Current through all regulations passed and filed through December 16, 2024
[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.
