[Comment: For dates and availability of material
incorporated by reference in this chapter, see rule 4765-1-03 of the
Administrative Code.]
(A) The board shall issue a certificate
of accreditation pursuant to section 4765.17 of the Revised Code and this
chapter, to any applicant who is of good reputation and demonstrates that the
EMS training program for which the applicant seeks accreditation meets the
following requirements:
(1) Has submitted a
complete "Initial Certification of Accreditation
Application";
(2) Has an authorizing
official with good reputation who assumes responsibility for the
following:
(a) Serves as program director or designates a person of good
reputation to serve as program director;
(b) Administers and operates the EMS training
program;
(c) Complies with all rules and laws applicable to EMS training
and the EMS training program;
(d) Performs ongoing review and maintains written evaluation of
the program content and instructors;
(e) Maintains written documentation of regular evaluations of
student performance and achievement throughout the course;
(f) Assigns faculty responsibilities and scheduling of program
courses;
(g) Defines the role and objectives of student
preceptors;
(h) Assures courses offered within an EMS training program are
developed under the direction of a physician who specializes in emergency
medicine and each course that deals with trauma care is developed in
consultation with a physician who specializes in trauma surgery pursuant to
section 4765.16 of the Revised Code;
(i) Prepares or approves all documents required to be submitted
for accreditation pursuant to section 4765.15 of the Revised Code and this
chapter;
(j) Issues a certificate of completion, pursuant to section
4765.24 of the Revised Code, to each student who successfully completes the EMS
training program and passes the course final written and practical
examinations. Such certificate includes, but is not limited to the following
information:
(i) Certificate of
accreditation number;
(ii) Program
director's signature;
(iii) Student's
name;
(iv) Date course
completed;
(v) Number of hours
completed;
(vi) Course
title.
(k) Performs ongoing review and maintains written evaluation of
clinical and prehospital internship sites.
(3) Has a program medical
director who assists in the development of the medical components of the
training program;
(4) Meets the curriculum
requirements for certification as an emergency medical responder, emergency
medical technician, advanced emergency medical technician, or paramedic as set
forth in section 4765.16 of the Revised Code and Chapters 4765-12, 4765-15,
4765-16, and 4765-17 of the Administrative Code;
(5) Utilizes individuals
who hold a valid and current certificate to teach in accordance with Chapter
4765-18 of the Administrative Code;
(6) Ensures any
instructor who holds a certificate to teach is assigned to teach in training
programs at or below the level of the holders' certificates to
practice;
(7) Has a sufficient number of fire and
emergency services instructors or assistant EMS instructors to ensure the ratio
of instructors to students in all practical skills components of the EMS
training program does not exceed one to ten;
(8) Has established an advisory committee
consisting of the program director, program medical director, clinical
experience and prehospital internship preceptors, instructors, and EMS
providers that meets at least once each year, based on the accreditation
cycle;
(9) Maintains financial resources
adequate for the satisfactory delivery of the EMS training program as set forth
in section 4765.16 of the Revised Code and Chapters 4765-12, 4765-15, 4765-16
and 4765-17 of the Administrative Code;
(10) Has and maintains one fixed
geographic location where an EMS accredited institution operates and where EMS
training is conducted, and one office in a fixed geographic location where
records are maintained except as provided in rule 4765-7-05 of the
Administrative Code. Unacceptable locations include, but are not limited to, a
house trailer, residence, tent, temporary stand, rooming house, apartment, post
office box, or a room in a hotel or motel;
(11) Has adequate classroom and laboratory
facilities to accommodate the number of students participating in the
program;
(12) Provides classroom environments that
are safe, sanitary and conducive to learning;
(13) Possesses, or has affiliation
agreements for use of, equipment to adequately train EMS students to meet the
course requirements of section 4765.16 of the Revised Code and Chapters
4765-12, 4765-15, 4765-16, and 4765-17 of the Administrative Code;
(14) Possesses current and valid written
affiliation agreements with each organization that provides an EMS student a
clinical experience and/or prehospital internship required by the EMS training
program;
(15) Possesses current and valid written
affiliation agreements with clinical and/or prehospital organizations to assure
sufficient training opportunities for EMS students to meet the course
requirements of section 4765.16 of the Revised Code and the curriculum
requirements of Chapters 4765-12, 4765-15, 4765-16 and 4765-17 of the
Administrative Code;
(16) Utilizes a sufficient number of
preceptors to provide appropriate supervision and written evaluation of
students in both the clinical experience and or prehospital internship
components of the EMS training program;
(17) Has an established office area for
use by program faculty and instructors;
(18) Has informational resources available
to all students and faculty that contain comprehensive, current publications,
media materials, and electronic resources relating to emergency medical
services;
(19) Requires a student to possess and
maintain a current and valid Ohio certificate to practice as an emergency
medical technician, at a minimum, prior to the start of any advanced emergency
medical technician, or paramedic training program;
(20) Shall allow a student who is at least
seventeen years old, who is enrolled in the twelfth or final grade in a
secondary school program and who otherwise meets the requirements for admission
into the EMS training program to be admitted and to complete the emergency
medical technician training program;
(21) Has written policies that are made
available to students identifying all of the following:
(a) Admission requirements;
(b) Prohibition of discrimination in acceptance of students on
the basis of race, color, religion, sex, sexual orientation, military status,
or national origin;
(c) Costs associated with the training program, including
tuition, materials, and fees;
(d) Refund of tuition payments;
(e) Information regarding course schedules, subject areas
content, and objectives approved by the board;
(f) Criteria for successful completion of each component of the
curriculum;
(g) Criteria for successful completion of the full training
program;
(h) Methodology used in determining grades;
(i) Attendance requirements;
(j) Requirements or restrictions regarding student
attire;
(k) Procedures for voluntary student withdrawal from the
program;
(l) Grounds for dismissal from the program;
(m) Disciplinary and grievance procedures including mechanism for
appeals;
(n) Health care services available to students by or through the
accredited institution;
(o) Requirement that students are not used to meet minimum
staffing requirements or in substitution for essential personnel in a clinical
experience or prehospital internship setting;
(p) Requirement that all students are notified of the process and
deadlines for obtaining a certificate to practice under section 4765.30 of the
Revised Code and Chapter 4765-8 of the Administrative Code, and that an Ohio
certificate to practice may not be granted if the individual fails to meet the
qualifications for a certificate to practice set forth in rule 4765-8-01 of the
Administrative Code;
(q) Requirement that all students are notified of the
process for renewing a certificate to practice under section 4765.30 of the
Revised Code and Chapter 4765-8 of the Administrative Code;
(r) Security parameters protecting the students'
financial and personal information in accordance with state and federal
laws.
(B) In addition to meeting the
requirements set forth in this rule, an EMS accredited institution authorized
by the board to operate a paramedic training program shall, except as provided
in paragraph (C) of this rule, meet all of the following:
(1) Has been accredited
by CAAHEP or issued a letter of review from CoAEMSP no later than January 1,
2018;
(2) The requirements as
set forth in sections 4765.16 and 4765.17 of the Revised Code and rule
4765-7-13 of the Administrative Code and this chapter;
(3) Provide written
notification to current and prospective students that applicants who graduate
from a non-CAAHEP accredited paramedic training program that began on or after
January 1, 2013, and who successfully pass the national standard paramedic
examination, may not be eligible for national certification, but will be
eligible for an Ohio certificate to practice provided the applicant meets the
requirements under section 4765.30 of the Revised Code and Chapter 4765-8 of
the Administrative Code.
(C) To be accredited as a new EMS
paramedic training program, an institution shall apply for a provisional status
and meet all of the following:
(1) The requirements as
set forth in sections 4765.16 and 4765.17 of the Revised Code and rule
4765-7-13 of the Administrative Code and this chapter;
(2) Concurrently submit
an application to CoAEMSP for a letter of review and an application to the
board for provisional status;
(3) Receive provisional
status from the board;
(4) The program may not
promote or initiate a course until the letter of review from CoAEMSP is
received;
(5) Provide written
notification to prospective students that applicants who graduate from a
non-CAAHEP accredited paramedic training program that began on or after January
1, 2013, and who successfully pass the national standard paramedic examination,
may not be eligible for national certification, but will be eligible for an
Ohio certificate to practice provided the applicant meets the requirements
under section 4765.30 of the Revised Code and Chapter 4765-8 of the
Administrative Code; and
(6) Upon completion of
the first class, the program may petition the board for Ohio accredited status
if the program remains compliant with sections 4765.16 and 4765.17 of the
Revised Code and rules 4765-7-02 and 4765-7-03 of the Administrative Code and
if the program maintains a valid CoAEMSP letter of review until the final
disposition of the CAAHEP accreditation is determined.
(D) An EMS accredited institution or applicant for a certificate
of accreditation shall:
(1) Allow access by the
division, during regular business hours and at all other reasonable times, to
conduct an inspection of students' EMS training records and all instructor
records for accreditation purposes;
(2) Allow the division to
review the program materials and monitor the testing process utilized by the
EMS training program;
(3) Maintain written
documentation, to include documentation of compliance with this chapter, of all
EMS training programs including the following:
(a) EMS continuing education programs;
(b) Instructor training programs, to include documentation of all
requirements set forth in Chapter 4765-18 of the Administrative
Code;
(c) EMS courses taught at an offsite location.
(4) Must submit a course
request in the division's course management system database prior to
conducting any certification training courses, and the request must be approved
by the division;
(5) Enter all data for each course in the
timelines required by the division into the division's course management
system database, including but not limited to the following:
(a) Course level;
(b) Course start date;
(c) Course projected end date;
(d) Course total hours;
(e) Course location;
(f) Course lead instructor;
(g) Required course documents;
(h) "National Incident Management System Course
IS-100" and "National Incident Management System Course IS-700"
results for each student;
(i) Course practical exam pass/fail results for each
student;
(j) Course written exam pass/fail results for each
student;
(k) Course completion date for each student;
(l) State/national registry of emergency medical
technicians (NREMT) practicals pass/fail results for each student;
(m) NREMT written examination pass/fail results for each
student;
(n) Program director attestation for each
student.
(E) An EMS accredited institution shall retain written or
electronic files in a secure location with the following documentation for each
course offered by the institution:
(1) Course schedules,
lesson plans, and policies in compliance with this rule;
(2) Record of a valid and
current certificate to practice or license and valid and current certificate to
teach for each instructor utilized in the EMS training program;
(3) Written affiliation
agreements as outlined in this rule and documentation of compliance with terms
therein;
(4) Minutes of advisory
committee meetings including an agenda and attendance record for each meeting
that is conducted in accordance with this rule;
(5) Attendance records
for each EMS training course conducted by an EMS accredited institution which
demonstrate completion of the required hours and standards by the EMS training
program in accordance with written policies that are made available to
students;
(6) Evaluations of
student cognitive performance;
(7) Evaluations of
student in-class and final practical skills performance;
(8) Preceptor evaluations
of student performance;
(9) Records of clinical
skills requirements;
(10) Documentation of
program director and program medical director approval and credit given to a
student for previous training by an advanced emergency medical technician or
paramedic training program in accordance with rule 4765-6-02 of the
Administrative Code;
(11) Student evaluations
of course and instructors;
(12) A summary of student
evaluations of course content, facility, and instructor(s);
(13) Accident and injury
reports.
(F) A certificate of accreditation issued under paragraph (A) of
this rule shall be valid for up to five years pursuant to section 4765.17 of
the Revised Code and may be renewed pursuant to rule 4765-7-07 of the
Administrative Code.
(G) The EMS accredited institution shall maintain all
documentation required in this rule for the duration of the current
accreditation cycle and for the previous accreditation cycle.
(H) An accredited institution that provides an EMS training
program or EMS continuing education program through the online or distance
learning delivery systems shall comply with all requirements set forth in rules
4765-7-11 and 4765-7-12 of the Administrative Code and maintain documentation
of compliance.
(I) An accredited institution shall only provide an EMS training
program through online education or distance learning delivery systems when
first approved by the board and compliant with all requirements set forth in
rule 4765-7-12 of the Administrative Code.
