
in | 25 | | pre-hospital or inter-hospital emergency care settings or
| 26 | | non-emergency medical transport situations, under the
written |
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| 1 | | or verbal direction of the EMS Medical Director.
For purposes | 2 | | of this Section, a "pre-hospital emergency care
setting" may | 3 | | include a location, that is not a health care
facility, which | 4 | | utilizes EMS Personnel EMTs to render pre-hospital
emergency | 5 | | care prior to the arrival of a transport vehicle.
The location | 6 | | shall include communication equipment and all
of the portable | 7 | | equipment and drugs appropriate for the
EMS Personnel's EMT's | 8 | | level of care, as required by this Act, rules adopted
by the | 9 | | Department pursuant to this Act, and the protocols of
the EMS | 10 | | Systems, and shall operate only with the approval
and under the | 11 | | direction of the EMS Medical Director.
| 12 | | This Section shall not prohibit an EMT, AEMT EMT-B , EMT-I, | 13 | | or Paramedic
EMT-P from practicing within an emergency | 14 | | department or
other health care setting for the purpose of | 15 | | receiving
continuing education or training approved by the EMS | 16 | | Medical
Director. This Section shall also not prohibit an EMT | 17 | | EMT-B ,
EMT-I, or Paramedic EMT-P from seeking credentials other | 18 | | than his or her EMS Personnel EMT
license and utilizing such | 19 | | credentials to work in emergency
departments or other health | 20 | | care settings under the
jurisdiction of that employer.
| 21 | | (c) An EMT, AEMT A person currently licensed as an EMT-B ,
| 22 | | EMT-I, or Paramedic EMT-P may honor Do Not Resuscitate (DNR) | 23 | | orders and powers
of attorney for health care only in | 24 | | accordance with rules
adopted by the Department pursuant to | 25 | | this Act and protocols
of the EMS System in which he or she | 26 | | practices.
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| 1 | | (d) A student enrolled in a Department approved EMS | 2 | | Personnel
emergency medical technician program, while | 3 | | fulfilling the
clinical training and in-field supervised | 4 | | experience
requirements mandated for licensure or approval by | 5 | | the
System and the Department, may perform prescribed | 6 | | procedures
under the direct supervision of a physician licensed | 7 | | to
practice medicine in all of its branches, a qualified
| 8 | | registered professional nurse or a qualified EMS Personnel EMT , | 9 | | only when
authorized by the EMS Medical Director.
| 10 | | (Source: P.A. 92-376, eff. 8-15-01.)
| 11 | | (210 ILCS 50/3.65)
| 12 | | Sec. 3.65. EMS Lead Instructor.
| 13 | | (a) "EMS Lead Instructor" means a person who has
| 14 | | successfully completed a course of education as prescribed
by | 15 | | the Department, and who is currently approved by the
Department | 16 | | to coordinate or teach education, training
and continuing | 17 | | education courses, in accordance with
standards prescribed by | 18 | | this Act and rules adopted by the
Department pursuant to this | 19 | | Act.
| 20 | | (b) The Department shall have the authority and
| 21 | | responsibility to:
| 22 | | (1) Prescribe education requirements for EMS
Lead | 23 | | Instructor candidates through rules adopted pursuant to | 24 | | this
Act.
| 25 | | (2) Prescribe testing requirements for EMS
Lead |
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| 1 | | Instructor candidates through rules adopted pursuant to | 2 | | this
Act.
| 3 | | (3) Charge each candidate for EMS Lead
Instructor a fee | 4 | | to be submitted with an application for an
examination, an | 5 | | application for licensure certification , and an | 6 | | application for relicensure recertification .
| 7 | | (4) Approve individuals as EMS Lead
Instructors who | 8 | | have met the Department's education and testing
| 9 | | requirements.
| 10 | | (5) Require that all education, training and
| 11 | | continuing education courses for EMT, AEMT EMT-B , EMT-I, | 12 | | Paramedic EMT-P ,
Pre-Hospital RN, ECRN, EMR First | 13 | | Responder and Emergency Medical
Dispatcher be coordinated | 14 | | by at least one approved EMS Lead
Instructor. A program | 15 | | which includes education, training or
continuing education | 16 | | for more than one type of personnel may
use one EMS Lead | 17 | | Instructor to coordinate the program, and a
single EMS Lead | 18 | | Instructor may simultaneously coordinate
more than one | 19 | | program or course.
| 20 | | (6) Provide standards and procedures for
awarding EMS | 21 | | Lead Instructor approval to persons previously approved
by | 22 | | the Department to coordinate such courses, based on
| 23 | | qualifications prescribed by the Department through rules
| 24 | | adopted pursuant to this Act.
| 25 | | (7) Suspend or revoke or refuse to issue or renew the | 26 | | approval of an EMS
Lead Instructor, after an opportunity |
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| 1 | | for a hearing, when
findings show one or more of the | 2 | | following:
| 3 | | (A) The EMS Lead Instructor has failed
to conduct a | 4 | | course in accordance with the curriculum
prescribed by | 5 | | this Act and rules adopted by the Department
pursuant | 6 | | to this Act; or
| 7 | | (B) The EMS Lead Instructor has failed
to comply | 8 | | with protocols prescribed by the Department through
| 9 | | rules adopted pursuant to this Act.
| 10 | | (Source: P.A. 96-1469, eff. 1-1-11.)
| 11 | | (210 ILCS 50/3.70)
| 12 | | Sec. 3.70. Emergency Medical Dispatcher.
| 13 | | (a) "Emergency Medical Dispatcher" means a person
who has | 14 | | successfully completed a training course in emergency medical
| 15 | | dispatching meeting or
exceeding the National EMS Educational | 16 | | Standards national curriculum of the United States
Department | 17 | | of Transportation in accordance with rules
adopted by the | 18 | | Department pursuant to this Act, who accepts
calls from the | 19 | | public for emergency medical services and
dispatches | 20 | | designated emergency medical services personnel
and vehicles. | 21 | | The Emergency Medical Dispatcher must use the
| 22 | | Department-approved
emergency medical dispatch priority | 23 | | reference system (EMDPRS) protocol
selected for use by its | 24 | | agency and approved by its EMS medical director. This
protocol | 25 | | must be used by an emergency medical dispatcher in an emergency
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| 1 | | medical dispatch agency to dispatch aid to medical emergencies | 2 | | which includes
systematized caller interrogation questions; | 3 | | systematized prearrival support
instructions; and systematized | 4 | | coding protocols that match the dispatcher's
evaluation of the | 5 | | injury or illness severity with the vehicle response mode and
| 6 | | vehicle response configuration and includes an appropriate | 7 | | training curriculum
and testing process consistent with the | 8 | | specific EMDPRS protocol used by the
emergency medical dispatch | 9 | | agency. Prearrival support instructions shall
be provided in a | 10 | | non-discriminatory manner and shall be provided in accordance
| 11 | | with the EMDPRS established by the EMS medical director of the | 12 | | EMS system in
which the EMD operates. If the dispatcher
| 13 | | operates under the authority of an Emergency Telephone
System | 14 | | Board established under the Emergency Telephone
System Act, the | 15 | | protocols shall be established by such Board
in consultation | 16 | | with the EMS Medical Director. Persons who
have already | 17 | | completed a course of instruction in emergency
medical dispatch | 18 | | based on, equivalent to or exceeding the
national standards | 19 | | curriculum of the United States Department of
Transportation , | 20 | | or as otherwise approved by the Department,
shall be considered | 21 | | Emergency Medical Dispatchers on the
effective date of this | 22 | | amendatory Act.
| 23 | | (b) The Department shall have the authority and
| 24 | | responsibility to:
| 25 | | (1) Require licensure and relicensure certification | 26 | | and recertification of a person who meets the
training and |
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| 1 | | other requirements as an emergency medical dispatcher | 2 | | pursuant to
this Act.
| 3 | | (2) Require licensure and relicensure certification | 4 | | and recertification of a person, organization,
or | 5 | | government agency that operates an emergency medical | 6 | | dispatch agency that
meets
the minimum standards | 7 | | prescribed by the Department for an emergency medical
| 8 | | dispatch agency pursuant to this Act.
| 9 | | (3) Prescribe minimum education and continuing
| 10 | | education
requirements for the
Emergency Medical | 11 | | Dispatcher, which meet national standards the
national | 12 | | curriculum of the United States Department of
| 13 | | Transportation , through rules adopted pursuant to this | 14 | | Act.
| 15 | | (4) Require each EMS Medical Director to report to the | 16 | | Department
whenever
an
action has taken place that may | 17 | | require the revocation or suspension of a license
| 18 | | certificate issued by the Department.
| 19 | | (5) Require each EMD to provide
prearrival
| 20 | | instructions in compliance with protocols selected and | 21 | | approved by the system's
EMS
medical director and approved | 22 | | by the Department.
| 23 | | (6) Require the Emergency Medical Dispatcher
to keep | 24 | | the Department currently informed as to the entity or
| 25 | | agency that employs or supervises his activities as an
| 26 | | Emergency Medical Dispatcher.
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| 1 | | (7) Establish an annual relicensure recertification | 2 | | requirement
that requires at least 12 hours of medical
| 3 | | dispatch-specific continuing education
each year.
| 4 | | (8) Approve all EMDPRS protocols used by emergency | 5 | | medical dispatch
agencies to assure compliance with | 6 | | national standards.
| 7 | | (9) Require that Department-approved emergency medical | 8 | | dispatch training
programs are conducted in accordance | 9 | | with national standards.
| 10 | | (10) Require that the emergency medical dispatch | 11 | | agency be operated in
accordance with national standards, | 12 | | including, but not limited to, (i) the use
on every
request | 13 | | for medical assistance of an emergency medical dispatch | 14 | | priority
reference
system (EMDPRS) in accordance with | 15 | | Department-approved policies and procedures
and
(ii) under | 16 | | the approval and supervision of the EMS medical director, | 17 | | the
establishment of
a continuous quality improvement | 18 | | program.
| 19 | | (11) Require that a person may not represent himself or | 20 | | herself, nor may
an
agency or business represent an agent | 21 | | or employee of that agency or business,
as
an emergency | 22 | | medical dispatcher unless licensed certified by the | 23 | | Department as an
emergency medical dispatcher.
| 24 | | (12) Require that a person, organization, or | 25 | | government agency not
represent itself as an emergency | 26 | | medical dispatch agency unless the person,
organization, |
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| 1 | | or government agency is certified by the Department as an
| 2 | | emergency medical dispatch agency.
| 3 | | (13) Require that a person, organization, or | 4 | | government agency may not
offer
or conduct a training | 5 | | course that is represented as a course for an emergency
| 6 | | medical dispatcher unless the person, organization, or | 7 | | agency is approved by
the Department to offer or conduct | 8 | | that course.
| 9 | | (14) Require that Department-approved emergency | 10 | | medical dispatcher
training programs are conducted by | 11 | | instructors licensed by the Department who:
| 12 | | (i) are, at a minimum, certified as emergency | 13 | | medical dispatchers;
| 14 | | (ii) have completed a Department-approved course | 15 | | on methods of
instruction;
| 16 | | (iii) have previous experience in a medical | 17 | | dispatch agency; and
| 18 | | (iv) have demonstrated experience as an EMS | 19 | | instructor.
| 20 | | (15) Establish criteria for modifying or
waiving | 21 | | Emergency Medical Dispatcher requirements based on (i) the | 22 | | scope
and frequency of dispatch activities and the | 23 | | dispatcher's
access to training or (ii) whether the | 24 | | previously-attended dispatcher
training program merits | 25 | | automatic recertification for the dispatcher.
| 26 | | (16) Charge each Emergency Medical Dispatcher |
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| 1 | | applicant a fee for licensure and license renewal. | 2 | | (Source: P.A. 96-1469, eff. 1-1-11.)
| 3 | | (210 ILCS 50/3.75)
| 4 | | Sec. 3.75. Trauma Nurse Specialist (TNS) Licensure | 5 | | Certification .
| 6 | | (a) "Trauma Nurse Specialist" or "TNS"
means a registered | 7 | | professional nurse who has successfully completed
education | 8 | | and testing requirements as prescribed by the
Department, and | 9 | | is licensed certified by the Department in accordance
with | 10 | | rules adopted by the Department pursuant to this Act.
| 11 | | (b) The Department shall have the authority and
| 12 | | responsibility to:
| 13 | | (1) Establish criteria for TNS training
sites, through | 14 | | rules adopted pursuant to this Act;
| 15 | | (2) Prescribe education and testing
requirements for | 16 | | TNS candidates, which shall include an opportunity for | 17 | | licensure
certification based on examination only, through | 18 | | rules
adopted pursuant to this Act;
| 19 | | (3) Charge each candidate for TNS licensure
| 20 | | certification a fee to be submitted with an application for | 21 | | a licensure certification
examination, an application for | 22 | | licensure certification , and an application for | 23 | | relicensure recertification ;
| 24 | | (4) License Certify an individual as a TNS who has
met | 25 | | the Department's education and testing requirements;
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| 1 | | (5) Prescribe relicensure recertification requirements
| 2 | | through rules adopted to this Act;
| 3 | | (6) Relicense Recertify an individual as a TNS every
4 | 4 | | years, based on compliance with relicensure | 5 | | recertification
requirements;
| 6 | | (7) Grant inactive status to any TNS who
qualifies, | 7 | | based on standards and procedures established by
the | 8 | | Department in rules adopted pursuant to this Act; and
| 9 | | (8) Suspend, revoke or refuse to issue or renew deny | 10 | | renewal of the
license certification of a TNS, after an | 11 | | opportunity for hearing by
the Department, if findings show | 12 | | that the TNS has failed to
maintain proficiency in the | 13 | | level of skills for which the
TNS is licensed certified or | 14 | | has failed to comply with relicensure
recertification | 15 | | requirements.
| 16 | | (Source: P.A. 96-1469, eff. 1-1-11.)
| 17 | | (210 ILCS 50/3.80)
| 18 | | Sec. 3.80. Pre-Hospital RN and Emergency Communications | 19 | | Registered Nurse.
| 20 | | (a) Emergency Communications Registered Nurse or
"ECRN" | 21 | | means a registered professional nurse licensed under
the Nurse | 22 | | Practice Act who
has
successfully completed supplemental | 23 | | education in accordance
with rules adopted by the Department, | 24 | | and who is approved by
an EMS Medical Director to monitor | 25 | | telecommunications from
and give voice orders to EMS System |
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| 1 | | personnel, under the
authority of the EMS Medical Director and | 2 | | in accordance with
System protocols.
| 3 | | Upon the effective date of this amendatory Act of 1995, all
| 4 | | existing Registered Professional Nurse/MICNs shall be
| 5 | | considered ECRNs.
| 6 | | (b) "Pre-Hospital Registered Nurse" or
"Pre-Hospital RN" | 7 | | means a registered professional nurse licensed under
the Nurse | 8 | | Practice Act who has
successfully completed supplemental | 9 | | education in accordance
with rules adopted by the Department | 10 | | pursuant to this Act,
and who is approved by an EMS Medical | 11 | | Director to practice
within an EMS System as emergency medical | 12 | | services personnel
for pre-hospital and inter-hospital | 13 | | emergency care and
non-emergency medical transports.
| 14 | | Upon the effective date of this amendatory Act of 1995, all
| 15 | | existing Registered Professional Nurse/Field RNs shall be
| 16 | | considered Pre-Hospital RNs.
| 17 | | (c) The Department shall have the authority and
| 18 | | responsibility to:
| 19 | | (1) Prescribe education and continuing education
| 20 | | requirements for Pre-Hospital RN and ECRN candidates | 21 | | through
rules adopted pursuant to this Act:
| 22 | | (A) Education for Pre-Hospital RN shall
include | 23 | | extrication, telecommunications, and pre-hospital
| 24 | | cardiac , medical, and trauma care;
| 25 | | (B) Education for ECRN shall include
| 26 | | telecommunications, System standing medical orders and |
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| 1 | | the
procedures and protocols established by the EMS | 2 | | Medical
Director;
| 3 | | (C) A Pre-Hospital RN candidate who is
fulfilling | 4 | | clinical training and in-field supervised
experience | 5 | | requirements may perform prescribed procedures
under | 6 | | the direct supervision of a physician licensed to
| 7 | | practice medicine in all of its branches, a qualified
| 8 | | registered professional nurse or a qualified EMS | 9 | | Personnel EMT , only when
authorized by the EMS Medical | 10 | | Director;
| 11 | | (D) An EMS Medical Director may impose in-field | 12 | | supervised field
experience requirements on System
| 13 | | ECRNs as part of their training or continuing | 14 | | education, in
which they perform prescribed procedures | 15 | | under the direct
supervision of a physician licensed to | 16 | | practice medicine in
all of its branches, a qualified | 17 | | registered professional
nurse or qualified EMS | 18 | | Personnel EMT , only when authorized by the EMS
Medical | 19 | | Director;
| 20 | | (2) Require EMS Medical Directors to
reapprove | 21 | | Pre-Hospital RNs and ECRNs every 4 years, based on
| 22 | | compliance with continuing education requirements | 23 | | prescribed
by the Department through rules adopted | 24 | | pursuant to this
Act;
| 25 | | (3) Allow EMS Medical Directors to grant
inactive | 26 | | status to any Pre-Hospital RN or ECRN who qualifies, based
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| 1 | | on standards and procedures established by the Department | 2 | | in
rules adopted pursuant to this Act;
| 3 | | (4) Require a Pre-Hospital RN to honor Do Not
| 4 | | Resuscitate (DNR) orders and powers of attorney for health
| 5 | | care only in accordance with rules adopted by the | 6 | | Department
pursuant to this Act and protocols of the EMS | 7 | | System in
which he or she practices;
| 8 | | (5) Charge each Pre-Hospital RN applicant and ECRN | 9 | | applicant a fee for licensure and relicensure | 10 | | certification and recertification . | 11 | | (Source: P.A. 95-639, eff. 10-5-07; 96-1469, eff. 1-1-11.)
| 12 | | (210 ILCS 50/3.90)
| 13 | | Sec. 3.90. Trauma Center Designations.
| 14 | | (a) "Trauma Center" means a hospital which: (1)
within | 15 | | designated capabilities provides optimal care to
trauma | 16 | | patients; (2) participates in an approved EMS System;
and (3) | 17 | | is duly designated pursuant to the provisions of
this Act. | 18 | | Level I Trauma Centers shall provide all
essential services | 19 | | in-house, 24 hours per day, in accordance
with rules adopted by | 20 | | the Department pursuant to this Act.
Level II Trauma Centers | 21 | | shall have some essential services
available in-house, 24 hours | 22 | | per day, and other essential
services readily available, 24 | 23 | | hours per day, in accordance
with rules adopted by the | 24 | | Department pursuant to this Act.
| 25 | | (b) The Department shall have the authority and
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| 1 | | responsibility to:
| 2 | | (1) Establish minimum standards for
designation as a | 3 | | Level I or Level II Trauma Center, consistent with Sections
| 4 | | 22 and 23 of this Act, through rules adopted pursuant to
| 5 | | this Act;
| 6 | | (2) Require hospitals applying for trauma
center | 7 | | designation to submit a plan for designation in a manner | 8 | | and
form prescribed by the Department through rules adopted
| 9 | | pursuant to this Act;
| 10 | | (3) Upon receipt of a completed plan for
designation, | 11 | | conduct a site visit to inspect the hospital
for compliance | 12 | | with the Department's minimum standards.
Such visit shall | 13 | | be conducted by specially qualified
personnel with | 14 | | experience in the delivery of emergency
medical and/or | 15 | | trauma care. A report of the inspection
shall be provided | 16 | | to the Director within 30 days of the
completion of the | 17 | | site visit. The report shall note
compliance or lack of | 18 | | compliance with the individual
standards for designation, | 19 | | but shall not offer a
recommendation on granting or denying | 20 | | designation;
| 21 | | (4) Designate applicant hospitals as Level I
or Level | 22 | | II Trauma Centers which meet the minimum standards
| 23 | | established by this Act and the Department. The Beginning
| 24 | | September 1, 1997 the Department shall designate a new
| 25 | | trauma center only when a local or regional need for such
| 26 | | trauma center has been identified. The Department shall
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| 1 | | request an assessment of local or regional need from the
| 2 | | applicable EMS Region's Trauma Center Medical Directors
| 3 | | Committee, with advice from the Regional Trauma Advisory
| 4 | | Committee.
This shall not be construed as a needs | 5 | | assessment for health planning or
other purposes outside of | 6 | | this Act;
| 7 | | (5) Attempt to designate trauma centers in
all areas of | 8 | | the State. There shall be at least one Level I
Trauma | 9 | | Center serving each EMS Region, unless waived by the
| 10 | | Department. This subsection shall not be construed to
| 11 | | require a Level I Trauma Center to be located in each EMS
| 12 | | Region. Level I Trauma Centers shall serve as resources for
| 13 | | the Level II Trauma Centers in the EMS Regions. The extent
| 14 | | of such relationships shall be defined in the EMS Region
| 15 | | Plan;
| 16 | | (6) Inspect designated trauma centers to
assure | 17 | | compliance with the provisions of this Act and the rules
| 18 | | adopted pursuant to this Act. Information received by the
| 19 | | Department through filed reports, inspection, or as
| 20 | | otherwise authorized under this Act shall not be disclosed
| 21 | | publicly in such a manner as to identify individuals or
| 22 | | hospitals, except in proceedings involving the denial,
| 23 | | suspension or revocation of a trauma center designation or
| 24 | | imposition of a fine on a trauma center;
| 25 | | (7) Renew trauma center designations every 2
years, | 26 | | with onsite inspection conducted every 4 years after an |
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| 1 | | on-site inspection , based on compliance with
renewal | 2 | | requirements and standards for continuing operation,
as | 3 | | prescribed by the Department through rules adopted
| 4 | | pursuant to this Act;
| 5 | | (8) Refuse to issue or renew a trauma center
| 6 | | designation, after providing an opportunity for a hearing,
| 7 | | when findings show that it does not meet the standards and
| 8 | | criteria prescribed by the Department;
| 9 | | (9) Review and determine whether a trauma
center's | 10 | | annual morbidity and mortality rates for trauma
patients | 11 | | significantly exceed the State average for such
rates, | 12 | | using a uniform recording methodology based on
nationally | 13 | | recognized standards. Such determination shall
be | 14 | | considered as a factor in any decision by the Department
to | 15 | | renew or refuse to renew a trauma center designation
under | 16 | | this Act, but shall not constitute the sole basis for
| 17 | | refusing to renew a trauma center designation;
| 18 | | (10) Take the following action, as
appropriate, after | 19 | | determining that a trauma center is in violation of
this | 20 | | Act or any rule adopted pursuant to this Act:
| 21 | | (A) If the Director determines that the
violation | 22 | | presents a substantial probability that death or
| 23 | | serious physical harm will result and if the trauma | 24 | | center
fails to eliminate the violation immediately or | 25 | | within a
fixed period of time, not exceeding 10 days, | 26 | | as determined
by the Director, the Director may |
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| 1 | | immediately revoke the
trauma center designation. The | 2 | | trauma center may appeal the
revocation within 15 days | 3 | | after receiving the Director's
revocation order, by | 4 | | requesting a hearing as provided by
Section 29 of this | 5 | | Act. The Director shall notify the chair
of the | 6 | | Region's Trauma Center Medical Directors
Committee and | 7 | | EMS Medical Directors for appropriate EMS
Systems of | 8 | | such trauma center designation revocation;
| 9 | | (B) If the Director determines that the
violation | 10 | | does not present a substantial probability that
death | 11 | | or serious physical harm will result, the Director
| 12 | | shall issue a notice of violation and request a plan of
| 13 | | correction which shall be subject to the Department's
| 14 | | approval. The trauma center shall have 10 days after
| 15 | | receipt of the notice of violation in which to submit a | 16 | | plan
of correction. The Department may extend this | 17 | | period for up
to 30 days. The plan shall include a | 18 | | fixed time period not
in excess of 90 days within which | 19 | | violations are to be
corrected. The plan of correction | 20 | | and the status of its
implementation by the trauma | 21 | | center shall be provided, as
appropriate, to the EMS | 22 | | Medical Directors for appropriate
EMS Systems. If the | 23 | | Department rejects a plan of
correction, it shall send | 24 | | notice of the rejection and the
reason for the | 25 | | rejection to the trauma center. The trauma
center shall | 26 | | have 10 days after receipt of the notice of
rejection |
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| 1 | | in which to submit a modified plan. If the
modified | 2 | | plan is not timely submitted, or if the modified
plan | 3 | | is rejected, the trauma center shall follow an approved
| 4 | | plan of correction imposed by the Department. If, after
| 5 | | notice and opportunity for hearing, the Director | 6 | | determines
that a trauma center has failed to comply | 7 | | with an approved
plan of correction, the Director may | 8 | | revoke the trauma
center designation. The trauma | 9 | | center shall have 15 days
after receiving the | 10 | | Director's notice in which to request a
hearing. Such | 11 | | hearing shall conform to the provisions of
Section | 12 | | 3.135 30 of this Act;
| 13 | | (11) The Department may delegate authority to
local | 14 | | health departments in jurisdictions which include a
| 15 | | substantial number of trauma centers. The delegated
| 16 | | authority to those local health departments shall include,
| 17 | | but is not limited to, the authority to designate trauma
| 18 | | centers with final approval by the Department, maintain a
| 19 | | regional data base with concomitant reporting of trauma
| 20 | | registry data, and monitor, inspect and investigate trauma
| 21 | | centers within their jurisdiction, in accordance with the
| 22 | | requirements of this Act and the rules promulgated by the
| 23 | | Department;
| 24 | | (A) The Department shall monitor the
performance | 25 | | of local health departments with authority
delegated | 26 | | pursuant to this Section, based upon performance
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| 1 | | criteria established in rules promulgated by the | 2 | | Department;
| 3 | | (B) Delegated authority may be revoked
for | 4 | | substantial non-compliance with the Department's | 5 | | rules.
Notice of an intent to revoke shall be served | 6 | | upon the local
health department by certified mail, | 7 | | stating the reasons for
revocation and offering an | 8 | | opportunity for an administrative
hearing to contest | 9 | | the proposed revocation. The request for
a hearing must | 10 | | be received by the Department within 10
working days of | 11 | | the local health department's receipt of
notification;
| 12 | | (C) The director of a local health
department may | 13 | | relinquish its delegated authority upon 60
days | 14 | | written notification to the Director of Public Health.
| 15 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 16 | | (210 ILCS 50/3.105)
| 17 | | Sec. 3.105. Trauma Center Misrepresentation. No After the | 18 | | effective date of
this amendatory Act of 1995, no facility | 19 | | shall use the phrase "trauma center"
or words of similar | 20 | | meaning in relation to itself or hold itself out as a
trauma | 21 | | center without first obtaining designation pursuant to this | 22 | | Act.
| 23 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 24 | | (210 ILCS 50/3.125)
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| 1 | | Sec. 3.125. Complaint Investigations.
| 2 | | (a) The Department shall promptly investigate
complaints | 3 | | which it receives concerning any person or entity
which the | 4 | | Department licenses, certifies, approves, permits
or | 5 | | designates pursuant to this Act.
| 6 | | (b) The Department shall notify an EMS Medical
Director of | 7 | | any complaints it receives involving System
personnel or | 8 | | participants.
| 9 | | (c) The Department shall conduct any inspections,
| 10 | | interviews and reviews of records which it deems necessary
in | 11 | | order to investigate complaints.
| 12 | | (d) All persons and entities which are licensed,
certified, | 13 | | approved, permitted or designated pursuant to
this Act shall | 14 | | fully cooperate with any and all Department complaint | 15 | | investigations
investigation , including providing patient | 16 | | medical records
requested by the Department. Any patient | 17 | | medical record
received or reviewed by the Department shall not | 18 | | be
disclosed publicly in such a manner as to identify
| 19 | | individual patients, without the consent of such patient or
his | 20 | | or her legally authorized representative. Patient
medical | 21 | | records may be disclosed to a party in
administrative | 22 | | proceedings brought by the Department
pursuant to this Act, but | 23 | | such patient's identity shall be
masked before disclosure of | 24 | | such record during any public
hearing unless otherwise | 25 | | authorized by the patient or his or her legally
authorized | 26 | | representative.
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| 1 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 2 | | (210 ILCS 50/3.140)
| 3 | | Sec. 3.140. Violations; Fines.
| 4 | | (a) The Department shall have the authority to
impose fines | 5 | | on any licensed vehicle service provider, stretcher van | 6 | | provider, designated
trauma center, resource hospital, | 7 | | associate hospital, or
participating hospital.
| 8 | | (b) The Department shall adopt rules pursuant to
this Act | 9 | | which establish a system of fines related to the type
and level | 10 | | of violation or repeat violation, including but
not limited to:
| 11 | | (1) A fine not exceeding $10,000 for a
violation which | 12 | | created a condition or occurrence presenting a
substantial | 13 | | probability that death or serious harm to an
individual | 14 | | will or did result therefrom; and
| 15 | | (2) A fine not exceeding $5,000 for a
violation which | 16 | | creates or created a condition or occurrence which
| 17 | | threatens the health, safety or welfare of an individual.
| 18 | | (c) A Notice of Intent to Impose Fine may be
issued in | 19 | | conjunction with or in lieu of a Notice of Intent to
Suspend, | 20 | | Revoke, Nonrenew or Deny, and shall conform to the
requirements | 21 | | specified in Section 3.130(d) of this Act. All
Hearings | 22 | | conducted pursuant to a Notice of Intent to Impose
Fine shall | 23 | | conform to the requirements specified in
Section 3.135 of this | 24 | | Act.
| 25 | | (d) All fines collected pursuant to this Section
shall be |
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| 1 | | deposited into the EMS Assistance Fund.
| 2 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 3 | | (210 ILCS 50/3.165)
| 4 | | Sec. 3.165. Misrepresentation.
| 5 | | (a) No person shall hold himself or herself out to be or | 6 | | engage
in the practice of an EMS Medical Director, EMS
| 7 | | Administrative Director, EMS System Coordinator, EMS Personnel | 8 | | EMT , Trauma
Nurse Specialist, Pre-Hospital RN, Emergency | 9 | | Communications
Registered Nurse, EMS Lead Instructor, | 10 | | Emergency Medical
Dispatcher or First Responder without being | 11 | | licensed,
certified, approved or otherwise authorized pursuant | 12 | | to this
Act.
| 13 | | (b) A hospital or other entity which employs or
utilizes | 14 | | EMS Personnel an EMT in a manner which is outside the scope of
| 15 | | his or her EMT license shall not use the words "EMR", "EMT", | 16 | | "AEMT", "EMT-I", or "Paramedic" "emergency medical
| 17 | | technician", "EMT" or "paramedic" in that person's job
| 18 | | description or title, or in any other manner hold that
person | 19 | | out to be so licensed an emergency medical technician .
| 20 | | (c) No provider or participant within an EMS
System shall | 21 | | hold itself out as providing a type or level of
service that | 22 | | has not been approved by that System's EMS
Medical Director.
| 23 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 24 | | (210 ILCS 50/3.170)
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| 1 | | Sec. 3.170. Falsification of Documents. No person shall | 2 | | fabricate any license or knowingly enter any false information
| 3 | | on any application form, run sheet, record or other document
| 4 | | required to be completed or submitted pursuant to this Act
or | 5 | | any rule adopted pursuant to this Act, or knowingly
submit any | 6 | | application form, run sheet, record or other
document which | 7 | | contains false information.
| 8 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 9 | | (210 ILCS 50/3.175)
| 10 | | Sec. 3.175. Criminal Penalties. Any person who violates | 11 | | Sections 3.155(d)
or (f), 3.160, 3.165 or 3.170 of this Act or | 12 | | any rule promulgated thereto, is
guilty of a Class A B | 13 | | misdemeanor.
| 14 | | (Source: P.A. 96-1469, eff. 1-1-11.)
| 15 | | (210 ILCS 50/3.180)
| 16 | | Sec. 3.180. Injunctions. Notwithstanding the existence or | 17 | | pursuit of any other
remedy, the Director may, through the | 18 | | Attorney General, seek
an injunction:
| 19 | | (a) To restrain or prevent any person or entity
from | 20 | | functioning, practicing or operating without a license,
| 21 | | certification, classification, approval, permit, designation
| 22 | | or authorization required by this Act;
| 23 | | (b) To restrain or prevent any person, institution
or | 24 | | governmental unit from representing itself to be a trauma
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| 1 | | center after the effective date of this amendatory Act of 1995 | 2 | | without
designation as such
pursuant to this Act;
| 3 | | (c) To restrain or prevent any hospital or other
entity | 4 | | which employs or utilizes EMS Personnel an EMT in a manner | 5 | | which is
outside the scope of the EMS Personnel's his EMT | 6 | | license from representing that
person to be EMS Personnel an | 7 | | EMT .
| 8 | | (Source: P.A. 89-177, eff. 7-19-95.)
| 9 | | (210 ILCS 50/3.200)
| 10 | | Sec. 3.200. State Emergency Medical Services Advisory
| 11 | | Council. | 12 | | (a) There shall be established within the Department
of | 13 | | Public Health a State Emergency Medical Services Advisory
| 14 | | Council, which shall serve as an advisory body to the
| 15 | | Department on matters related to this Act.
| 16 | | (b) Membership of the Council shall include one
| 17 | | representative from each EMS Region, to be appointed by each
| 18 | | region's EMS Regional Advisory Committee. The Governor
shall | 19 | | appoint additional members to the Council as necessary
to | 20 | | insure that the Council includes one representative from
each | 21 | | of the following categories:
| 22 | | (1) EMS Medical Director,
| 23 | | (2) Trauma Center Medical Director,
| 24 | | (3) Licensed, practicing physician with
regular and | 25 | | frequent involvement in the provision of emergency care,
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| 1 | | (4) Licensed, practicing physician with
special | 2 | | expertise in the surgical care of the trauma patient,
| 3 | | (5) EMS System Coordinator,
| 4 | | (6) TNS,
| 5 | | (7) Paramedic EMT-P ,
| 6 | | (7.5) AEMT,
| 7 | | (8) EMT-I,
| 8 | | (9) EMT EMT-B ,
| 9 | | (10) Private vehicle service provider,
| 10 | | (11) Law enforcement officer,
| 11 | | (12) Chief of a public vehicle service provider,
| 12 | | (13) Statewide firefighters' union member
affiliated | 13 | | with a vehicle service provider,
| 14 | | (14) Administrative representative from a fire
| 15 | | department vehicle service provider in a municipality with | 16 | | a
population of over 2 million people;
| 17 | | (15) Administrative representative from a
Resource | 18 | | Hospital or EMS System Administrative Director.
| 19 | | (c) Members Of the members first appointed, 5 members
shall | 20 | | be appointed for a term of one year, 5 members shall be
| 21 | | appointed for a term of 2 years, and the remaining members
| 22 | | shall be appointed for a term of 3 years. The terms of
| 23 | | subsequent appointees shall be 3 years. All appointees
shall | 24 | | serve until their successors are appointed and
qualified.
| 25 | | (d) The Council shall be provided a 90-day period
in which | 26 | | to review and comment, in consultation with the subcommittee to |
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| 1 | | which the rules are relevant, upon all rules proposed by the
| 2 | | Department pursuant to this Act, except for rules adopted
| 3 | | pursuant to Section 3.190(a) of this Act, rules submitted to
| 4 | | the State Trauma Advisory Council and emergency rules
adopted | 5 | | pursuant to Section 5-45 of the Illinois
Administrative | 6 | | Procedure Act. The 90-day review and comment
period may | 7 | | commence upon the Department's submission of the
proposed rules | 8 | | to the individual Council members, if the
Council is not | 9 | | meeting at the time the proposed rules are
ready for Council | 10 | | review. Any non-emergency rules adopted
prior to the Council's | 11 | | 90-day review and comment period
shall be null and void. If the | 12 | | Council fails to advise the
Department within its 90-day review | 13 | | and comment period, the
rule shall be considered acted upon.
| 14 | | (e) Council members shall be reimbursed for
reasonable | 15 | | travel expenses incurred during the performance of their
duties | 16 | | under this Section.
| 17 | | (f) The Department shall provide administrative
support to | 18 | | the Council for the preparation of the agenda and
minutes for | 19 | | Council meetings and distribution of proposed
rules to Council | 20 | | members.
| 21 | | (g) The Council shall act pursuant to bylaws which
it | 22 | | adopts, which shall include the annual election of a Chair
and | 23 | | Vice-Chair.
| 24 | | (h) The Director or his designee shall be present
at all | 25 | | Council meetings.
| 26 | | (i) Nothing in this Section shall preclude the
Council from |
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| 1 | | reviewing and commenting on proposed rules which fall
under the | 2 | | purview of the State Trauma Advisory Council.
| 3 | | (Source: P.A. 96-514, eff. 1-1-10.)
| 4 | | (210 ILCS 50/3.205)
| 5 | | Sec. 3.205. State Trauma Advisory Council.
| 6 | | (a) There shall be established within the Department
of | 7 | | Public Health a State Trauma Advisory Council, which
shall | 8 | | serve as an advisory body to the Department on matters
related | 9 | | to trauma care and trauma centers.
| 10 | | (b) Membership of the Council shall include one
| 11 | | representative from each Regional Trauma Advisory Committee,
| 12 | | to be appointed by each Committee. The Governor shall
appoint | 13 | | the following additional members:
| 14 | | (1) An EMS Medical Director,
| 15 | | (2) A trauma center medical director,
| 16 | | (3) A trauma surgeon,
| 17 | | (4) A trauma nurse coordinator,
| 18 | | (5) A representative from a private vehicle
service | 19 | | provider,
| 20 | | (6) A representative from a public vehicle
service | 21 | | provider,
| 22 | | (7) A member of the State EMS Advisory Council, and
| 23 | | (8) A neurosurgeon.
| 24 | | (c) Members Of the members first appointed, 5 members
shall | 25 | | be appointed for a term of one year, 5 members shall be
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| 1 | | appointed for a term of 2 years, and the remaining members
| 2 | | shall be appointed for a term of 3 years. The terms of
| 3 | | subsequent appointees shall be 3 years. All appointees
shall | 4 | | serve until their successors are appointed and
qualified.
| 5 | | (d) The Council shall be provided a 90-day period in
which | 6 | | to review and comment upon all rules proposed by the
Department | 7 | | pursuant to this Act concerning trauma care,
except for | 8 | | emergency rules adopted pursuant to Section 5-45
of the | 9 | | Illinois Administrative Procedure Act. The 90-day
review and | 10 | | comment period may commence upon the Department's
submission of | 11 | | the proposed rules to the individual Council
members, if the | 12 | | Council is not meeting at the time the
proposed rules are ready | 13 | | for Council review. Any non-emergency rules adopted
prior to | 14 | | the Council's 90-day review
and comment period shall be null | 15 | | and void. If the Council
fails to advise the Department within | 16 | | its 90-day review and
comment period, the rule shall be | 17 | | considered acted upon;
| 18 | | (e) Council members shall be reimbursed for
reasonable | 19 | | travel expenses incurred during the performance of their
duties | 20 | | under this Section.
| 21 | | (f) The Department shall provide administrative
support to | 22 | | the Council for the preparation of the agenda and
minutes for | 23 | | Council meetings and distribution of proposed
rules to Council | 24 | | members.
| 25 | | (g) The Council shall act pursuant to bylaws which
it | 26 | | adopts, which shall include the annual election of a Chair
and |
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| 1 | | Vice-Chair.
| 2 | | (h) The Director or his designee shall be present
at all | 3 | | Council meetings.
| 4 | | (i) Nothing in this Section shall preclude the
Council from | 5 | | reviewing and commenting on proposed rules which fall
under the | 6 | | purview of the State EMS Advisory Council.
| 7 | | (Source: P.A. 90-655, eff. 7-30-98; 91-743, eff. 6-2-00.)
| 8 | | (210 ILCS 50/3.60 rep.)
| 9 | | Section 10. The Emergency Medical Services (EMS) Systems | 10 | | Act is amended by repealing Section 3.60.
| 11 | | Section 99. Effective date. This Act takes effect January | 12 | | 1, 2013.
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| 1 | |
INDEX
| 2 | |
Statutes amended in order of appearance
| | 3 | | 210 ILCS 50/3.5 | | | 4 | | 210 ILCS 50/3.10 | | | 5 | | 210 ILCS 50/3.15 | | | 6 | | 210 ILCS 50/3.20 | | | 7 | | 210 ILCS 50/3.25 | | | 8 | | 210 ILCS 50/3.30 | | | 9 | | 210 ILCS 50/3.35 | | | 10 | | 210 ILCS 50/3.40 | | | 11 | | 210 ILCS 50/3.45 | | | 12 | | 210 ILCS 50/3.50 | | | 13 | | 210 ILCS 50/3.55 | | | 14 | | 210 ILCS 50/3.65 | | | 15 | | 210 ILCS 50/3.70 | | | 16 | | 210 ILCS 50/3.75 | | | 17 | | 210 ILCS 50/3.80 | | | 18 | | 210 ILCS 50/3.90 | | | 19 | | 210 ILCS 50/3.105 | | | 20 | | 210 ILCS 50/3.125 | | | 21 | | 210 ILCS 50/3.140 | | | 22 | | 210 ILCS 50/3.165 | | | 23 | | 210 ILCS 50/3.170 | | | 24 | | 210 ILCS 50/3.175 | | | 25 | | 210 ILCS 50/3.180 | | |
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| 1 | | 210 ILCS 50/3.200 | | | 2 | | 210 ILCS 50/3.205 | | | 3 | | 210 ILCS 50/3.60 rep. | |
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