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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Chapter 4765-15 | EMT-Basics

 
 
 
Rule
Rule 4765-15-03 | Emergency medical technician continuing education.
 

[Comment: For dates and availability of material incorporated by reference in this chapter, see rule 4765-1-03 of the Administrative Code.]

(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 emergency medical technician shall comply with one of the four following continuing education requirements by the expiration date of the current certificate:

(1) Completion of at least forty hours of continuing education, including all of the following:

(a) Six hours on pediatric issues;

(b) Two hours on geriatric issues;

(c) A minimum of one hour on identifying and interacting with individuals with dementia;

(d) Eight hours on trauma issues.

(2) Completion of a thirty-hour emergency medical technician refresher program, as outlined in paragraph (C) of rule 4765-15-01 of the Administrative Code or in paragraph (D) of rule 4765-15-05 of the Administrative Code, as evidenced by a certificate of completion issued in accordance with section 4765.24 of the Revised Code.

(3) Current registration with the national registry of emergency medical technicians at the emergency medical technician or equivalent level and completion of the education on trauma triage determination pursuant to rule 4765-14-02 of the Administrative Code.

(4) A passing score within three attempts on an examination approved by the board, pursuant to rule 4765-8-05 of the Administrative Code, to demonstrate competence to have a certificate to practice as an emergency medical technician renewed without completing an EMS continuing education program. This examination may only be taken during the last six months of an emergency medical technician's current certification period or during a board approved extension granted pursuant to rule 4765-19-03 of the Administrative Code.

(B) An individual that receives a board approved extension to complete continuing education requirements listed in paragraph (A) of this rule, must complete the requirements and submit an "EMS Renewal Application" to the division, no later than the expiration date of the granted extension.

Last updated January 2, 2024 at 9:21 AM

Supplemental Information

Authorized By: 4765.11
Amplifies: 4765.16, 4765.24. 4765.31, 4765.162
Five Year Review Date: 8/1/2028
Prior Effective Dates: 2/22/1999, 7/2/2009, 10/18/2013
Rule 4765-15-04 | Emergency medical technician scope of practice.
 

(A) In addition to the emergency medical services listed in rule 4765-12-04 of the Administrative Code and in accordance with section 4765.37 of the Revised Code, an emergency medical technician may perform the following emergency medical services:

(1) Endotracheal suctioning through a previously established airway;

(2) Endotracheal suctioning through a stoma;

(3) Oxygen administration, including the following:

(a) Partial rebreather masks;

(b) Venturi masks.

(4) Ventilation management, to include the use of a positive pressure ventilation device, including the following:

(a) Manually triggered ventilators;

(b) Automatic transportation ventilators.

(5) Traction splint;

(6) Rapid extrication procedures.

(B) In accordance with division (B) of section 4765.37 of the Revised Code, an emergency medical technician may perform the following additional 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, physician assistant designated by a physician, or registered nurse designated by a physician, or in accordance with written protocols as specified in division (B) of section 4765.37 of the Revised Code:

(1) Pulse oximeter and capnography equipment application and reading;

(2) Dual lumen airway of pulseless and apneic patients only;

(3) Oxygen humidifier equipment application and monitoring;

(4) Extraglottic airway of pulseless and apneic patients only;

(5) Continuous positive airway pressure (CPAP);

(6) End tidal carbon dioxide monitoring and detecting;

(7) Chest compression assist devices;

(8) Negative impedance threshold devices;

(9) Administration of aspirin;

(10) Helmet removal;

(11) Glucose monitoring system;

(12) Administration of oral glucose;

(13) Administration of epinephrine auto-injector to a patient suffering from anaphylaxis;

(14) Assisted administration of sublingual nitroglycerin, which shall consist of either of the following:

(a) Assisting with patient's prescribed nitroglycerin upon the patient's request and with written protocol;

(b) Assisting with EMS-provided nitroglycerin with verbal medical direction.

(15) Assisted administration of aerosolized or nebulized medications, which shall consist of either of the following:

(a) Assisting with a patient's prescribed aerosolized or nebulized medications upon the patient's request and with written protocol;

(b) Assisting with EMS-provided aerosolized or nebulized medications with verbal medical direction.

(16) Prehospital advanced life support assistance, to include the setting up of an intravenous administration kit in the presence of an advanced emergency medical technician or paramedic;

(17) Transport of a central/peripheral intravenous access without an infusion;

(18) Set up and application of a cardiac monitor in the presence of an advanced emergency medical technician or paramedic;

(19) Set up and application of a twelve-lead electrocardiogram, in accordance with written protocols, in either of the following instances:

(a) When the emergency medical technician is assisting an paramedic; or

(b) For the purpose of electronic transmission by the emergency medical technician, provided the following conditions are met:

(i) The emergency medical technician does not interpret the electrocardiogram;

(ii) The emergency medical technician minimizes any delay of patient transport to obtain a twelve-lead electrocardiogram;

(iii) The EMT utilizes the twelve-lead electrocardiogram in conjunction with destination protocols approved by the local medical director.

(20) Any other services approved by the board pursuant to rule 4765-6-01 of the Administrative Code;

(21) 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.

(C) The utilization of waveform capnography is mandatory for all patients requiring invasive airway devices with the exception of stable patients with no cardiac or pulmonary complaints or symptoms unless ordered by the transferring physician.

As used in this rule, an invasive airway device is any airway device inserted or pre-positioned into a patient's airway by means of the mouth, directly into the trachea, or into the trachea by means of a tracheostomy tube, cricothyrotomy or nasotracheal intubation. Dual lumen and extraglottic airways, even though they are blindly inserted into the hypopharynx or the esophagus, are considered invasive airway devices.

(D) 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 emergency medical technicians 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.

(E) An emergency medical technician shall not perform emergency medical services within this rule unless the emergency medical technician 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 emergency medical technician scope of practice, were not included in the training specified in this paragraph, the emergency medical technician must have received training regarding such services approved by the local medical director before performing those services.

Last updated January 2, 2024 at 9:22 AM

Supplemental Information

Authorized By: 4765.11, 4765.37
Amplifies: 4765.37
Five Year Review Date: 8/1/2028
Rule 4765-15-05 | Emergency medical technician curriculum.
 

[Comment: For dates and availability of material incorporated by reference in this chapter, see rule 4765-1-03 of the Administrative Code.]

(A) An EMS training program for a certificate to practice as an emergency medical technician shall be conducted in accordance with division (C) of section 4765.16 of the Revised Code and this rule. The EMS training program shall be conducted in accordance with the "National EMS Education Standards" approved by NHTSA, the "Ohio Approved EMS Curriculum Standards" approved by the board, and consistent with the scope of practice set forth in rule 4765-15-04 of the Administrative Code. The national and Ohio approved standards referenced in this paragraph are required core competencies for instruction in an EMS training program. Elements of the scope of practice not referenced in the "National EMS Education Standards" or the "Ohio Approved EMS Curriculum" are added competencies that may be taught at the discretion of the EMS training program. Such EMS training program shall consist of a minimum of one hundred fifty hours to include all of the following:

(1) Preparatory;

(2) Anatomy and physiology;

(3) Medical terminology;

(4) Physiology;

(5) Life span development;

(6) Public health;

(7) Pharmacology;

(8) Airway management, respiration, and artificial ventilation, to include:

(a) Insertion of extraglottic and dual lumen airway devices on apneic and pulseless patients;

(b) Endotracheal suctioning through a stoma;

(c) Continuous positive airway pressure device administration and management;

(d) Flow restricted oxygen powered device;

(e) End tidal carbon dioxide monitoring and detection;

(f) Pulse oximeter and capnography equipment application and reading;

(g) Use of a positive pressure ventilation device:

(i) Manually triggered ventilators;

(ii) Automatic transportation ventilators;

(9) Negative impedance threshold devices;

(10) Patient assessment;

(11) Medicine, to include:

(a) Blood glucose monitoring;

(b) Chest compression assist device;

(c) Epinephrine auto-injection administration;

(d) Naloxone administration via auto-injector and intranasal route;

(e) Transport of a central/peripheral intravenous access without an infusion;

(12) Shock and resuscitation;

(13) Trauma, to include:

(a) Care and transportation of a trauma patient;

(b) Helmet removal;

(c) Trauma triage determination pursuant to rule 4765-14-02 of the Administrative Code.

(14) Special patient populations;

(15) Two hours on identifying and interacting with individuals with dementia;

(16) EMS operations;

(17) Clinical experience, to include:

(a) At least ten hours devoted to combined hospital and prehospital clinical internship;

(b) At least ten patient assessments to include one pediatric patient assessment.

(B) An accredited institution offering an EMS training program as set forth in paragraph (B) of this rule, shall provide for regular written and practical evaluations of student performance and achievement throughout the course of the program. Evaluations shall include a comprehensive written examination and an examination of practical skills, prior to issuance of a certificate of completion.

(C) An emergency medical technician refresher program shall consist of thirty hours according to the "Emergency Medical Technician Refresher Training Program" education standards approved by the board for the number of hours listed in each of the following subject areas:

(1) Seven hours on trauma issues;

(2) Six hours on pediatric issues;

(3) Six hours on medical emergencies;

(4) Two hours on geriatric issues;

(5) One hour on identifying and interacting with individuals with dementia;

(6) Two hours on cardiology;

(7) Two hours on airway and ventilation to include education of positive pressure ventilation devices;

(8) Two hours on EMS operations;

(9) Two hours on obstetrics and gynecology.

(D) An accredited or approved institution offering a refresher program, outlined in paragraph (D) of this rule, shall provide for regular evaluation of student performance and achievement through written and practical examinations, prior to issuance of a certificate of completion.

Last updated January 2, 2024 at 9:22 AM

Supplemental Information

Authorized By: 4765.11
Amplifies: 4765.16, 4765.162
Five Year Review Date: 8/1/2028
Prior Effective Dates: 10/18/2013