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(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: 01/12/2009
(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: 01/12/2004 and 01/12/2009
Promulgated Under: 119.03
Statutory Authority: R.C. 4765.11
Rule Amplifies: 4765.16
Prior Effective Dates: 1/1/96, 2/22/99
(A) 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.
(B) 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 drugs or dangerous drugs contained within a nerve agent antidote auto-injector kit, including a MARK I kit, 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 drugs within the nerve agent antidote auto-injector kit.
Effective: 09/01/2005
R.C. 119.032 review dates: 01/12/2009
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: 12/30/2004
(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) An EMT intubation training program shall consist of twelve hours allocated as follows:
(1) Four hours devoted to airway and ventilation assessment in adult and pediatric patients;
(2) Two hours devoted to pathophysiology of the airway, ventilation, and respiration;
(3) Four hours devoted to the mechanics of intubation;
(4) Two hours of written and practical certification testing.
(B) An EMT AED training program shall consist of six hours allocated as follows:
(1) One hour devoted to review of cardiopulmonary resuscitation;
(2) Three hours devoted to the application, operation, and maintenance of AED equipment;
(3) One hour devoted to communication, documentation, and medical direction in the AED process;
(4) One hour of written and practical certification testing.
(C) An EMT epinephrine training program shall consist of one hour including the following:
(1) Pathophysiology of anaphylactic reaction;
(2) Pharmacology of epinephrine;
(3) Assessment and care of adult and pediatric patients with allergic reactions;
(4) Practical application of subcutaneous autoinjection for EMT-basic and subcutaneous injection for EMT-intermediate;
(5) Written and practical certification testing.
(D) An EMT cardiac monitoring and manual defibrillation training program shall consist of twenty hours allocated as follows:
(1) One hour devoted to assessment and management of the cardiac patient;
(2) Two hours devoted to anatomy, physiology, pathophysiology, and electrophysiology of the heart;
(3) Eight hours devoted to cardiac monitoring and electrocardiogram interpretation;
(4) Six hours devoted to electrical intervention to support or correct the cardiac function;
(5) Three hours of written and practical certification testing.
(E) A person who, on the effective date of this chapter, holds a valid certificate of competency issued under former section 3303.15 of the Revised Code, may attain the standards set forth in section 4765.16 of the Revised Code and required for renewal of a certificate to practice as an EMT-basic by successfully completing a bridge course that includes both of the following:
(1) All the requirements set forth in paragraphs (A), (B), and (C) of this rule;
(2) An additional seven hours in the area of patient assessment.
(F) An EMT-intermediate interosseous (IO) infusion training program shall consist of three hours allocated as follows:
(1) Pathophysiology of interosseous infusion;
(2) Mechanics of interosseous (IO);
(3) Course completion exam.
(G) A person who, on the effective date of this chapter, holds a valid certificate of competency issued under former section 3303.15 of the Revised Code, may attain the standards set forth in section 4765.16 of the Revised Code and required for renewal of a certificate to practice as an EMT-intermediate by successfully completing a course in each area of deficiency that includes the following:
(1) All the requirements set forth in paragraphs (A), (B), (C), (D), and (F) of this rule;
(2) An additional seven hours in the area of patient assessment.
(H) A person who, on the effective date of this chapter, holds a certificate of competency issued under former section 3303.15 of the Revised Code, may elect to complete the AED training program set forth in paragraph (B) of this rule as a program prior to, or separate from, other components of the bridge course as set forth in this rule.
HISTORY: Eff 2-1-96; 2-22-99
Rule promulgated under: RC Chapter 119.
Rule authorized by: RC 4765.11
Rule amplifies: RC 4765.16
119.032 rule review date: January 25, 1999, January 25, 2004