[Comment: For dates and availability of material
incorporated by reference in this chapter, see rule 4765-1-03 of the
Administrative Code.]
(A) Effective September 1, 2012, an EMS
training program for a certificate to practice as an emergency medical
responder or an emergency medical responder refresher program started on or
after this date, shall be taught in accordance with this rule. Prior to
September 1, 2012, an EMS training program for a certificate to practice as an
emergency medical responder or an emergency medical responder refresher program
may, but is not required to, teach the curriculum in accordance with this
rule.
(B) An EMS training program for emergency
medical responder certification shall be conducted in accordance with division
(B) 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 4765-12-04 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 forty-eight hours to include all of the
following:
(1) Preparatory; to
include body substance isolation precaution/administration;
(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) Bag valve mask;
(b) Ventilation with flow restricted oxygen powered
device;
(c) Pulse oximeter capnography or capnometry equipment
application and reading.
(9) Patient
assessment;
(10) Medicine, to
include:
(a) Auto-injector epinephrine administration;
(b) Naloxone administration via auto-injector or intranasal
route;
(c) Oxygen administration;
(11) Shock and
resuscitation;
(12) Trauma, to
include:
(a) Application of spinal immobilization devices;
(b) Application of splints and management of suspected
fractures;
(c) Trauma triage determination pursuant to rule 4765-14-02 of
the Administrative Code.
(13) Special patient
populations;
(14) A minimum of two hours on identifying and interacting
with individuals with dementia;
(15) EMS operations.
(C) 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.
(D) An accredited institution may grant a
maximum of four hours of credit towards the forty-eight hour emergency medical
responder training program requirements, set forth in paragraph (B) of this
rule, if the student provides current, valid documentation of successful
completion of a health care provider course or professional rescuer course
provided through one of the following:
(1) American red
cross;
(2) American heart
association; or
(3) American safety and
health institution.
(E) An emergency medical responder
refresher program shall consist of fifteen hours according to the
"Emergency Medical Responder Refresher Training Program" approved by
the board, for the number of hours in each of the following subject
areas:
(1) Two hours on
preparatory considerations;
(2) Two hours on airway
management and ventilation, to include oxygen therapy;
(3) Two hours on patient
assessment;
(4) Two hours on cardiac
management, to include cardiopulmonary resuscitation and automated
defibrillation;
(5) Two hours on illness
and injury management, to include both of the following:
(a) Assisting patients with epinephrine
auto-injectors;
(b) Eye irrigation.
(6) One hour on
childbirth and pediatric issues;
(7) One hour on geriatric
issues;
(8) One hour on identifying and interacting with
individuals with dementia;
(9) Two hours on trauma
issues.
(F) An accredited or approved institution
offering a refresher program, as outlined in paragraph (E) of this rule, shall
provide for regular evaluations of student performance and achievement through
written and practical examinations, prior to issuance of a certificate of
completion.