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Ohio Laws and Rules
(A) The board shall evaluate whether first responders, EMTs-basic, EMTs-intermediate, and EMTs-paramedic may perform additional services beyond those contained in Chapter 4765. of the Revised Code and Chapters 4765-12, 4765-15, 4765-16, and 4765-17 of the Administrative Code.
(B) If the board approves additional services, it shall specify whether such services require prior written or verbal authorization. Additional services will be posted on the EMS scope of practice matrix located on the EMS web site at www.ems.ohio.gov. The board will also list any additional approved services in the respective first responder or EMT rules pertaining to scope of practice on a yearly basis.
HISTORY: Eff 12-30-04
Promulgated Under: 119.03
Statutory Authority: 4765.11
Rule Amplifies: 4765.11
R.C. 119.032 review dates: 11/13/2008 and 05/28/2013
(A) A training program for certification as a first responder. EMT-basic, EMT-intermediate, or EMT-paramedic shall meet all knowledge and skill objectives established by the board.
(B) The current national standard curriculum (NSC) as adopted by the United States department of transportation shall be used as a guideline for development of all EMS training curriculum.
(C) All EMS training programs shall be accredited or approved by the division pursuant to section 4765.15 of the Revised Code and this chapter, as directed by the board.
(D) All EMS training courses shall be taught by a person who holds a certificate to teach at the level appropriate for the course, pursuant to section 4765.16 of the Revised Code and this chapter.
(E) An accredited training program for EMT-intermediate or EMT-paramedic training with the approval of the program coordinator and program medical director may accept previous training of the student, by documenting the students competency in the objectives, as established by the board for the section that credit is given. The training program shall access the students competency through written and practical testing.
(1) Any student in an EMT-intermediate or EMT-paramedic training program given credit for previous training shall possess a certificate to practice as a EMT-basic issued by the board pursuant to section 4765.30 of the Revised Code prior to receiving credit for an EMT-intermediate or EMT-paramedic training program.
(2) No previous training credit shall be given to a student for certification as an EMT-basic or first responder.
R.C. 119.032 review dates: 11/13/2008 and 05/28/2013
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: 4765.16
Prior Effective Dates: 1/1/96, 2/22/99
In the event of an emergency declared by the governor that affects the public’s health, a first responder, EMT-basic, EMT-intermediate, or EMT-paramedic, certified in accordance with section 4765.30 of the Revised Code and Chapter 4765-8 of the Administrative Code, may perform immunizations and administer drugs or dangerous drugs, in relation to the emergency, provided the first responder or EMT is under physician medical direction and has received appropriate training regarding the administration of such immunizations and/or drugs.
Replaces: part of 4765-6-03
Effective: 07/02/2009
R.C. 119.032 review dates: 04/16/2014
Promulgated Under: 119.03
Statutory Authority: 4765.11, 4765.35, 4765.37, 4765.38, 4765.39
Rule Amplifies: 4765.35, 4765.37, 4765.38, 4765.39
Prior Effective Dates: 12/30/04, 9/1/05
(A) The board may allow first responders, EMTs-basic, EMTs-intermediate, or EMTs-paramedic to perform services beyond their respective scopes of practice, as set forth in Chapter 4765. of the Revised Code and rules 4765-12-04, 4765-15-04, 4765-16-04, and 4765-17-03 of the Administrative Code, pursuant to a board-approved research study.
(B) An entity applying to become a board-approved research study, in furtherance of paragraph (A) of this rule, must meet the following requirements:
(1) Submit a research proposal to the board, which shall include, at a minimum, goals and objectives, training requirements, participating entities, and implementation plan;
(2) Submit a written statement from the medical director(s) of the EMS organization(s) or training program(s) that supports the research study;
(3) Submit a written statement regarding how the research proposal contains activities outside the scope of practice and outline the mechanisms by which EMS providers will be trained in such skills or activities;
(4) Submit evidence that an institutional review board has approved the research study;
(5) Propose clear starting and ending dates for the research study;
(6) Agree to brief all participants on the specific boundaries within which the research study can or cannot be conducted;
(7) Upon request, appear before the board and/or board committees to answer additional questions or present additional information regarding the research study;
(8) Agree to maintain documentation of first responders and EMTs participating in the study throughout the duration of such study.
(C) The board is not obligated to approve a proposed research study. In addition, the board may amend the elements of a proposed study, including changing the starting and ending dates, before approving such study.
(D) Following completion of a board-approved research study, an entity must do the following:
(1) Submit a final written report, with conclusions and recommendations, to the board;
(2) Upon request, appear before the board and/or board committees to answer questions or present additional information regarding the research study.
(E) The board is not obligated to accept the entity’s recommendations to permanently amend the scope of practice for first responders, EMTs-basic, EMTs-intermediate, or EMTs-paramedic, based on the results of the research study.
(F) This rule does not apply to prehospital research conducted within the current scope of practice.
Effective: 05/29/2008
R.C. 119.032 review dates: 05/28/2013
Promulgated Under: 119.03
Statutory Authority: 4765.11
Rule Amplifies: 4765.35, 4765.37, 4765.38, 4765.39
A first responder, EMT-basic, EMT-intermediate, or EMT-paramedic, certified in accordance with section 4765.30 of the Revised Code and Chapter 4765-8 of the Administrative Code, may administer appropriate drugs in response to suspected or known exposure to a nerve or organophosphate agent provided the first responder or EMT is under physician medical direction and has received appropriate training regarding the administration of such drug. A first responder or EMT-basic shall be limited to administration of such drugs from a pre-filled auto-injector.
Replaces: part of 4765-6-03
Effective: 07/02/2009
R.C. 119.032 review dates: 04/16/2014
Promulgated Under: 119.03
Statutory Authority: 4765.11, 4765.35, 4765.37, 4765.38, 4765.39
Rule Amplifies: 4765.35, 4765.37, 4765.38, 4765.39
Prior Effective Dates: 12/30/04, 9/1/05
Rescinded eff 3-23-03