Chapter 4765-12 First Responder Certification

4765-12-01 General provisions.

Pursuant to division (A)(2) of section 4765.30 of the Revised Code, the board may waive the requirement that an emergency medical responder may only be a volunteer for a non-profit entity if an applicant makes a written request to the board which demonstrates the following:

(A) The applicant has a compelling need to become an emergency medical responder;

(B) Becoming an emergency medical responder will benefit the applicant's workplace or community in which the applicant wishes to serve.

Effective: 08/01/2014
R.C. 119.032 review dates: 05/13/2014 and 11/13/2018
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: R.C. 4765.30
Prior Effective Dates: 4/4/98, 2/22/99, and 11/27/03

4765-12-02 Emergency medical responder curriculum prior to September 1, 2012.

[Comment: For dates and availability of material incorporated by reference in this chapter and Chapters 4765-01 to 4765-10 and 4765-12 to 4765-19 of the Administrative Code, see rule 4765-1-03 of the Administrative Code.]

(A) Prior to September 1, 2012 an EMS training program for a certificate to practice as an emergency medical responder or an emergency medical responder refresher program shall be conducted in accordance with the curriculum as set forth in this rule or in rule 4765-12-05 of the Administrative Code. An EMS training program for a certificate to practice as an emergency medical responder or an emergency medical responder refresher program starting on or after September 1, 2012, shall be conducted in accordance with rule 4765-12-05 of the Administrative Code.

(B) An EMS training program for a certificate to practice as an emergency medical responder shall be conducted in accordance with division (B) of section 4765.16 of the Revised Code and this rule. Such program shall consist of a minimum of forty-eight hours according to the "First Responder Training Program Ohio Approved Curriculum," http://www.ems.ohio.gov in all of the following subject areas:

(1) A preparatory portion that provides, as a minimum, an understanding of:

(a) The roles and responsibilities of the emergency medical responder within the EMS system;

(b) Medical and legal issues;

(c) Basic anatomy and physiology;

(d) Personal protection from airborne and blood-borne pathogens;

(e) Lifting and moving of patients.

(2) An airway portion that includes procedures for airway management and ventilation;

(3) A portion that includes procedures for assessment of trauma and medical patients, including, but not limited to, the following:

(a) History taking and physical examinations;

(b) Assessing vital signs;

(c) Components of basic triage;

(d) Information needed by transporting EMS personnel.

(4) A portion that includes management of cardiac emergencies, including cardiopulmonary resuscitation and automated defibrillation;

(5) A portion devoted to illness and injury management, including patient-assisted auto-injector epinephrine administration;

(6) A portion devoted to children and childbirth;.

(7) Practical testing as prescribed by the board.

(C) An accredited institution may grant a maximum of four hours of credit towards the forty-eight hour emergency medical responder training program requirements set forth in paragraph (B) of this rule if the student provides documentation of successful completion of a health care provider course or professional rescuer course provided through one of the following:

(1) American red cross;

(2) American heart association; or

(3) American safety and health institution.

(D) An emergency medical responder refresher program shall consist of fifteen hours according to the "First Responder Refresher Curriculum," http://www.ems.ohio.gov for the number of hours in each of the following subject areas:

(1) Three hours on preparatory considerations;

(2) Two hours on airway management and ventilation, including oxygen therapy;

(3) Two hours on patient assessment;

(4) Two hours on cardiac management, including cardiopulmonary resuscitation and automated defibrillation;

(5) Three hours on illness and injury management, including assisting patients with epinephrine auto-injectors;

(6) One hour on childbirth and pediatric issues;

(7) One hour on geriatric issues;

(8) One hour on trauma issues.

(E) Accredited or approved institutions offering an EMS training program or refresher program, as outlined in paragraphs (B) and (D) of this rule, shall provide for regular evaluations of student performance and achievement through written and practical testing, prior to issuance of a certificate of completion.

Effective: 08/01/2014
R.C. 119.032 review dates: 05/13/2014 and 11/13/2018
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: R.C. 4765.16
Prior Effective Dates: 4/4/98, 11/27/03, 2/1/09, 2/6/12

4765-12-03 Emergency medical responder continuing education.

[Comment: For dates and availability of material incorporated by reference in this chapter and Chapters 4765-01 to 4765-10 and 4765-12 to 4765-19 of the Administrative Code, see rule 4765-1-03 of the Administrative Code.]

(A) Except as otherwise provided in section 4765.31 of the Revised Code and this chapter, when applying for renewal of a certificate to practice, a person certified as an emergency medical responder shall document compliance with one of the four following continuing education requirements:

(1) Completion of a total of at least fifteen hours of continuing education, including a minimum of one hour devoted to each of the following topics:

(a) Patient assessment;

(b) Cardiopulmonary resuscitation;

(c) Airway management and oxygen administration;

(d) Automated defibrillation;

(e) Illness and injury management;

(f) Trauma issues;

(g) Anaphylaxis and patient-assisted auto-injector epinephrine administration.

(2) Completion of an emergency medical responder refresher program as outlined in paragraph (D) of rule 4765-12-02 of the Administrative Code or in paragraph (E) of rule 4765-12-05 of the Administrative Code, as evidenced by a certificate of completion issued in accordance with section 4765.24 of the Revised Code;

(3) Current registration with the national registry of emergency medical technicians at the emergency medical responder or equivalent level;

(4) A passing score within three attempts on an examination approved by the board, pursuant to rule 4765-8-05 of the Administrative Code, to demonstrate competence to have a certificate to practice as an emergency medical responder renewed without completing an EMS continuing education program. This examination may only be taken during the last six months of an emergency medical responder's current certification period or during a board approved extension granted pursuant to rule 4765-19-03 of the Administrative Code.

(B) An individual that receives a board approved extension to complete continuing education requirements listed in paragraph (A) of this rule, must complete the requirements and submit an "EMS Application-Renewal,"to the division, no later than the expiration date of the granted extension.

Effective: 08/01/2014
R.C. 119.032 review dates: 05/13/2014 and 11/13/2018
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: R.C. 4765.16 , 4765.24 , 4765.31
Prior Effective Dates: 4/4/98, 11/27/03, and 2/6/12

4765-12-04 Emergency medical responder scope of practice.

(A) In accordance with division (B) of 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) Trauma triage determination pursuant to rule 4765-14-02 of the Administrative Code.

(B) In accordance with division (C) 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 (D) of section 4765.35 :

(1) 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.

(2) 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) Pulse oximeter and capnography equipment application and reading;

(4) Administration of naloxone via intranasal route with written protocol;

(5) Eye irrigation;

(6) Any other services approved by the board pursuant to rule 4765-6-01 of the Administrative Code;

(7) 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.

Effective: 08/01/2014
R.C. 119.032 review dates: 05/13/2014 and 11/13/2018
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11 , 4765.35
Rule Amplifies: R.C. 4765.35
Prior Effective Dates: 11/27/03, 5/29/08 and 2/6/12

4765-12-05 Emergency medical responder curriculum.

[Comment: For dates and availability of material incorporated by reference in this chapter and Chapters 4765-01 to 4765-10 and 4765-12 to 4765-19 of the Administrative Code, see rule 4765-1-03 of the Administrative Code.]

(A) Effective September 1, 2012, an EMS training program for a certificate to practice as an emergency medical responder or an emergency medical responder refresher program started on or after this date, shall be taught in accordance with this rule. Prior to September 1, 2012, an EMS training program for a certificate to practice as an emergency medical responder or an emergency medical responder refresher program may, but is not required to, teach the curriculum in accordance with this rule.

(B) An EMS training program for emergency medical responder certification shall be conducted in accordance with division (B) of section 4765.16 of the Revised Code and this rule. The EMS training program shall be conducted in accordance with the "National EMS Education Standards" approved by NHTSA, the "Ohio Approved EMS Curriculum Standards" approved by the board, and the scope of practice set forth in rule 4765-12-04 of the Administrative Code. The "National EMS Education Standards" approved by NHTSA and the "Ohio Approved EMS Curriculum Standards" approved by the board . Such EMS training program shall consist of a minimum of forty-eight hours to include all of the following:

(1) Preparatory;

(2) Anatomy and physiology;

(3) Medical terminology;

(4) Physiology;

(5) Life span development;

(6) Public health;

(7) Pharmacology;

(8) Airway management, respiration, and artificial ventilation, to include:

(a) Ventilation with flow restricted oxygen powered device;

(b) Pulse oximeter and capnography equipment application and reading.

(9) Patient assessment;

(10) Medicine, to include patient-assisted auto-injector epinephrine administration;

(11) Shock and resuscitation;

(12) Trauma, to include:

(a) Application of spinal immobilization devices;

(b) Application of splints and management of suspected fractures;

(c) Trauma triage determination pursuant to rule 4765-14-02 of the Administrative Code.

(13) Special patient populations;

(14) EMS operations.

(C) An accredited institution offering an EMS training program as set forth in paragraph (B) of this rule, shall provide for regular written and practical evaluations of student performance and achievement throughout the course of the program. Evaluations shall include a comprehensive written examination and an examination of practical skills, prior to issuance of a certificate of completion.

(D) An accredited institution may grant a maximum of four hours of credit towards the forty-eight hour emergency medical responder training program requirements, set forth in paragraph (B) of this rule, if the student provides current, valid documentation of successful completion of a health care provider course or professional rescuer course provided through one of the following:

(1) "American Red Cross";

(2) "American Heart Association"; or

(3) "American Safety and Health Institution."

(E) An emergency medical responder refresher program shall consist of fifteen hours according to the "Emergency Medical Responder Refresher Training Program" approved by the board, for the number of hours in each of the following subject areas:

(1) Two hours on preparatory considerations;

(2) Two hours on airway management and ventilation, to include oxygen therapy;

(3) Two hours on patient assessment;

(4) Two hours on cardiac management, to include cardiopulmonary resuscitation and automated defibrillation;

(5) Three hours on illness and injury management, to include both of the following:

(a) Assisting patients with epinephrine auto-injectors;

(b) Eye irrigation.

(6) One hour on childbirth and pediatric issues;

(7) One hour on geriatric issues;

(8) Two hours on trauma issues.

(F) An accredited or approved institution offering a refresher program, as outlined in paragraph (E) of this rule, shall provide for regular evaluations of student performance and achievement through written and practical examinations, prior to issuance of a certificate of completion.

Effective: 08/01/2014
R.C. 119.032 review dates: 05/13/2014 and 11/13/2018
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: R.C. 4765.16
Prior Effective Dates: 2/6/12

4765-12-06 Provisional accreditation of training programs. [Rescinded].

Rescinded eff 11-27-03

4765-12-07 Certificate to practice. [Rescinded].

Rescinded eff 11-27-03

4765-12-08 Continuing education for first responder. [Rescinded].

Rescinded eff 11-27-03

4765-12-09 Certificate to teach. [Rescinded].

Rescinded eff 11-27-03

4765-12-10 Ethical standards of conduct. [Rescinded].

Rescinded eff 11-27-03

4765-12-11 Medical director. [Rescinded].

Rescinded eff 11-27-03