As used in this Act:
     “Clinical observation” means the ongoing observation of a patient’s condition by a licensed health care professional utilizing a medical skill set while continuing assessment and care.
     “Department” means the Illinois Department of Public Health.
     “Director” means the Director of the Illinois Department of Public Health.
     “Emergency” means a medical condition of recent onset and severity that would lead a prudent layperson, possessing an average knowledge of medicine and health, to believe that urgent or unscheduled medical care is required.
     “Emergency Medical Services personnel” or “EMS personnel” means persons licensed as an Emergency Medical Responder (EMR) (First Responder), Emergency Medical Dispatcher (EMD), Emergency Medical Technician (EMT), Emergency Medical Technician-Intermediate (EMT-I), Advanced Emergency Medical Technician (A-EMT), Paramedic (EMT-P), Emergency Communications Registered Nurse (ECRN), Pre-Hospital Registered Nurse (PHRN), Pre-Hospital Advanced Practice Registered Nurse (PHAPRN), or Pre-Hospital Physician Assistant (PHPA).
     “Exclusive representative” has the same meaning as defined in Section 3 of the Illinois Public Labor Relations Act.
     “Health care facility” means a hospital, nursing home, physician’s office or other fixed location at which medical and health care services are performed. It does not include “pre-hospital emergency care settings” which utilize EMS personnel to render pre-hospital emergency care prior to the arrival of a transport vehicle, as defined in this Act.
     “Hospital” has the meaning ascribed to that term in the Hospital Licensing Act.
     “Labor organization” has the same meaning as defined in Section 3 of the Illinois Public Labor Relations Act.
     “Medical monitoring” means the performance of medical tests and physical exams to evaluate an individual‘s ongoing exposure to a factor that could negatively impact that person’s health. “Medical monitoring” includes close surveillance or supervision of patients liable to suffer deterioration in physical or mental health and checks of various parameters such as pulse rate, temperature, respiration rate, the condition of the pupils, the level of consciousness and awareness, the degree of appreciation of pain, and blood gas concentrations such as oxygen and carbon dioxide.
     “Silver spanner program” means a program in which a member under a fire department’s or fire protection district’s collective bargaining agreement works on or at the EMS System under another fire department’s or fire protection district’s collective bargaining agreement and (i) the other fire department or fire protection district is not the member’s full-time employer and (ii) any EMS services not included under the original fire department’s or fire protection district’s collective bargaining agreement are included in the other fire department’s or fire protection district’s collective bargaining agreement.
     “Trauma” means any significant injury which involves single or multiple organ systems.