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Ohio Laws and Rules
Rescinded eff 11-29-07
(A) The board shall issue a certificate of accreditation pursuant to section 4765.17 of the Revised Code and this chapter, to any applicant who is of good reputation and demonstrates that the EMS training program for which the applicant seeks accreditation meets the following requirements:
(1) Has submitted a complete application in a format approved by the board;
(2) Has an authorizing official with good reputation who assumes responsibility for the following:
(a) Serves as program director or designates a person of good reputation to serve as program director;
(b) Administers and operates the EMS training program;
(c) Complies with all rules and laws applicable to EMS training and the EMS training program;
(d) Performs ongoing review and maintains written evaluation of the program content and instructors;
(e) Maintains written documentation of regular evaluations of student performance and achievement throughout the course;
(f) Assigns faculty responsibilities and scheduling of program courses;
(g) Defines the role and objectives of student preceptors;
(h) Assures courses offered within an EMS training program are developed under the direction of a physician who specializes in emergency medicine and each course that deals with trauma care is developed in consultation with a physician who specializes in trauma surgery;
(i) Prepares or approves all documents required to be submitted for accreditation;
(j) Issues a certificate of completion, pursuant to section 4765.24 of the Revised Code, to each student who successfully completes the EMS training program and passes the course final written and practical examinations. Such certificate shall include, but is not limited to the following information:
(i) Certificate of accreditation number;
(ii) Program director’s signature;
(iii) Student’s name;
(iv) Date course completed;
(v) Number of hours completed;
(vi) Course title.
(k) Performs ongoing review and maintains written evaluation of clinical and prehospital internship sites.
(3) Has a program medical director who assists in the development of the medical components of the training program.
(4) Meets the curriculum requirements for certification as a first responder, EMT-basic, EMT-intermediate or EMT-paramedic as set forth in section 4765.16 of the Revised Code and Chapters 4765-12, 4765-15, 4765-16 and 4765-17 of the Administrative Code.
(5) Utilizes EMS instructors who hold a valid and current certificate to teach and are certified or licensed at a level equal to or above the level of certification the person is instructing;
(6) Has a sufficient number of EMS instructors to ensure the ratio of instructors to students in all practical skills components of the EMS training program does not exceed one to ten;
(7) Has established an advisory committee consisting of the program director, program medical director, clinical experience and prehospital internship preceptors, instructors, and EMS providers that meets at least once each year, based on the accreditation cycle;
(8) Maintains financial resources adequate for the satisfactory delivery of the EMS training program as set forth in section 4765.16 of the Revised Code and Chapters 4765-12, 4765-15, 4765-16 and 4765-17 of the Administrative Code.
(9) Has and maintains one fixed geographic location where an EMS accredited institution operates and where EMS training is conducted, and one office in a fixed geographic location where records are maintained except as provided in rule 4765-7-05 of the Administrative Code;
(a) The fixed geographic location of the EMS accredited institution and office shall not consist of a house trailer, tent, temporary stand, post office box, rooming house or apartment;
(b) The fixed geographic location of the EMS accredited institution and office shall not be within a residence or in a room in a hotel or motel.
(10) Has adequate classroom and laboratory facilities to accommodate the number of students participating in the program;
(11) Provides classroom environments that are safe, sanitary and conducive to learning;
(12) Possesses, or has affiliation agreements for use of, equipment to adequately train EMS students to meet the course requirements of section 4765.16 of the Revised Code and Chapters 4765-12, 4765-15, 4765-16 and 4765-17 of the Administrative Code;
(13) Possesses current and valid written affiliation agreements with each organization that provides any EMS student a clinical experience and/or prehospital internship required by the EMS training program;
(14) Possesses current and valid written affiliation agreements with clinical and/or prehospital organizations to assure sufficient training opportunities for EMS students to meet the course requirements of section 4765.16 of the Revised code and the curriculum requirements of Chapters 4765-12. 4765-15, 4765-16 and 4765-17 of the Administrative Code.
(15) Utilizes a sufficient number of preceptors to provide appropriate supervision and written evaluation of students in both the clinical experience and or prehospital internship components of the EMS training program;
(16) Has an established office area for use by program faculty and instructors;
(17) Has informational resources available to all students and faculty that contain comprehensive, current publications, media materials, and electronic resources relating to emergency medical services;
(18) Requires a student to possess and maintain a current and valid Ohio certificate to practice as an EMT-basic, at a minimum, prior to the start of any an EMT-intermediate or EMT-paramedic training program;
(19) Shall allow a student who is at least seventeen years old, who is enrolled in the twelfth or final grade in a secondary school program and who otherwise meets the requirements for admission into the EMS training program to be admitted and to complete the EMT basic training program;
(20) Has written policies that are made available to students identifying all of the following:
(a) Admission requirements;
(b) Prohibition of discrimination in acceptance of students on the basis of race, color, religion, sex, or national origin;
(c) Costs associated with the training program, including tuition, materials, fees;
(d) Refund of tuition payments;
(e) Information regarding course schedules, subject areas content, and objectives approved by the board;
(f) Criteria for successful completion of each component of the curriculum;
(g) Criteria for successful completion of the full training program;
(h) Methodology used in determining grades;
(i) Attendance requirements;
(j) Requirements or restrictions regarding student attire;
(k) Procedures for voluntary student withdraws from the program;
(l) Grounds for dismissal from the program;
(m) Disciplinary and grievance procedures including mechanism for appeals;
(n) Health care services available to students by or through the accredited institution;
(o) Requirement that students are not used to meet minimum staffing requirements or in substitution for essential personnel in a clinical experience or prehosptial internship setting;
(p) Requirement that all students are notified of the process for obtaining a certificate to practice under section 4765.30 of the Revised Code and Chapter 4765-8 of the Administrative Code, and that an Ohio certificate to practice may not be granted if the individual fails to meet the qualifications for a certificate to practice set forth in rule 4765-8-01 of the Administrative Code.
(B) An EMS accredited institution or applicant for a certificate of accreditation shall:
(1) Allow access by the division, during regular business hours and at all other reasonable times, to conduct an inspection of students’ EMS training records and all EMS instructor records for accreditation purposes;
(2) Allow the division to review the program materials and monitor the testing process utilized by the EMS training program;
(3) Maintain written documentation of all EMS training courses including the following:
(a) EMS continuing education programs;
(b) EMS instructor training courses:
(c) EMS courses taught at an offsite location.
(4) Submit an annual report each year from the date the initial certificate of accreditation was issued by the board.
(C) An EMS accredited institution shall retain written or electronic files in a secure location with the following documentation for each course offered by the institution:
(1) Course schedules, lesson plans, and policies in compliance with this rule;
(2) Written documentation of valid EMS instructor certification and provider certification or license in compliance with this rule;
(3) Written affiliation agreements as outlined in this rule and documentation of compliance with terms therein;
(4) Minutes of advisory committee meetings including an agenda and attendance record for each meeting that is conducted in accordance with this rule;
(5) Attendance records for each EMS training course conducted by an EMS accredited institution showing completion of the required hours as determined by the EMS training program;
(6) Evaluations of student cognitive performance;
(7) Evaluations of student in-class and final practical skills performance;
(8) Preceptor evaluations of student performance;
(9) Records of clinical skills requirements;
(10) Documentation of program director and program medical director approval and credit given to a student for previous training by an EMT-intermediate or EMT-paramedic training program in accordance with rule 4765-6-02 of the Administrative Code
(11) Student evaluations of course and instructors;
(12) Accident and injury reports;
(13) Documentation of a current and valid certificate to practice or license and current and valid certificate to teach for each EMS instructor utilized in the EMS training program;
(D) A certificate of accreditation issued under paragraph (A) of this rule shall be valid for three years and may be renewed pursuant to rule 4765-7-07 of the Administrative Code.
(E) The EMS accredited institution shall maintain all documentation required in this rule for the duration of the current accreditation cycle and for one previous accreditation cycle.
Replaces: Former 4765-7-02
Effective: 11/29/2007
R.C. 119.032 review dates: 11/28/2008
Promulgated Under: 119.03
Statutory Authority: 4765.11
Rule Amplifies: 4765.16, 4765.17
Prior Effective Dates: 1/1/96, 2/22/99, 3/23/03
Rescinded eff 11-29-07
(A) An applicant for a certificate of accreditation shall submit a completed application on a form approved by the board.
(B) An application that is not filled out in the manner as specified on the application will be deemed incomplete. Incomplete applications will not be considered and will be returned to the applicant with the notation that the application is incomplete.
Replaces: Former 4765-7-04
Effective: 11/29/2007
R.C. 119.032 review dates: 11/28/2008
Promulgated Under: 119.03
Statutory Authority: 4765.11
Rule Amplifies: 4765.15
Prior Effective Dates: 1/1/96, 2/22/99
(A) Pursuant to division (E) of section 4765.17 of the Revised Code, an EMS accredited institution or EMS approved institution may offer courses at different locations from the location listed in the application for accreditation or the application for approval provided that all of the following apply:
(1) The accredited institution or approved institution continues to operate at the location identified in the application for certificate of accreditation or certificate of approval;
(2) Each offsite location where the program is offered meets the minimum standards for either accreditation, set forth in rule 4765-7-02 of the Administrative Code, or approval, set forth in rule 4765-7-09 of the Administrative Code.
(B) Files and records of students enrolled in an EMS training program or EMS continuing education program course may be maintained in a secure area at the offsite location until the course is completed, at which time all student files and records must be maintained at the site of the accredited institution or approved institution. The records shall be surrendered to the accredited or approved institution no later than ninety days after the final day of the course.
(C) The accredited institution or approved institution shall maintain a current, valid certificate of accreditation or certificate of approval, respectively, in order to offer courses at an offsite location.
(D) If an accredited institution or approved institution is under disciplinary action by the board, such institution shall obtain board approval before offering courses at a new offsite location.
Replaces: Former 4765-7-05
Effective: 11/29/2007
R.C. 119.032 review dates: 11/28/2008
Promulgated Under: 119.03
Statutory Authority: 4765.11
Rule Amplifies: 4765.16
Prior Effective Dates: 1/1/96, 2/22/99
(A) An EMS accredited institution or EMS approved institution shall provide written notice to the division no later than ten days after any of the following changes occur in the institution for which the certificate of accreditation or certificate of approval was issued:
(1) Mailing address and or/physical location;
(2) Authorizing official name and/ or contact information;
(3) Program director name and/or contact information;
(4) Program medical director name and/or contact information.
(B) An EMS accredited institution or EMS approved institution may not increase the number of hours included in the EMS training program without first providing written notice of the proposed changes to the board.
Replaces: Former 4765-7-06
Effective: 11/29/2007
R.C. 119.032 review dates: 11/28/2008
Promulgated Under: 119.03
Statutory Authority: 4765.11
Rule Amplifies: 4765.15, 4765.16
Prior Effective Dates: 1/1/96, 2/22/99
(A) No later than ninety days prior to its expiration, the division shall distribute an application for renewal to each person who has been issued a certificate of accreditation under section 4765.17 of the Revised Code and this chapter.
(B) The application for renewal shall clearly indicate the date by which it must be completed and returned to the division.
(C) The board shall renew a certificate of accreditation if all of the following apply:
(1) The application for renewal is completed and submitted to the division no later than the thirtieth day prior to expiration of the current certificate;
(2) The program remains in compliance with the requirements for accreditation as set forth in section 4765.17 of the Revised Code and this chapter;
(3) During the accreditation cycle for the EMS training program being renewed, not less than eighty per cent of the institution’s students who took the written portion of the initial certification examination received a passing score.
(D) In considering an application for renewal of a certificate of accreditation, the board may consider all information relevant to the requirements for accreditation as set forth in section 4765.16 of the Revised Code and this chapter.
(E) Eighteen months after the effective date of this rule, the board shall review the passing percentage requirement established in paragraph (C)(3) of this rule to determine whether the requirement needs to be amended. No later than twenty-four months after the effective date of this rule, the board shall determine whether the above passing percentage requirement needs to be amended and if so, shall have draft rule language prepared for final approval.
Effective: 03/08/2007
R.C. 119.032 review dates: 01/12/2009
Promulgated Under: 119.03
Statutory Authority: 4765.11
Rule Amplifies: 4765.15
Prior Effective Dates: 1/1/96, 2/22/99
A certificate of accreditation or a certificate of approval that has expired may be reinstated by the board if all of the following apply:
(A) Application for reinstatement is made no later than one year after the certificate of accreditation or certificate of approval has expired;
(B) The board determines that the applicant for reinstatement is in compliance with the requirements of sections 4765.16 and 4765.17 of the Revised Code and this chapter;
(C) The certificate of accreditation or certificate of approval was not under investigation for violations of Chapter 4765. of the Revised Code or this chapter at the time the certificate expired.
Replaces: Former 4765-7-08
Effective: 11/29/2007
R.C. 119.032 review dates: 11/28/2008
Promulgated Under: 119.03
Statutory Authority: 4765.11
Rule Amplifies: 4765.17
Prior Effective Dates: 1/1/96, 2/22/99
(A) A person who has been issued a certificate of accreditation under section 4765.17 of the Revised Code and this chapter shall be permitted to offer an EMS continuing education program.
(B) The division shall issue a certificate of approval to offer an EMS continuing education program pursuant to section 4765.17 of the Revised Code as directed by the board, to any applicant who is of good reputation and who meets the following requirements:
(1) Has a program coordinator who assumes general responsibility for administering and operating the program;
(2) Has a program medical director who assumes responsibility for the medical components of the program;
(3) Instruction will be provided by instructors who hold a certificate to teach issued under section 4765.23 of the Revised Code that is appropriate to the level of programs to be taught;
(4) Has sufficient classroom and laboratory facilities to accommodate the number of participants in each program;
(5) Requires that attendees at each program complete a program evaluation form;
(6) Issues a certificate of completion to each participant who completes the program.
(C) Each applicant who is issued a certificate of approval to offer an EMS continuing education program shall maintain records for each program that document the following:
(1) Date, time, location, and topic of each program offered;
(2) Name and credentials of each instructor participating in a program;
(3) List of participants who attended the program;
(4) A summary of the assessment and evaluation forms submitted for each program.
(D) Each application for a certificate of approval shall be made on a form prescribed by the division and shall include, at a minimum, the following information:
(1) The names of the program coordinator and program medical director;
(2) The address of any sites at which it intends to conduct programs;
(3) Documentation of compliance with the requirements of this chapter.
(E) A certificate of approval issued pursuant to section 4765.17 of the Revised Code and this chapter shall be valid for three years.
(F) The division shall renew a certificate of approval if the holder submits to the division not later than ninety days prior to expiration of the current certificate of approval, documentation of continued compliance with the requirements set forth in this chapter as directed by the board.
(G) A certificate of approval that has expired may be reinstated by the division, as directed by the board if both of the following apply:
(1) Application for reinstatement is made no later than ninety days after the certificate of approval expired;
(2) The division determines that the application for reinstatement is in compliance with the requirements of section 4765.16 of the Revised Code and this chapter as directed by the board.
(H) No fee shall be charged for an application or renewal of a certificate of approval however the board may annually establish a fee for reinstatement of a certificate of approval that has expired.
R.C. 119.032 review dates: 01/12/2004 and 01/12/2009
Promulgated Under: 119.03
Statutory Authority: RC 4765.11
Rule Amplifies: RC 4765.15, 4765.16
Prior Effective Dates: 1/1/96, 2/22/99
(A) The board is not obligated to reinstate a certificate of accreditation or a certificate of approval that has been previously revoked by the board.
(B) The board shall not reinstate a certificate of accreditation or a certificate of approval that has been permanently revoked.
(C) The board shall not reinstate a certificate of accreditation or a certificate of approval that has been revoked less than one year from the date on which the board order revoking such certificate of accreditation or certificate of approval is journalized with the board.
(D) A certificate of accreditation or certificate of approval that has been revoked by the board for at least one year but no more than three years is eligible for reinstatement after one year from the date the order revoking the certificate was journalized with the board. In order to be reinstated, the institution must meet all requirements for a certificate of accreditation or a certificate of approval as outlined in Chapter 4765-7 of the Administrative Code.
(E) In addition to having the applicant meet requirements set forth in this chapter, the board may also take into consideration other relevant factors, including but not limited to he following, when determining whether to grant a request for reinstatement:
(1) The nature and severity of the acts which resulted in revocation of the certificate of accreditation or certificate of approval;
(2) The time lapsed since the revocation;
(3) Compliance with previous board orders or board approved consent agreements.
Effective: 11/29/2007
R.C. 119.032 review dates: 11/28/2008
Promulgated Under: 119.03
Statutory Authority: 4765.11
Rule Amplifies: 4765.15, 4765.16
(A) When accredited and approved institutions provide courses for continuing education credit, the institution shall meet all of the requirements set forth in this rule, this chapter and rule 4765-19-01 of the Administrative Code.
(B) Each course shall be related to EMS operations or patient care.
(C) Each EMS continuing education course shall be taught by a certified EMS instructor except as provided in paragraphs (H)(2) and (H)(4) of this rule.
(D) The accredited or approved institution shall issue a certificate of completion to each student upon successful completion of the course. The certificate of completion shall include the following information:
(1) Certificate of accreditation or certificate of approval number;
(2) Program director’s signature;
(3) Student’s name;
(4) Date on which the course was completed;
(5) Number of hours completed, to include specialty hours;
(6) Course title.
(E) A single session of continuing education shall be at least one-half contact hour.
(F) The accredited or approved institution shall set forth and maintain written documentation of clear objectives, course content and method of delivery for each continuing education course.
(G) The approved or accredited institution shall assign continuing education credit to a course according to a formula whereby fifty to sixty minutes of training will equal one contact hour and twenty-five to thirty minutes will equal one-half contact hour.
(H) In accordance with rule 4765-19-01 of the Administrative Code, accredited or approved institutions may provide continuing education courses in any of the following formats:
(1) Instruction in a traditional classroom environment or a seminar setting;
(2) Online education, as defined in rule 4765-1-01 of the Administrative Code. Online education courses shall consist of all of the following:
(a) An online education course shall have prior written approval of medical content from the program medical director;
(b) Each course shall have written documentation of clear objectives, course content and method of delivery;
(c) Each course shall have prior approval from the program director;
(d) Each course shall be developed by an EMS instructor;
(e) Each course shall include a testing process. Testing shall be completed prior to the issuance of a certificate of completion.
(3) Distance learning, as defined in rule 4765-1-01 of the Administrative Code. Distance learning courses shall consist of all of the following:
(a) A distance learning course shall have prior written approval of medical content from the program medical director;
(b) Each course shall have written documentation of clear objectives, course content and method of delivery;
(c) Each course shall have prior approval from the program director;
(d) Each course shall be developed by an EMS instructor;
(e) Each course shall include a testing process. Testing shall be completed prior to the issuance of a certificate of completion.
(4) Journals, publications or electronic media formats including compact discs, digital video discs, video home system tapes, or other technological media as approved by board, and which shall include a testing process;
(5) A skills practicum course which shall include an evaluation of skills performance;
(6) Other formats as approved by the board;
(7) Independent study, as set forth in rule 4765-7-11 of the Administrative Code, shall only be conducted through an EMS accredited or EMS approved institution. Independent study courses shall include all of the following:
(a) An independent study course shall have prior written approval of medical content from the program medical director;
(b) Each course shall have written documentation of clear objectives, course content and method of delivery;
(c) Each course shall have prior approval from the program director;
(d) Each course shall be developed by an EMS instructor;
(e) Each course shall include a testing process. Testing shall be completed prior to the issuance of a certificate of completion.
(I) The accredited or approved institution shall maintain documentation of each continuing education course in accordance with rules 4765-7-02 and 4765-7-09 of the Administrative Code, respectively.
(J) The accredited or approved institution shall maintain documentation of compliance with all requirements set forth in rules 4765-7-02 and 4765-7-09 of the Administrative Code, respectively.
(K) Ohio first responder and EMT refresher courses, as outlined in rules 4765-12-02, 4765-15-01, 4765-16-01 and 4765-17-01 of the Administrative Code, shall be conducted in a traditional classroom environment unless otherwise approved by the board.
Effective: 12/27/2007
R.C. 119.032 review dates: 12/26/2012
Promulgated Under: 119.03
Statutory Authority: 4765.11, 4765.16
Rule Amplifies: 4765.24, 4765.31