4765-17-03 EMT-paramedic scope of practice.

(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