CODING: Words stricken are deletions; words underlined are additions.
SENATE AMENDMENT
Bill No. SB 1634
Amendment No. ___ Barcode 100160
CHAMBER ACTION
Senate House
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11 Senator Campbell moved the following amendment:
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13 Senate Amendment (with title amendment)
14 On page 2, between lines 13 and 14,
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16 insert:
17 Section 2. Section 401.23, Florida Statutes, is
18 amended to read:
19 401.23 Definitions.--As used in this part, the term:
20 (1) "Advanced life support" means the use of skills
21 and techniques described in the most recent U.S. DOT National
22 Standard Paramedic Curriculum by a paramedic under the
23 supervision of a licensee's medical director as required by
24 rules of the department. The term "advanced life support" also
25 includes other techniques which have been approved and are
26 performed under conditions specified by rules of the
27 department. The term "advanced life support" also includes
28 provision of care by a paramedic under the supervision of a
29 licensee's medical director to one experiencing an emergency
30 medical condition as defined herein. "Advanced life support"
31 means treatment of life-threatening medical emergencies
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SENATE AMENDMENT
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Amendment No. ___ Barcode 100160
1 through the use of techniques such as endotracheal intubation,
2 the administration of drugs or intravenous fluids, telemetry,
3 cardiac monitoring, and cardiac defibrillation by a qualified
4 person, pursuant to rules of the department.
5 (2) "Advanced life support service" means any
6 emergency medical transport or nontransport service which uses
7 advanced life support techniques.
8 (3) "Air ambulance" means any fixed-wing or
9 rotary-wing aircraft used for, or intended to be used for, air
10 transportation of sick or injured persons requiring or likely
11 to require medical attention during transport.
12 (4) "Air ambulance service" means any publicly or
13 privately owned service, licensed in accordance with the
14 provisions of this part, which operates air ambulances to
15 transport persons requiring or likely to require medical
16 attention during transport.
17 (5) "Ambulance" or "emergency medical services
18 vehicle" means any privately or publicly owned land or water
19 vehicle that is designed, constructed, reconstructed,
20 maintained, equipped, or operated for, and is used for, or
21 intended to be used for, land or water transportation of sick
22 or injured persons requiring or likely to require medical
23 attention during transport.
24 (6) "Ambulance driver" means any person who meets the
25 requirements of s. 401.281.
26 (7) "Basic life support" means the use of skills and
27 techniques described in the most recent U.S. DOT National
28 Standard EMT-Basic Curriculum by an emergency medical
29 technician or paramedic under the supervision of a licensee's
30 medical director as required by rules of the department. The
31 term "basic life support" also includes other techniques which
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SENATE AMENDMENT
Bill No. SB 1634
Amendment No. ___ Barcode 100160
1 have been approved and are performed under conditions
2 specified by rules of the department. The term "basic life
3 support" also includes provision of care by a paramedic or
4 emergency medical technician under the supervision of a
5 licensee's medical director to one experiencing an emergency
6 medical condition as defined herein. "Basic life support"
7 means treatment of medical emergencies by a qualified person
8 through the use of techniques such as patient assessment,
9 cardiopulmonary resuscitation (CPR), splinting, obstetrical
10 assistance, bandaging, administration of oxygen, application
11 of medical antishock trousers, administration of a
12 subcutaneous injection using a premeasured autoinjector of
13 epinephrine to a person suffering an anaphylactic reaction,
14 and other techniques described in the Emergency Medical
15 Technician Basic Training Course Curriculum of the United
16 States Department of Transportation. The term "basic life
17 support" also includes other techniques which have been
18 approved and are performed under conditions specified by rules
19 of the department.
20 (8) "Basic life support service" means any emergency
21 medical service which uses only basic life support techniques.
22 (9) "Certification" means any authorization issued
23 pursuant to this part to a person to act as an emergency
24 medical technician or a paramedic.
25 (10) "Department" means the Department of Health.
26 (11) "Emergency medical condition" means:
27 (a) A medical condition manifesting itself by acute
28 symptoms of sufficient severity, which may include severe
29 pain, psychiatric disturbances, symptoms of substance abuse,
30 or other acute symptoms, such that the absence of immediate
31 medical attention could reasonably be expected to result in
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1 any of the following:
2 1. Serious jeopardy to patient health, including a
3 pregnant woman or fetus.
4 2. Serious impairment to bodily functions.
5 3. Serious dysfunction of any bodily organ or part.
6 (b) With respect to a pregnant woman, that there is
7 evidence of the onset and persistence of uterine contractions
8 or rupture of the membranes.
9 (c) With respect to a person exhibiting acute
10 psychiatric disturbance or substance abuse, that the absence
11 of immediate medical attention could reasonably be expected to
12 result in:
13 1. Serious jeopardy to the health of a patient; or
14 2. Serious jeopardy to the health of others.
15 (12)(11) "Emergency medical technician" means a person
16 who is certified by the department to perform basic life
17 support pursuant to this part.
18 (13)(12) "Interfacility transfer" means the
19 transportation by ambulance of a patient between two
20 facilities licensed under chapter 393, chapter 395, or chapter
21 400, pursuant to this part.
22 (14)(13) "Licensee" means any basic life support
23 service, advanced life support service, or air ambulance
24 service licensed pursuant to this part.
25 (15)(14) "Medical direction" means direct supervision
26 by a physician through two-way voice communication or, when
27 such voice communication is unavailable, through established
28 standing orders, pursuant to rules of the department.
29 (16)(15) "Medical director" means a physician who is
30 employed or contracted by a licensee and who provides medical
31 supervision, including appropriate quality assurance but not
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1 including administrative and managerial functions, for daily
2 operations and training pursuant to this part.
3 (17)(16) "Mutual aid agreement" means a written
4 agreement between two or more entities whereby the signing
5 parties agree to lend aid to one another under conditions
6 specified in the agreement and as sanctioned by the governing
7 body of each affected county.
8 (18)(17) "Paramedic" means a person who is certified
9 by the department to perform basic and advanced life support
10 pursuant to this part.
11 (19)(18) "Permit" means any authorization issued
12 pursuant to this part for a vehicle to be operated as a basic
13 life support or advanced life support transport vehicle or an
14 advanced life support nontransport vehicle providing basic or
15 advanced life support.
16 (20)(19) "Physician" means a practitioner who is
17 licensed under the provisions of chapter 458 or chapter 459.
18 For the purpose of providing "medical direction" as defined in
19 subsection (14) for the treatment of patients immediately
20 prior to or during transportation to a United States
21 Department of Veterans Affairs medical facility, "physician"
22 also means a practitioner employed by the United States
23 Department of Veterans Affairs.
24 (21)(20) "Registered nurse" means a practitioner who
25 is licensed to practice professional nursing pursuant to part
26 I of chapter 464.
27 (22)(21) "Secretary" means the Secretary of Health.
28 (23)(22) "Service location" means any permanent
29 location in or from which a licensee solicits, accepts, or
30 conducts business under this part.
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SENATE AMENDMENT
Bill No. SB 1634
Amendment No. ___ Barcode 100160
1 (Redesignate subsequent sections.)
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4 ================ T I T L E A M E N D M E N T ===============
5 And the title is amended as follows:
6 On page 1, line 10, after the semicolon,
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8 insert:
9 amending s. 401.23, F.S.; redefining the terms
10 "advanced life support" and "basic life
11 support"; defining the term "emergency medical
12 condition";
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