SECTION 165. DHS 118.02 (2) (a) is amended to read:
DHS 118.02 (2) (a) An EMT – basic or EMT – basic IV emergency medical services practitioner.
SECTION 166. DHS 118.02 (2) (b) and (c) are repealed.
SECTION 167. DHS 118.02 (2) (e) is amended to read:
DHS 118.02 (2) (e) A first An emergency medical responder.
SECTION 168. DHS 118.03 (10d) and (10j) are created to read:
DHS 118.03 (10d) “Emergency medical responder” " has the meaning given in s. 256.01 (4p), Stats. DHS 118.03 (10j) “Emergency medical responder service” means a group of persons licensed by the department under s. 256.15 (8), Stats., who are employed or organized to provide emergency care to sick, disabled, or injured individuals as a response for aid requested through a public service access point in conjunction with the dispatch of an ambulance, but who do not provide ambulance transportation of a patient.
SECTION 169. DHS 118.03 (11) is repealed and recreated to read:
DHS 118.03 (11) “Emergency medical services practitioner” has the meaning given in s. 256.01 (5), Stats. SECTION 170. DHS 118.03 (13) and (14) are repealed.
SECTION 171. DHS 118.03 (16) (g) and (h), (25) (intro.) and (a) and (b), and (28) to (30) are amended to read:
DHS 118.03 (16) (g) An emergency medical technician services practitioner.
(h) A first An emergency medical responder.
DHS 118.03 (25) “Medical director" means the physician who is designated in an EMT operational plan to be responsible for all of the following off-line medical direction activities:
(a)
Controlling, directing and supervising all phases of the emergency medical services program operated under the plan and the EMT's emergency medical services practitioners performing under the plan.(b) Establishing standard operating protocols for EMTs emergency medical services practitioners performing under the plan.
DHS 118.03 (28) “Off-line medical direction" means medical direction that does not involve voice communication provided to EMTs emergency medical services practitioners and first responders emergency medical responders providing direct patient care.
(29) “On-line medical direction" means medical direction of the activities of an EMT emergency medical services practitioner that involves voice communication provided to the EMTs emergency medical services practitioners by the medical director or by a physician designated by the medical director.
(30) “On-line medical control physician" means a physician who is designated by the medical director to provide voice communicated medical direction to emergency medical technician emergency medical services practitioner and first emergency medical responder personnel and to assume responsibility for the care provided by emergency medical technician and first responder personnel in response to that direction.
SECTION 172. 118.06 (3) (b) 1. a. (Note), 118.07 (1) (a) to (c), and 118.09 (2) (title) and (b), and (3) (intro.) are amended to read:
DHS 118.06 (3) (b) 1. a. (Note) Out-of-hospital trauma care providers include EMTs, first responders emergency medical services practitioners, emergency medical responders, or air medical personnel.
DHS 118.07 (1) (a) All ambulance service providers and first emergency medical responder services shall select one regional trauma advisory council for primary membership by July 30, 2005.
(b) Notwithstanding par. (a), an EMT, first responder emergency medical services practitioner, emergency medical responder, or ambulance service provider may participate in any regional trauma advisory council. (c) An ambulance service provider or first emergency medical responder service shall notify the department if the service changes membership in an RTAC.
DHS 118.09 (2) Department coordination of data collected by trauma care facilities, ambulance service providers and first emergency medical responder services.
DHS 118.09 (2) (b) Notify trauma care facilities, ambulance service providers and first emergency medical responder services of the required registry data sets and update the facilities and providers, as necessary, when the registry data set changes.
DHS 118.09 (3) Submission of data. All hospitals, ambulance service providers and first emergency medical responder services shall submit to the department on a quarterly basis trauma data determined by the department to be required for the department's operation of the state trauma registry. The department shall prescribe all of the following:
SECTION 173. DHS 124.09 (6) (b) and DHS 124.39 (3) (b) are amended to read:
DHS 124.09 (6) (b) Communicate these policies to the local emergency medical services system to ensure appropriate routing of emergency cases by emergency medical technicians services practitioners.
DHS 124.39 (3) (b) Upon receipt of a completed application from a hospital for designation as a critical access hospital, the department shall review the application and shall determine if the applicant meets the federal conditions of participation in medicare for critical access hospitals under 42 CFR 485.601 to 485.645, and, if applicable, 42 CFR 412.103(a)(1). If the applicant hospital meets those federal regulations and all requirements under ss. DHS 124.40 and 124.41, the department shall, within 90 days after receipt of a completed application, recommend certification of the hospital as a critical access hospital to the federal centers for medicare and medicaid services. SECTION 174. DHS 132.13 (4) (intro.) is amended to read:
DHS 132.13 (4) “Developmental disability" means intellectual disability or a related condition, such as cerebral palsy, epilepsy or autism, but excluding mental illness and infirmities of aging degenerative brain disorder, which is:
SECTION 175. DHS 134.13 (9) (intro.), DHS 134.52 (2) (c), and DHS 134.68 (2) are amended to read:
DHS 134.13 (9) “Developmental disability" means intellectual disability or a related condition such as cerebral palsy, epilepsy or autism, but excluding mental illness and infirmities of aging degenerative brain disorder infirmities of aging degenerative brain disorder, which is:
DHS 134.52 (2) (c) If the individual's medical condition and diagnosis require on-going monitoring and physician supervision, the facility has obtained the concurrence of a physician in the admission decision and information about the person's current medical condition and diagnosis, a physician's plan of care as required by s. 50.04 (2m), Stats., and any orders from a physician for immediate care have been received by the facility before or on the day of admission;
DHS 134.68 (2) Blood and blood products. Any blood-handling and storage facilities at an FDD shall be safe, adequate and properly supervised. If a facility maintains and transfers blood and blood products or only provides transfusion services, it shall meet the requirements of s. DHS 124.17 (3). SECTION 176. DHS 150 is repealed.
SECTION 177. DHS 153.02 (17) is amended to read:
DHS 153.02 (17) “Resident” means any person who is living in Wisconsin with the intention of remaining permanently in the state. A person under the age of 18 is a resident if he or she is determined to be a resident in accordance with s. DWD 11.15. SECTION 178. DHS 163.03 (61) is amended to read:
DHS 163.03 (61) “Lead-based paint" or “lead-bearing paint" means paint or any other surface coating material containing more than 0.06% lead by weight, calculated as lead metal, in the total nonvolatile content of liquid paint, more than 0.5% lead by weight in the dried film of applied paint, or equal to or more than 1 milligram of lead per square centimeter in the dried film of applied paint.
SECTION 179. DHS 163 Appendices A to I are repealed.
SECTION 180. DHS 182.03 (8) is repealed.
SECTION 181. DHS 182.03 (10) is amended to read:
DHS 182.03 (10) “Lead poisoning or lead exposure" means, in reference to children under the age of 6, a level of lead in the blood of 10 or more micrograms per 100 milliliters of blood has the meaning given in s. 254.11 (9), Stats. SECTION 182. DHS 251.03 (6) is repealed.
SECTION 183. Effective date. This rule shall take effect on the first day of the month following publication in the Wisconsin Administrative Register, as provided in s. 227.22 (2) (intro.), Stats.
