Ohio Admin. Code 4765-12-04 - Emergency medical responder scope of practice
(A) In accordance
with division (B) of section
4765.35 of the Revised Code, an
emergency medical responder may perform the following emergency medical
services:
(1) Open and maintain the
airway;
(2) Oropharyngeal airway
adjunct;
(3) Nasopharyngeal airway
adjunct;
(4) Manual removal of
obstructed airway;
(5) Oral
suctioning;
(6) Oxygen
administration, including the following:
(a)
Nasal cannula;
(b) Non-rebreather
mask;
(c) Mouth-to-barrier
devices;
(7) Ventilation
management, including the following:
(a)
Bag-valve-mask;
(b) Ventilation
with a flow-restricted oxygen-powered device;
(8) Cardiopulmonary resuscitation;
(9) Automated external
defibrillation;
(10) Spine board
(long and short);
(11) Splinting
devices;
(12) Cervical
immobilization device;
(13) Soft
tissue management;
(14) Controlling
of hemorrhaging;
(15) Taking and
recording of vital signs;
(16)
Patient care report documentation;
(17) Assisting in emergency childbirth
management;
(18)
Identifying and interacting with individuals with
dementia;
(B) In accordance
with division (C)
(B) of section
4765.35 of the Revised Code, an
emergency medical responder may perform the following additional emergency
medical services only pursuant to the written or verbal authorization of a
physician or of the cooperating physician advisory board, or authorization
transmitted through a direct communication device by a physician, physician
assistant designated by a physician, or registered nurse designated by a
physician, or in accordance with written protocols as specified in division
(D)
(B) of
section 4765.35 of the Revised Code:
(1) Body substance isolation
precaution/administration;
(2)
Assisted administration of epinephrine auto-injector, which shall consist of
either of the following:
(a) Patient's
prescribed epinephrine upon the patient's request and with written
protocol;
(b) EMS-provided
epinephrine with written protocol.
(3) Administration of epinephrine
auto-injector, which shall consist of either of the following:
(a) Patient's prescribed epinephrine upon the
patient's request and with written protocol;
(b) EMS-provided epinephrine with written
protocol.
(4) Apply and
obtain readings of pulse oximeter and CO-oximeter, capnography equipment, or
capnometry equipment;
(5)
Administration of naloxone via intranasal route or via auto-injector with
written protocol;
(6) Eye
irrigation;
(7) Apply and utilize
chest compression assist devices;
(8) Management of suspected
fractures;
(9) Any other services
approved by the board pursuant to rule
4765-6-01 of the Administrative
Code;
(10) Any other services
pursuant to a research study approved by the board under rule
4765-6-04 of the Administrative
Code and within the parameters established by the board for such
study.
(C) A physician or
cooperating physician advisory board that serves as the medical director for
any EMS organization may limit, but not exceed, the scope of practice for those
emergency medical responders who provide emergency medical services under the
auspices of the physician's certificate to practice medicine and surgery, or
osteopathic medicine and surgery, issued under Chapter 4731. of the Revised
Code.
(D) An emergency medical
responder shall not perform emergency medical services within this rule unless
the emergency medical responder has received training as part of an initial
certification course or through subsequent training approved by the board. If
certain emergency medical services, within the emergency medical responder
scope of practice, were not included in the training specified in this
paragraph, the emergency medical responder must have received training
regarding such services approved by the local medical director before
performing those services.
Notes
Promulgated Under: 119.03
Statutory Authority: 4765.35, 4765.11
Rule Amplifies: 4765.35, 4765.162
Prior Effective Dates: 11/27/2003, 05/29/2008, 02/06/2012, 08/01/2014, 06/15/2018, 04/01/2020
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.