(A) In accordance with section 4765.35 of
the Revised Code, an emergency medical responder may perform the following
emergency medical services:
(1) Open and maintain the
airway;
(2) Oropharyngeal airway
adjunct;
(3) Nasopharyngeal airway
adjunct;
(4) Manual removal of
obstructed airway;
(5) Oral
suctioning;
(6) Oxygen
administration, including the following:
(a) Nasal cannula;
(b) Non-rebreather mask;
(c) Mouth-to-barrier devices;
(7) Ventilation
management, including the following:
(a) Bag-valve-mask;
(b) Ventilation with a flow-restricted oxygen-powered
device;
(8) Cardiopulmonary
resuscitation;
(9) Automated external
defibrillation;
(10) Spine board (long
and short);
(11) Splinting
devices;
(12) Cervical
immobilization device;
(13) Soft tissue
management;
(14) Controlling of
hemorrhaging;
(15) Taking and recording of vital
signs;
(16) Patient care report
documentation;
(17) Assisting in emergency childbirth
management;
(18) Identifying and
interacting with individuals with dementia;
(19) Trauma triage determination pursuant
to rule 4765-14-02 of the Administrative Code.
(B) In accordance with division (B) of
section 4765.35 of the Revised Code, an emergency medical responder may perform
the following additional emergency medical services only pursuant to the
written or verbal authorization of a physician or of the cooperating physician
advisory board, or authorization transmitted through a direct communication
device by a physician, physician assistant designated by a physician, or
registered nurse designated by a physician, or in accordance with written
protocols as specified in division (B) of section 4765.35 of the Revised
Code:
(1) Body substance
isolation precaution/administration;
(2) Assisted administration of
epinephrine auto-injector, which shall consist of either of the
following:
(a) Patient's prescribed epinephrine upon the patient's
request and with written protocol;
(b) EMS-provided epinephrine with written protocol.
(3) Administration of epinephrine
auto-injector, which shall consist of either of the following:
(a) Patient's prescribed epinephrine upon the patient's
request and with written protocol;
(b) EMS-provided epinephrine with written protocol.
(4) Apply and obtain readings of pulse
oximeter and CO-oximeter, capnography equipment, or capnometry
equipment;
(5) Administration of naloxone via
intranasal route or via auto-injector with written protocol;
(6) Eye irrigation;
(7) Apply and utilize
chest compression assist devices;
(8) Management of
suspected fractures;
(9) Any other services approved by the
board pursuant to rule 4765-6-01 of the Administrative Code;
(10) Any other services pursuant to a
research study approved by the board under rule 4765-6-04 of the Administrative
Code and within the parameters established by the board for such
study.
(C) A physician or cooperating physician
advisory board that serves as the medical director for any EMS organization may
limit, but not exceed, the scope of practice for those emergency medical
responders who provide emergency medical services under the auspices of the
physician's certificate to practice medicine and surgery, or osteopathic
medicine and surgery, issued under Chapter 4731. of the Revised
Code.
(D) An emergency medical responder shall
not perform emergency medical services within this rule unless the emergency
medical responder has received training as part of an initial certification
course or through subsequent training approved by the board. If certain
emergency medical services, within the emergency medical responder scope of
practice, were not included in the training specified in this paragraph, the
emergency medical responder must have received training regarding such services
approved by the local medical director before performing those
services.
