[Comment: For dates and availability of material incorporated
by reference in this chapter, 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 advanced emergency
medical technician or an advanced 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 advanced emergency medical technician or an
advanced 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 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;
(14)(15) EMS
operations.
(C)(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.
(D)(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.
(E)(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
, to include education on the trauma
triage determination pursuant to rule
4765-14-02 of the Administrative
Code;
(3)
Nine
Eight
hours on medical emergencies;
(4)
Four hours on geriatric issues;
(5)
One hour on identifying and interacting with
individuals with dementia;
(5)(6) Five hours on
cardiac emergencies;
(6)(7) Two hours on airway
and ventilation;
(7)(8) Two hours on EMS
operations;
(8)(9) Two hours on
obstetrics and gynecology.
(F)(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.