Chapter 4765-17 EMT-Paramedics

(A) A training program for EMT-paramedic certification shall be in accordance with division (E) of section 4765.16 of the Revised Code, and shall follow the United States department of transportation (USDOT) 1998 EMT-paramedic national standard curriculum, which can be located at the following web site: http://www.nhtsa.dot.gov/people/injury/ems/nsc.htm. Such program shall be between six hundred and eight hundred hours, allocated as follows:

(1) Two hundred to two hundred seventy hours shall be devoted to the didactic portion of the course:

(2) Four hundred to five hundred thirty hours shall be devoted to lab, clinical, and field training:

(3) A ten percent adjustment between didactic and lab, clinical, and field training hours is permitted.

(B) If the advisory board of an accredited training program approves the supplemental modules in the USDOT national standard curriculum, the training program may be increased with approval of the EMS board.

(C) An EMT-paramedic refresher course shall consist of forty-eight hours according to objectives approved by the board for the number of hours listed in each of the following subject areas:

(1) Twelve hours on pediatric issues:

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

(3) Ten hours on medical emergencies:

(4) Four hours on geriatric issues:

(5) Six hours on cardiology:

(6) Four hours on airway and ventilation:

(7) Two hours on EMS operations:

(8) Two hours on obstetrics and gynecology.

(D) 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.

Replaces: Former 4765-6-05

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

Prior Effective Dates: 1/1/96; 3/1/01; 3/2/03

(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-paramedic shall document compliance with one of the four following education requirements:

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

(a) Twelve hours on pediatric issues;

(b) Four 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 board triage and transportation protocols approved by the board;

(d) Twelve hours on emergency cardiac care, which may be satisfied upon successful completion of an advanced cardiac life support course of the American heart association, the American safety and health institute, or an equivalent program approved or designated by the board.

(2) Completion of an EMT-paramedic refresher course, as outlined in paragraph (C) of rule 4765-17-01 of the Administrative Code, which will satisfy forty-eight hours of the required ninety-two hours of continuing education.

(3) Current registration with the national registry of emergency medical technicians at the EMT-paramedic 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-paramedic renewed without completing an EMS continuing education program. This examination may only be taken during the last six months of an EMT-paramedic’s current certification period.

Replaces: Former 4765-8-08

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; 4/28/02; 3/23/03

(A) In addition to the skills listed in rules 4765-15-04 and 4765-16-04 of the Administrative Code, and in accordance with section 4765.39 of the Revised Code, an EMT-paramedic may perform the following 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 (C) of section 4765.39 of the Revised Code:

(1) Tracheostomy tube replacement and suctioning;

(2) Orotracheal intubation;

(3) Nasotracheal intubation;

(4) Cricothyrotomy (surgical);

(5) Cricothyrotomy (needle);

(6) Dual lumen airway;

(7) Supraglottic airway;

(8) Ventilatory management of patients sixteen years of age or older;

(9) Transcutaneous cardiac pacing;

(10) Administration of cardiac medication;

(11) Cardioversion;

(12) 12-lead electrocardiogram performance and interpretation;

(13) Administration of nitroglycerin;

(14) Administration of nebulized medication;

(15) Needle decompression of the chest;

(16) Placement of nasogastric or orogastric tubes;

(17) Administration of other medications pursuant to written protocols;

(18) Intravenous infusion pump.

(19) 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.

(B) 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-paramedics 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.

(C) An EMT-paramedic shall not perform emergency medical services within this rule unless the EMT-paramedic 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-paramedic scope of practice, were not included in the training specified in this paragraph, the EMT-paramedic 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: 4765.39

Prior Effective Dates: 3/23/03