Section 657.11.1. Definitions.

For the purpose of this chapter, the following definitions shall apply:

“Adulterated” means any drug or device that consists in whole or in part of any filthy, putrid, or decomposed substance.

“Ambulance service” means any privately or publicly owned service program that utilizes ambulances, including air transport vehicles, in order to provide patient transportation and emergency medical services.

“Authorized prescriber” means any provider who has prescriptive authority in the state of Iowa.

“Board” means the board of pharmacy.

“Bureau” means the Iowa department of public health, bureau of emergency medical services (EMS).

“Controlled substance” means any drug that is identified in Schedules I through V of Iowa Code chapter 124, the Iowa uniform controlled substances Act.

“CSA registration” means a registration issued by the board pursuant to Iowa Code chapter 124, the Iowa uniform controlled substances Act.

“DEA” means the U.S. Department of Justice, Drug Enforcement Administration.

“DEA registration” means a registration issued by the DEA pursuant to 21 CFR Part 1301.

“Department” means the Iowa department of public health.

“Drug” means a substance as defined in Iowa Code section 155A.3(13) but does not include nonmedicated intravenous solutions such as saline.

“Emergency medical care provider” means an emergency medical care provider as defined in 641—131.1(147A).

“Emergency medical services”  or “EMS”  means an integrated medical care delivery system to provide emergency and nonemergency medical care at the scene or during out-of-hospital patient transportation in an ambulance.

“Emergency medical technician”  or “EMT”  means any emergency medical technician or EMT as defined in 641—131.1(147A).

“Medical direction” means direction, advice, or orders provided, in accordance with written parameters and protocols, to emergency medical care personnel by a medical director, supervising physician, or physician designee.

“Medical director” means any physician licensed under Iowa Code chapter 148 who shall be responsible for overall medical direction of the service program and who has completed a medical director workshop, sponsored by the department, within one year of assuming duties.

“Medical director-based” means that ownership of the drugs maintained in and used by the service program remains with the medical director.

“Patient care report”  or “PCR”  means a computerized or written report that documents the assessment and management of the patient by the emergency care provider in the out-of-hospital setting.

“Pharmacy-based” means that ownership of the drugs maintained in and used by the service program remains with the pharmacy.

“Physician” means any individual licensed under Iowa Code chapter 148.

“Physician assistant”  or “PA”  means any individual licensed under Iowa Code chapter 148C.

“Physician designee” means any registered nurse licensed under Iowa Code chapter 152, or any physician assistant licensed under Iowa Code chapter 148C and approved by the board of physician assistant examiners. The physician designee acts as an intermediary for a supervising physician, in accordance with written policies and protocols, in directing the care provided by emergency medical care providers.

“Primary program site” means the physical location from which the service program is operated and at which stock supplies of prescription drugs may be maintained and distributed to a program vehicle and a program substation.

“Program substation” means the physical location from which a service program is operated as a branch or extension of a primary program site, at which an emergency kit or supply of prescription drugs is maintained, and at which a stock supply of prescription drugs is not maintained.

“Protocols” means written direction and orders, consistent with the department’s standard of care, that are to be followed by an emergency medical care provider in emergency and nonemergency situations. Protocols shall be approved by the service program’s medical director and shall address the care of both adult and pediatric patients.

“Responsible individual”  or “RI,”  as this term relates to prescription drugs in a medical director-based service, means the medical director for the service. In a pharmacy-based service, “responsible individual” means the pharmacist in charge of the pharmacy.

“Service”  or “service program”  means any medical care ambulance service or nontransport service that has received authorization from the department.

“Service director” means the individual who is responsible for the operation and administration of a service program.

“Supervising physician” means any physician licensed under Iowa Code chapter 148 who supervises and is responsible for medical direction of emergency medical care personnel when such personnel are providing emergency medical care.

[ARC 9786B, IAB 10/5/11, effective 11/9/11; ARC 0342C, IAB 10/3/12, effective 11/7/12]