[Comment: For dates and availability of material incorporated
by reference in this chapter, and Chapters 4765-01
to 4765-10 and 4765-12 to 4765-19 of the Administrative Code,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
technician or an emergency medical technician refresher program started on or
after this date, shall be conducted in accordance with this rule. Prior to
September 1, 2012, an EMS training program for a certificate to practice as an
emergency medical technician or an emergency medical technician refresher
program may, but is not required to, teach the curriculum in accordance with
this rule.
(B)(A) An EMS training
program for a certificate to practice as an emergency medical technician shall
be conducted in accordance with division (C) 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
4765-15-04 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 one
hundred fifty 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;
(8) Airway management, respiration, and
artificial ventilation, to include:
(a)
Insertion of extraglottic and dual lumen airway devices on apneic and pulseless
patients;
(b) Endotracheal
suctioning through a stoma;
(c)
Continuous positive airway pressure device administration and
management;
(d) Flow restricted
oxygen powered device;
(e) End
tidal carbon dioxide monitoring and detection;
(f) Pulse oximeter and capnography equipment
application and reading;
(g) Use of
a positive pressure ventilation device:
(i)
Manually triggered ventilators;
(ii) Automatic transportation
ventilators;
(9) Negative impedance threshold
devices;
(10) Patient
assessment;
(11) Medicine, to
include:
(a) Blood glucose
monitoring;
(b) Chest compression
assist device;
(c) Epinephrine
auto-injection administration;
(d)
Naloxone administration via auto-injector and intranasal route;
(e) Transport of a central/peripheral
intravenous access without an infusion;
(12) Shock and resuscitation;
(13) Trauma, to include:
(a) Care and transportation of a trauma
patient;
(b) Helmet
removal;
(c) Trauma triage
determination pursuant to rule
4765-14-02 of the Administrative
Code.
(14) Special
patient populations;
(15)
Two hours on identifying and interacting with
individuals with dementia;
(15)(16) EMS
operations;
(16)(17) Clinical
prehospital
experience, to include:
(a) At least ten hours devoted to combined
hospital and prehospital clinical
experience and prehospital
internship;
(b)
Ten
At least
ten patient assessments to include one pediatric patient
assessment.
(C)(B) 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)(C) An emergency
medical technician refresher program shall consist of thirty hours according to
the "Emergency Medical Technician Refresher Training Program" education
standards approved by the board for the number of hours listed in each of the
following subject areas:
(1)
Eight
Seven
hours on trauma issues
, to include education on the
trauma triage determination pursuant to rule
4765-14-02 of the Administrative
Code;
(2) Six hours on
pediatric issues;
(3) Six hours on
medical emergencies;
(4) Two hours
on geriatric issues;
(5)
One hour on identifying and interacting with
individuals with dementia;
(5)(6) Two hours on
cardiology;
(6)(7) Two hours on airway
and ventilation to include education of positive pressure ventilation
devices;
(7)(8) Two hours on EMS
operations;
(8)(9) Two hours on
obstetrics and gynecology.
(E)(D) An accredited or
approved institution offering a refresher program, outlined in paragraph (D) 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.