Critical Information

 

EMS Scope of Practice Update

Effective February 15, 2017

On February 15, 2017, the Ohio State Board of Emergency Medical, Fire, and Transportation Services (EMFTS) revised the Ohio EMS scope of practice:

  1. Emergency medical responders (EMRs, formerly First Responders) may apply and utilize chest compression assist devices.
  2. Emergency medical technicians (EMTs, formerly EMT-Basics) may apply and utilize negative impedance threshold devices.
  3. Emergency medical technicians (EMTs, formerly EMT-Basics) may transport patients with central or peripheral intravenous (IV) access established if there is no IV infusion.

Click HERE to view the memo from State EMS Medical Director Carol Cunningham regarding the change in the Ohio EMS Scope of Practice.  

Click HERE to view the Ohio EMS scope of practice matrix.

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New Patient Tracking App for use by Fire / EMS Responders

During a Mass Casualty Incident (MCI), patient tracking for the purpose of family reunification is an important consideration in the management of the incident.  A statewide patient tracking program called OHTrac was developed several years ago for this purpose. The Ohio Hospital Association and Ohio Department of Health recently completed the initial rollout of a new patient tracking APP, titled OHTrac, that is specifically designed for fire / EMS responders.

Hospitals throughout the state have been using a web-based version of OHTrac for several years. The APP version was designed for pre-hospital fire / EMS providers to use on cell a phone or tablet in the field to begin the patient tracking process. The Apple and Droid version of the APP is available to download for free and there is no charge for access to the OHTrac system.

The OHTrac APP has been piloted in the field by fire/EMS responders from multiple regions throughout the state during full-scale exercises. From feedback received from these pilot programs, the OHTrac APP was further refined. The APP is intuitive in use and only requires about 30-40 minutes of training. A PowerPoint training program available below will allow fire / EMS personnel to be easily trained during a shift or at a group or individual training session. There are only three required fields for fire / EMS providers to enter a patient using the OHTrac APP:

  1. a triage number, which can be scanned into the proper data field from a bar-coded triage tag,
  2. triage level, and
  3. patient gender.

Use of the OHTrac APP can also assist the triage officer in designating the proper hospital(s) to be transported. The pilot studies have shown hospitals receive notice of the number and severity of patients that are being transported to their facility by using OHTrac prior to formal verbal communication from the scene.

Best practices when implementing the use of the OHTrac app for patient tracking has shown that integration of using the APP in cooperation with the local hospital(s) is instrumental to a successful program. The materials available at the link will also reference you to the appropriate Regional Hospital Coordinator who will be able to provide you with a local hospital contact and access to the OHTrac system.

Click HERE to download a PowerPoint presentation about the app.

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Important EMSIRS Versions 2 & 3 Update

EMSIRS-3 Data

EMSIRS-3 has been fully implemented and all EMS agencies should be working to submit EMS incident data in the EMSIRS V3.4 format.

EMSIRS-2 Data

Many of you were unable to submit 2016 EMSIRS-2 data prior to the transition to EMSIRS-3, therefore we are missing a portion of 2016 data. The Ohio Division of EMS is being asked by national and state authorities to provide naloxone administration data and trends regarding the recent spike in opioid use and overdoses. Your data helps complete the picture of the situation in 2016 in Ohio and across the nation.

  • In order to complete the 2016 data set, we have developed a temporary bridge method for you to submit 2016 EMSIRS-2 data. A user Guide and frequently asked questions can be found HERE.
  • Please begin submitting your 2016 EMSIRS-2 data immediately through the temporary bridge via this website: https://oh-tac.centralsiteportal.com/login.htm. Use the username and password issued to you for EMSIRS-3.
  • The bridge may also be used to submit 2017 data collected in EMSIRS-2 format.

THIS SOLUTION WILL BE AVAILABLE UNTIL JULY 31, 2017.

NOTE: If your software is not yet Version 3 compliant, please continue to collect data in the EMSIRS-2 format. EMSIRS-2 data can be submitted through the temporary bridge through July 31, 2017.

Below are links to information developed to assist with the transition from EMSIRS-2 to EMSIRS-3.

  • The EMSIRS-3 Data Dictionary and EMSIRS-3 Picklist Cheat Sheets can be found in our Data Center
  • Click HERE for the latest EMSIRS-3 Vendor List
  • Click HERE for the EMSIRS-3 Manual Entry User Guide
  • Click HERE for the EMSIRS-3 File Upload User Guide

Please send any questions to EMSdata@dps.ohio.gov.

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Fire Training Rules - Draft Rules

OAC 4765 Fire Rules

Subsequent to the Stakeholder Meeting conducted on February 8, 2017 and feedback from stakeholders over the past several months the proposed fire training rules have been revised. The revised fire training rule drafts are available via the following links:

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New Ambulette and Medical Transportation Rules

Effective August 1, 2017

  1. Licensed ambulette services with an expiration date of August 1, 2017 or later will be required to comply with new ambulette rules (O.A.C. 4766-3-01 through O.A.C. 4766-3-18).
  2. The revisions to O.A.C. 4766-1-01 regarding public hearings and notices apply to all medical transportation services and will become effective on August 1, 2017.

Click HERE to view the rules on the Register of Ohio website.

Summary of Key Changes:

  • 4766-3-02 - Application must be complete and received by license expiration date. Service tax ID or EIN added to application.
  • 4766-3-03 - All fees are nonrefundable.
  • 4766-3-05 - Vehicles listed on Certificate of insurance.
  • 4765-3-07 - NEW Ambulette license plate requirement.
  • 4766-3-08 - Ambulette roadworthiness requirements and equipment and supplies requirements are no longer listed in rule.
  • 4766-3-09 - Periodic Mechanical Safety Inspection by certified mechanic. Click HERE to see a sample form.
  • 4766-3-10 - Rule rescinded. Portions of the rule were moved to the amended rule O.A.C. 4766-3-08.
  • 4766-3-13 - NEW driver training and qualifications requirements.
  • 4766-3-18 - Incorporated by reference: lists the location of all documents referenced in this rule.

DISCLAIMER:  Only key changes are listed.  Please refer to the respective rule to see the complete changes for each rule.

Click HERE for additional information about EMS rules and the rules review process.

Contact the Division of EMS at (614) 466-9447 or (800) 233-0785 if you have any questions.

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New EMS Grants Management System Upgrade (Priority One Training & Equipment Grants)

Effective December 19, 2016, the Division of EMS implemented a new EMS grants management system. The upgraded system provides EMS agencies with greater access and manageability of their Priority One training and equipment grants, as well as a more timely reimbursement process. Four webinars were conducted to familiarize grantees with the new grants management system. In addition, an instruction manual has been developed to assist with navigating the new system.

Click HERE for more information or to access the new system.

Please contact the Division of EMS Grants Section at 614-728-8661, or by email at EMSGrants@dps.ohio.gov with questions or concerns.

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New Online Certification Renewal System

As of May 24, 2016, all EMS and fire certifications must be renewed online using our Online Certification Renewal System. Paper renewal applications will no longer be mailed.

Passwords for the old system will not transfer to the new one. All certificate holders must set up new accounts and passwords the first time they log on to submit renewal applications. To access the new system, an email address must be listed in the EMS database. Certificate holders should not wait until the last day of the certification cycle to renew.

The new system is user friendly and secure. It provides step-by-step prompts to ensure the correct information is entered and allows for quicker processing.

Click HERE to see the User Guide.

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Waveform Capnography Requirement

Effective January 2021, waveform capnography is required for all patients requiring invasive airway devices. EMS Priority 1 training and equipment grants are available to assist with acquisition.

Click HERE to learn more about the requirement.

Click HERE to learn more about the EMS Grant Program.

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DEA - Fentanyl Briefing Guide

There is a significant threat to EMS, fire, law enforcement personnel, and other first responders who may come in contact with fentanyl and other fentanyl-related substances through routine law enforcement, emergency or life-saving activities. Since fentanyl can be ingested orally, inhaled through the nose or mouth, or absorbed through the skin or eyes, any substance suspected to contain fentanyl should be treated with extreme caution as exposure to a small amount can lead to significant health-related complications, respiratory depression, or death.

The DEA - Fentanyl Briefing Guide contains recommendations on potential best practices for first responders that may encounter, test and transport exhibits that could contain fentanyl-related substances.

Click HERE to view or download the DEA - Fentanyl Briefing Guide.

Click HERE to view the DEA Officer Safety Alert video.

Click HERE for fentanyl resources from other federal partners.

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