Chapter 4765-15 EMT-Basics

(A) A training program for EMT-basic certification shall be in accordance with division (C) of section 4765.16 of the Revised Code, and shall follow the United States department of transportation (USDOT) 1994 EMT-basic curriculum, which can be found in the curriculum portion of the EMS web site at http://www.ems.ohio.gov. Such program shall be one-hundred thirty hours, allocated as follows:

(1) Ninety-five hours devoted to emergency victim care, assessment and management of the adult and pediatric patient;

(2) Three hours devoted to reading and interpreting the vital signs of a trauma victim;

(3) Two hours devoted to pathophysiology of the airway, ventilation, and respiration;

(4) Six hours devoted to mechanics of intubation, including dual lumen airway and endotracheal;

(5) Six hours of training in cardiopulmonary resuscitation;

(6) One hour devoted to pharmacology and subcutaneous auto-injection of epinephrine;

(7) Ten hours devoted to one of the following:

(a) Clinical experience;

(b) Prehospital internship;

(c) Combined clinical experience and prehospital internship;

(8) One hour of emergency vehicle operator training;

(9) Six hours of written and practical testing.

(B) An EMT-basic refresher course shall consist of thirty hours according to objectives approved by the board for the number of hours listed in each of the following subject areas:

(1) Eight hours on trauma issues, two of which must pertain to triage and transportation protocols approved by the board;

(2) Six hours on pediatric issues;

(3) Six hours on medical emergencies;

(4) Two hours on geriatric issues;

(5) Two hours on cardiology;

(6) Two hours on airway and ventilation;

(7) Two hours on EMS operations;

(8) Two hours on obstetrics and gynecology.

(C) Training programs offering a course, as outlined in paragraphs (A) and (B) of this rule, shall provide for regular evaluation of student performance and achievement through written and practical testing, prior to issuance of a certificate of completion.

Effective: 08/30/2008

R.C. 119.032 review dates: 06/12/2008 and 03/12/2013

Promulgated Under: 119.03

Statutory Authority: 4765.11

Rule Amplifies: 4765.16

Prior Effective Dates: 1/1/96, 1/25/99, 3/23/03

Rescinded eff 8-3-08

(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 who is certified as an EMT-basic shall document compliance with one of the four following continuing education requirements:

(1) Completion of a total of not fewer than forty hours of continuing education, including all of the following:

(a) Six hours on pediatric issues;

(b) Two hours on geriatric issues;

(c) Beginning with the applicant’s first full certification cycle following the effective date of this rule, eight hours on trauma issues, two of which must pertain to triage and transportation protocols approved by the board.

(2) Completion of a thirty-hour EMT-basic refresher course, as outlined in paragraph (B) of rule 4765-15-01 of the Administrative Code.

(3) Current registration with the national registry of emergency medical technicians at the EMT-basic or equivalent level and completion of two hours of continuing education on trauma triage and transportation protocols approved by the board.

(4) A passing score within three attempts on an examination approved by the board, pursuant to section 4765.10 of the Revised Code, to demonstrate competence to have a certificate to practice as an EMT-basic renewed without completing an EMS continuing education program. This examination may only be taken during the last six months of an EMT-basic’s current certification period.

Replaces: Former 4765-8-06

R.C. 119.032 review dates: 03/13/2008 and 03/12/2013

Promulgated Under: 119.03

Statutory Authority: RC 4765.11

Rule Amplifies: RC 4765.16, 4765.24

Prior Effective Dates: 1/1/96; 2/22/99; 5/1/03

(A) In accordance with division (B) of section 4765.37 of the Revised Code, an EMT-basic may perform the following emergency medical services:

(1) Open and maintain the airway;

(2) Oropharyngeal airway adjunct;

(3) Nasopharyngeal airway adjunct;

(4) Obstructed airway management;

(5) Oral suctioning;

(6) Endotracheal suctioning;

(7) Oxygen administration, including the following:

(a) Nasal cannula;

(b) Non-rebreather mask;

(c) Mouth-to-barrier devices;

(8) Ventilation management, including the following:

(a) Bag valve mask;

(b) Ventilation with a flow-restricted oxygen powered device;

(9) Cardiopulmonary resuscitation;

(10) Automated external defibrillator;

(11) Spine board (long and short);

(12) Splinting devices;

(13) Traction splint;

(14) Cervical immobilization device;

(15) Rapid extrication procedures;

(16) Taking and recording of vital signs;

(17) Patient care report documentation;

(18) Emergency childbirth management;

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

(B) In accordance with division (C) of section 4765.37 of the Revised Code, an EMT-basic 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 or registered nurse designated by a physician, or in accordance with written protocols as specified in division (D) of section 4765.37 of the Revised Code.

(1) Pulse oximeter equipment application and reading;

(2) Orotracheal intubation of pulseless and apneic patients only;

(3) Dual lumen airway of pulseless and apneic patients only;

(4) Supraglottic airway of pulseless and apneic patients only;

(5) Continuous positive airway pressure (CPAP);

(6) End tidal carbon dioxide monitoring and detecting;

(7) Chest compression assist devices;

(8) Administration of aspirin;

(9) Pneumatic anti-shock garment;

(10) Helmet removal;

(11) Glucose monitoring system;

(12) Administration of oral glucose;

(13) Administration of activated charcoal;

(14) Assisted administration of epinephrine auto-injector, which shall consist of either of the following:

(a) Assisting with patient’s prescribed epinephrine upon the patient’s request and with written protocol;

(b) Assisting with EMS-provided epinephrine with verbal medical direction.

(15) Assisted administration of nitroglycerin, which shall consist of either of the following:

(a) Assisting with patient’s prescribed nitroglycerin upon the patient’s request and with written protocol;

(b) Assisting with EMS-provided nitroglycerin with verbal on-line medical direction.

(16) Assisted administration of metered dose inhaler, which shall consist of either of the following:

(a) Assisting with patient’s prescribed metered dose inhaler upon the patient’s request and with written protocol;

(b) Assisting with EMS-provided metered dose inhaler with verbal medical direction.

(17) Pre-hospital advanced life support assistance, to include the setting up of an intravenous administration kit in the presence of an EMT-intermediate or EMT-paramedic;

(18) Set up and application of a cardiac monitor in the presence of an EMT-intermediate or EMT-paramedic;

(19) Set up and application of a 12-lead electrocardiogram, in accordance with written protocols, in either of the following instances:

(a) When the EMT-basic is assisting an EMT-paramedic; or

(b) For the purpose of electronic transmission by the EMT-basic, provided the following conditions are met:

(i) The EMT-basic does not interpret the electrocardiogram;

(ii) The EMT-basic minimizes any delay of patient transport to obtain a 12-lead electrocardiogram;

(iii) The EMT utilizes the 12-lead electrocardiogram in conjunction with destination protocols approved by the local medical director.

(20) 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 EMT-basics 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 EMT-basic shall not perform emergency medical services within this rule unless the EMT-basic 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 EMT-basic scope of practice, were not included in the training specified in this paragraph, the EMT-basic must have received training regarding such services approved by the local medical director before performing those services.

Effective: 05/29/2008

R.C. 119.032 review dates: 03/23/2008

Promulgated Under: 119.03

Statutory Authority: 4765.11

Rule Amplifies: 4765.37

Prior Effective Dates: 3/23/03