[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 advanced emergency medical technician shall be conducted in accordance
with division (D) 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 4765-16-04 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 two hundred 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;
(a) Sublingual nitroglycerin;
(b) Dextrose in water;
(c) Epinephrine at the concentration of one milligram per
milliliter;
(d) Diphenhydramine;
(e) Benziodiazepines;
(f) Bronchodilators;
(g) Naloxone;
(h) Glucagon;
(i) Nitrous oxide;
(j) Nalbuphine;
(k) Narcotics or other analgesics for pain relief;
(l) Lidocaine, for pain relief after intraosseous
infusion;
(m) Oral ondansetron;
(n) Any additional drug approved by the board.
(8) Airway management,
respiration, and artificial ventilation, to include:
(a) Orotracheal intubation with apneic patients to include
insertion of endotracheal, extraglottic and dual lumen airway
devices;
(b) Laryngoscopy for the removal of airway
obstruction;
(c) Tracheostomy tube replacement and suctioning;
(d) Continuous positive airway pressure device administration and
management;
(e) End tidal carbon dioxide monitoring and
detection.
(9) Patient
assessment;
(10) Medicine, to include
the following:
(a) Manual defibrillation;
(b) Cardiac monitor strip interpretation;
(c) Intraosseous insertion;
(d) Chest compression assist devices.
(11) Shock and
resuscitation;
(12) Trauma, to
include:
(a) Trauma triage determination pursuant to rule 4765-14-02 of
the Administrative Code;
(b) Needle decompression of the chest.
(13) Special patient
populations;
(14) A minimum of two hours on identifying and interacting
with individuals with dementia;
(15) EMS operations.
(B) During the training program, students must demonstrate
competencies by successfully performing the following skills on patients unless
otherwise noted:
(1) A minimum of five
intravenous accesses;
(2) A minimum of three
intubations, which may be completed on a mannequin;
(3) A minimum of three
insertions of extraglottic airway devices, which may be completed on a
mannequin;
(4) A minimum of three
insertions of dual lumen airway devices, which may be completed on a
mannequin;
(5) A minimum of one
subcutaneous injection, which may be completed on a mannequin or
simulator;
(6) A minimum of three
intramuscular injections;
(7) A minimum of twenty
patient assessments, including medical and trauma assessments, to be performed
on all age groups;
(8) A minimum of two
intravenous medication administrations;
(9) A minimum of two
intraosseous infusions, which maybe completed on a mannequin;
(10) A minimum of one
manual defibrillation, which may be completed on a mannequin or
simulator;
(11) A minimum of three
bronchodilator administrations.
(C) An accredited institution offering an EMS training
program as outlined in paragraphs (B) and (C) of this rule, shall provide for
regular written and practical skills 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 advanced emergency medical technician refresher
training program shall consist of forty hours according to the "Advanced
Emergency Medical Technician Refresher Training Program" education
standards approved by the board and for the number of hours as
follows:
(1) Eight hours on
pediatric issues;
(2) Eight hours on trauma
issues;
(3) Eight hours on
medical emergencies;
(4) Four hours on
geriatric issues;
(5) One hour on identifying and interacting with
individuals with dementia;
(6) Five hours on cardiac
emergencies;
(7) Two hours on airway and
ventilation;
(8) Two hours on EMS
operations;
(9) Two hours on obstetrics and
gynecology.
(E) An accredited or approved institution offering a
refresher program, as outlined in paragraph (E) 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.