[Comment: For dates and availability of material
incorporated by reference in this chapter and Chapters 4765-01 to 4765-10 and
4765-12 to 4765-19 of the Administrative Code, see rule 4765-1-03 of the
Administrative Code.]
(A) Effective September 1, 2012, an EMS
training program for a certificate to practice as a paramedic or a paramedic
refresher program started on or after this date, shall be conducted in
accordance with this rule. Prior to September 1, 2012, an EMS training program
for a certificate to practice as a paramedic or a paramedic refresher program
may, but is not required to, teach the curriculum in accordance with this
rule.
(B) An EMS training program for a
certificate to practice as a paramedic shall be in accordance with division (E)
of section 4765.16 of the Revised Code and this rule and shall require all
students complete an anatomy and physiology course as a prerequisite for
admission into the EMS training program for a certificate to practice as a
paramedic. 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 the scope of
practice set forth in rule 4765-17-03 of the Administrative Code. Such EMS
training program shall consist of at least nine hundred hours, to include all
of the following subject hours:
(1) At least five hundred
hours shall be devoted to the didactic and laboratory portion of the EMS
training program;
(2) At least four hundred
hours shall be devoted to the clinical and field training portion, to include
minimum skill set competency as outlined in paragraph (D) of this
rule.
(C) An EMS training program for paramedic
certification shall include all of the following subject areas:
(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;
(9) Patient
assessment;
(10) Medicine, to include
chest compression assist devices;
(11) Shock and
resuscitation;
(12) Trauma, to include
trauma triage determination pursuant to rule 4765-14-02 of the Administrative
Code;
(13) Special patient
populations;
(14) EMS
operations.
(D) In addition to meeting the
requirements in paragraphs (B) and (C) of this rule, during the EMS training
program, students must demonstrate competencies by successfully completing the
following skills on patients, unless otherwise noted:
(1) A minimum of ninety
patient assessments, to include:
(a) A minimum of fifty adult assessments;
(b) A minimum of thirty geriatric assessments;
(c) A minimum of ten pediatric assessments;
(d) Within the ninety patient assessments, the following must be
included:
(i) Fifteen chest
complaints;
(ii) Fifteen shortness of
breath complaints;
(iii) Fifteen abdominal
pain complaints;
(iv) Fifteen altered
mental status complaints.
(2) A minimum of fifteen
medication administrations, to include:
(a) A minimum of two intravenous medication
administrations;
(b) A minimum of one subcutaneous injection, which may be
completed on a mannequin or simulator;
(c) A minimum of three intramuscular injections;
(d) A minimum of five bronchodilator
administrations.
(3) A minimum of thirty
intravenous accesses and maintenance;
(4) Programs are expected
to provide live intubation experience when possible. At a minimum, students
shall be successful in any combination of live patients, high definition
fidelity simulations, low fidelity simulations or cadaver labs in all age
brackets. Each student shall perform:
(a) A minimum of ten direct adult orotracheal intubations
and ten direct pediatric orotracheal intubations as an individual student
competency evaluation in the laboratory;
(b) A minimum of two direct adult orotracheal intubations
and two direct pediatric orotracheal intubations as an individual student
competency evaluation in a laboratory scenario;
(5) A minimum of thirty
electrocardiogram interpretations;
(6) A minimum of fifty
advanced life support ambulance runs;
(7) A minimum of two
intraosseous initiations, which may be completed on a mannequin or
simulator;
(8) A minimum of one
manual defibrillation, which may be completed on a mannequin or
simulator.
(E) An accredited institution offering an
EMS training program, as outlined in paragraphs (B), (C), and (D) of this rule,
shall provide for regular written and practical skills evaluations of student
performance and achievement throughout the EMS training program. Evaluations
shall include a comprehensive written examination and an examination of
practical skills, prior to the issuance of a certificate of
completion.
(F) A paramedic refresher program shall
consist of at least forty-eight hours according to the "Paramedic
Refresher Training Program" education standards approved by the board for
the number of hours listed in each of the following subject areas:
(1) Twelve hours on
pediatric issues;
(2) Eight hours on trauma
issues, to include education on each of the following:
(a) The trauma triage determination pursuant to rule 4765-14-02
of the Administrative Code;
(b) Chest tube monitoring;
(c) Maintenance of blood products.
(3) Ten hours on medical
emergencies to include education on each of the following:
(a) Blood chemistry analysis;
(b) Morgan lens.
(4) Four hours on
geriatric issues;
(5) Six hours on cardiac
emergencies to include education on thrombolytic initiation and
monitoring;
(6) Fours hours on airway
and ventilation to include education on positive end-expiratory
pressure;
(7) Two hours on EMS
operations;
(8) Two hours on
obstetrics and gynecology.
(G) An accredited or approved institution
offering a refresher program, as outlined in paragraph (F) of this rule, shall
provide for regular evaluation of student performance and achievement through
written and practical testing, prior to issuance of a certificate of
completion.