[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 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 consistent with the scope of
practice set forth in rule 4765-17-03 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 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.
(B) 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) A minimum of two hours on identifying and interacting
with individuals with dementia;
(15) EMS operations.
(C) 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.
(D) 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.
(E) 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) Chest tube monitoring;
(b) Maintenance of blood products.
(3) Nine 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) A minimum of one hour on identifying and interacting
with individuals with dementia;
(6) Six hours on cardiac emergencies to
include education on thrombolytic initiation and monitoring;
(7) Four hours on airway and ventilation
to include education on positive end-expiratory pressure;
(8) Two hours on EMS
operations;
(9) Two hours on obstetrics and
gynecology.
(F) 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 testing, prior to issuance of a certificate of
completion.