§ 4765

Law # Law Title

§ 4765.02. Emergency medical services board.

§ 4765.03. Executive director; medical director; employees.

§ 4765.04. Firefighter and fire safety inspector training committee; trauma committee and subcommittee; other committees and subcommittees.

§ 4765.05. Prehospital emergency medical services regions; directors, advisory boards.

§ 4765.06. Incidence reporting system for collecting information on delivery and frequency of services; trauma registries; confidentiality of information.

§ 4765.07. Grant program.

§ 4765.08. Statewide plan; plan for regulation during disasters; coordination with emergency operations plan.

§ 4765.09. Recommendations for operation of ambulance and emergency medical service organizations; compliance reports.

§ 4765.10. General powers and duties of state board.

§ 4765.11. Rule-making authority.

§ 4765.12. Guidelines for trauma victim care and conduct of peer review and

quality assurance programs.

§ 4765.15. Accreditation of training programs; approval of continuing education programs.

§ 4765.16. Development and teaching of training and continuing education programs; standards.

§ 4765.17. Issuance of certificate of accreditation or certificate of approval; renewal.

§ 4765.18. Grounds for suspending, revoking or canceling certificate.

§ 4765.22. Application for teaching certificate.

§ 4765.23. Issuance; renewal; suspension or revocation.

§ 4765.24. Certificate of successful completion issued to graduates; continuing education certificate.

§ 4765.28. Application for certificate to practice.

§ 4765.29. Examination for certificate to practice.

§ 4765.30. Conditions for issuance of certificate; renewal.

§ 4765.301Criminal records check for prospective EMT.

§ 4765.31. Continuing education requirements; extension or exemption.

§ 4765.32. Status of certificates issued under prior law.

§ 4765.33. Rules for disciplinary actions.

§ 4765.35. Performance of services by first responders.

§ 4765.36. Performance of services while in hospital.

§ 4765.37. Performance of services by EMT-basic.

§ 4765.38. Performance of services by EMT-I.

§ 4765.39. Authorization to perform paramedic techniques; emergency situations.

§ 4765.40. State and regional triage protocols for trauma victims.

§ 4765.41. Protocols to govern when communications unavailable.

§ 4765.42. Notice of name of medical director or of advisory physicians.

§ 4765.43. Ambulance drivers; staffing.

§ 4765.48. Actions against violators.

§ 4765.49. Civil immunity of emergency medical personnel and agencies.

§ 4765.50. Prohibited representations or activities without appropriate certificate; physician prohibitions concerning trauma patients.

§ 4765.51. Registered nurses not affected.

§ 4765.55. Firefighter and fire safety inspector training programs.

§ 4765.56. Effect of child support default.

§ 4765.99. Penalties.

Other Section of ORC related to EMS

§ 4113.41. Volunteer FF/EMT not to be terminated for missing work due to emergency.

§1301:7-1-03 Enforcement. (Fire Service Authority at scene)

References to lights and sirens on emergency vehicles

§ 4511.041. Exceptions for emergency or public safety vehicle responding to emergency call.

§ 4511.45. Right-of-way of public safety or coroner's vehicle.

§ 4513.17. Number of lights permitted; direction of beam; flashing, oscillating or rotating lights.

Good Samaritain Law

§ 2305.23. Liability for emergency care

Automated External Defibrillators

§ 2305.235. Immunity as to automated external defibrillation.

§ 3313.717. Placement of automated external defibrillators in schools; training of staff.

§ 3701.85. Duties of possessor of automated external defibrillator; authorized use.

References to Duty to Report Abuse and Neglect

§ 2151.42.1 Duty to report child abuse or neglect; investigation and followup procedures.

§ 5101.61. Duty to report abuse, neglect or exploitation of adult.

§ 4765.01. Definitions.

As used in this chapter:

(A) "First responder" means an individual who holds a current, valid certificate issued under section 4765.30 of the Revised Code to practice as a first responder.

(B) "Emergency medical technician-basic" or "EMT-basic" means an individual who holds a current, valid certificate issued under section 4765.30 of the Revised Code to practice as an emergency medical technician-basic.

(C) "Emergency medical technician-intermediate" or "EMT-I" means an individual who holds a current, valid certificate issued under section 4765.30 of the Revised Code to practice as an emergency medical technician-intermediate.

(D) "Emergency medical technician-paramedic" or "paramedic" means an individual who holds a current, valid certificate issued under section 4765.30 of the Revised Code to practice as an emergency medical technician-paramedic.

(E) "Ambulance" means any motor vehicle that is used, or is intended to be used, for the purpose of responding to emergency medical situations, transporting emergency patients, and administering emergency medical service to patients before, during, or after transportation.

(F) "Cardiac monitoring" means a procedure used for the purpose of observing and documenting the rate and rhythm of a patient's heart by attaching electrical leads from an electrocardiograph monitor to certain points on the patient's body surface.

(G) "Emergency medical service" means any of the services described in sections 4765.35, 4765.37, 4765.38, and 4765.39 of the Revised Code that are performed by first responders, emergency medical technicians-basic, emergency medical technicians-intermediate, and paramedics. "Emergency medical service" includes such services performed before or during any transport of a patient, including transports between hospitals and transports to and from helicopters.

(H) "Emergency medical service organization" means a public or private organization using first responders, EMTs-basic, EMTs-I, or paramedics, or a combination of first responders, EMTs-basic, EMTs-I, and paramedics, to provide emergency medical services.

(I) "Physician" means an individual who holds a current, valid certificate issued under Chapter 4731 of the Revised Code authorizing the practice of medicine and surgery or osteopathic medicine and surgery.

(J) "Registered nurse" means an individual who holds a current, valid license issued under Chapter 4723 of the Revised Code authorizing the practice of nursing as a registered nurse.

(K) "Volunteer" means a person who provides services either for no compensation or for compensation that does not exceed the actual expenses incurred in providing the services or in training to provide the services.

(L) "Emergency medical service personnel" means first responders, emergency medical service technicians-basic, emergency medical service technicians-intermediate, emergency medical service technicians-paramedic, and persons who provide medical direction to such persons.

(M) "Hospital" has the same meaning as in section 3727.01 of the Revised Code.

(N) "Trauma" or "traumatic injury" means severe damage to or destruction of tissue that satisfies both of the following conditions:

(1) It creates a significant risk of any of the following:

(a) Loss of life;

(b) Loss of a limb;

(d) Significant, permanent disability.

(2) It is caused by any of the following:

(a) Blunt or penetrating injury;

(b) Exposure to electromagnetic, chemical, or radioactive energy;

(d) A deficit or excess of heat.

(O) "Trauma victim" or "trauma patient" means a person who has sustained a traumatic injury.

(P) "Trauma care" means the assessment, diagnosis, transportation, treatment, or rehabilitation of a trauma victim by emergency medical service personnel or by a physician, nurse, physician assistant, respiratory therapist, physical therapist, chiropractor, occupational therapist, speech-language pathologist, audiologist, or psychologist licensed to practice as such in this state or another jurisdiction.

(Q) "Trauma center" means all of the following:

(1) Any hospital that is verified by the American college of surgeons as an adult or pediatric trauma center;

(2) Any hospital that is operating as an adult or pediatric trauma center under provisional status pursuant to section 3727.101 [3727.10.1] of the Revised Code;

(3) Until December 31, 2004, any hospital in this state that is designated by the director of health as a level II pediatric trauma center under section 3727.081 [3727.08.1] of the Revised Code;

(4) Any hospital in another state that is licensed or designated under the laws of that state as capable of providing specialized trauma care appropriate to the medical needs of the trauma patient.

(R) "Pediatric" means involving a patient who is less than sixteen years of age.

(S) "Adult" means involving a patient who is not a pediatric patient.

(T) "Geriatric" means involving a patient who is at least seventy years old or exhibits significant anatomical or physiological characteristics associated with advanced aging.

(U) "Air medical organization" means an organization that provides emergency medical services, or transports emergency victims, by means of fixed or rotary wing aircraft.

(V) "Emergency care" and "emergency facility" have the same meanings as in section 3727.01 of the Revised Code.

(W) "Stabilize," except as it is used in division (B) of section 4765.35 of the Revised Code with respect to the manual stabilization of fractures, has the same meaning as in section 1753.28 of the Revised Code.

(X) "Transfer" has the same meaning as in section 1753.28 of the Revised Code.

HISTORY: RC § 4731.82, 136 v H 823 (Eff 8-31-76); 137 v H 1092 (Eff 7-21-78); 138 v H 419 (Eff 6-20-80); 138 v S 98 (Eff 10-6-80); 140 v S 19 (Eff 9-18-84); 141 v S 62 (Eff 9-4-85); RC § 3303.08, 141 v H 222 (Eff 5-15-86); 141 v H 428 (Eff 12-23-86); RC § 4765.01, 144 v S 98 (Eff 11-12-92); 144 v H 478 (Eff 1-14-93); 146 v S 150 (Eff 11-24-95); 146 v H 405 (Eff 10-1-96); 148 v H 138 (Eff 11-3-2000); 149 v S 124. Eff 9-17-2002.

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§ 4765.02. Emergency medical services board.

There is hereby created the state board of emergency medical services within the division of emergency medical services of the department of public safety. The board shall consist of the members specified in this section who are residents of this state. The governor, with the advice and consent of the senate, shall appoint all members of the board, except the employee of the department of public safety designated by the director of public safety under this section to be a member of the board. In making the appointments, the governor shall appoint only members with background or experience in emergency medical services or trauma care and shall attempt to include members representing urban and rural areas, various geographical regions of the state, and various schools of training.

One member of the board shall be a physician certified by the American board of emergency medicine or the American osteopathic board of emergency medicine who is active in the practice of emergency medicine and is actively involved with an emergency medical service organization. The governor shall appoint this member from among three persons nominated by the Ohio chapter of the American college of emergency physicians and three persons nominated by the Ohio osteopathic association. One member shall be a physician certified by the American board of surgery or the American osteopathic board of surgery who is active in the practice of trauma surgery and is actively involved with emergency medical services. The governor shall appoint this member from among three persons nominated by the Ohio chapter of the American college of surgeons and three persons nominated by the Ohio osteopathic association. One member shall be a physician certified by the American academy of pediatrics or American osteopathic board of pediatrics who is active in the practice of pediatric emergency medicine and actively involved with an emergency medical service organization. The governor shall appoint this member from among three persons nominated by the Ohio chapter of the American academy of pediatrics. One member shall be the administrator of an adult or pediatric trauma center. The governor shall appoint this member from among three persons nominated by the OHA: the association for hospitals and health systems, three persons nominated by the Ohio osteopathic association, three persons nominated by the association of Ohio children's hospitals, and three persons nominated by the health forum of Ohio. One member shall be the administrator of a hospital that is not a trauma center. The governor shall appoint this member from among three persons nominated by OHA: the association for hospitals and health systems, three persons nominated by the Ohio osteopathic association, three persons nominated by the association of Ohio children's hospitals, and three persons nominated by the health forum of Ohio. One member shall be a registered nurse who is in the active practice of emergency nursing. The governor shall appoint this member from among three persons nominated by the Ohio nurses association and three persons nominated by the Ohio state council of the emergency nurses association. One member shall be the chief of a fire department that is also an emergency medical service organization in which more than fifty per cent of the persons who provide emergency medical services are full-time paid employees. The governor shall appoint this member from among three persons nominated by the Ohio fire chiefs' association. One member shall be the chief of a fire department that is also an emergency medical service organization in which more than fifty per cent of the persons who provide emergency medical services are volunteers. The governor shall appoint this member from among three persons nominated by the Ohio fire chiefs' association. One member shall be a person who is certified to teach under section 4765.23 of the Revised Code or, if the board has not yet certified persons to teach under that section, a person who is qualified to be certified to teach under that section. The governor shall appoint this member from among three persons nominated by the Ohio emergency medical technician instructors association and the Ohio instructor/coordinators' society. One member shall be an EMT-basic, one shall be an EMT-I, and one shall be a paramedic. The governor shall appoint these members from among three EMTs-basic, three EMTs-I, and three paramedics nominated by the Ohio association of professional fire fighters and three EMTs-basic, three EMTs-I, and three paramedics nominated by the northern Ohio fire fighters. One member shall be an EMT-basic, one shall be an EMT-I, and one shall be a paramedic whom the governor shall appoint from among three EMTs-basic, three EMTs-I, and three paramedics nominated by the Ohio state firefighter's association. One member shall be a person whom the governor shall appoint from among an EMT-basic, an EMT-I, and a paramedic nominated by the Ohio association of emergency medical services. The governor shall appoint one member who is an EMT-basic, EMT-I, or paramedic affiliated with an emergency medical services organization. One member shall be a member of the Ohio ambulance association whom the governor shall appoint from among three persons nominated by the Ohio ambulance association. One member shall be a physician certified by the American board of surgery, American board of osteopathic surgery, American osteopathic board of emergency medicine, or American board of emergency medicine who is the chief medical officer of an air medical agency and is currently active in providing emergency medical services. The governor shall appoint this member from among three persons nominated by the Ohio association of air medical services.

The governor may refuse to appoint any of the persons nominated by one or more organizations under this section, except the employee of the department of public safety designated by the director of public safety under this section to be a member of the board. In that event, the organization or organizations shall continue to nominate the required number of persons until the governor appoints to the board one or more of the persons nominated by the organization or organizations.

The director of public safety shall designate an employee of the department of public safety to serve as a member of the board at the director's pleasure. This member shall serve as a liaison between the department and the division of emergency medical services in cooperation with the executive director of the board.

Initial appointments to the board by the governor and the director of public safety shall be made within ninety days after November 12, 1992. Of the initial appointments by the governor, five shall be for terms ending one year after November 12, 1992, six shall be for terms ending two years after November 12, 1992, and six shall be for terms ending three years after November 12, 1992. Within ninety days after the effective date of this amendment, the governor shall appoint the member of the board who is the chief medical officer of an air medical agency for an initial term ending November 12, 2000. Thereafter, terms of office of all members appointed by the governor shall be for three years, each term ending on the same day of the same month as did the term it succeeds. Each member shall hold office from the date of appointment until the end of the term for which the member was appointed. A member shall continue in office subsequent to the expiration date of the member's term until the member's successor takes office, or until a period of sixty days has elapsed, whichever occurs first.

Each vacancy shall be filled in the same manner as the original appointment. A member appointed to fill a vacancy occurring prior to the expiration of the term for which the member's predecessor was appointed shall hold office for the remainder of the unexpired term.

The term of a member shall expire if the member ceases to meet any of the requirements to be appointed as that member. The governor may remove any member from office for neglect of duty, malfeasance, misfeasance, or nonfeasance, after an adjudication hearing held in accordance with Chapter 119 of the Revised Code.

The members of the board shall serve without compensation but shall be reimbursed for their actual and necessary expenses incurred in carrying out their duties as board members.

The board shall organize by annually selecting a chair and vice-chair from among its members. The board may adopt bylaws to regulate its affairs. A majority of all members of the board shall constitute a quorum. No action shall be taken without the concurrence of a majority of all members of the board. The board shall meet at least four times annually and at the call of the chair. The chair shall call a meeting on the request of the executive director or the medical director of the board or on the written request of five members. The board shall maintain written or electronic records of its meetings.

Upon twenty-four hours' notice from a member of the board, the member's employer shall release the member from the member's employment duties to attend meetings of the full board. Nothing in this paragraph requires the employer of a member of the board to compensate the member for time the member is released from employment duties under this paragraph, but any civil immunity, workers' compensation, disability, or similar coverage that applies to a member of the board as a result of the member's employment shall continue to apply while the member is released from employment duties under this paragraph.

HISTORY: RC § 3303.10, 141 v H 222 (Eff 5-15-86); RC § 4765.02, 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 146 v H 405 (Eff 10-1-96); 148 v H 138. Eff 11-3-2000.

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§ 4765.03. Executive director; medical director; employees.

(A) The director of public safety shall appoint a full-time executive director for the state board of emergency medical services. The executive director shall be knowledgeable in emergency medical services and trauma care and shall serve at the pleasure of the director of public safety. The director of public safety shall appoint the executive director from among three persons nominated by the board. The director of public safety may refuse, for cause, to appoint any of the board's nominees. If the director fails to appoint any of the board's nominees, the board shall continue to nominate groups of three persons until the director does appoint one of the board's nominees. The executive director shall serve as the chief executive officer of the board and as the executive director of the division of emergency medical services. The executive director shall attend each meeting of the board, except the board may exclude the executive director from discussions concerning the employment or performance of the executive director or medical director of the board. The executive director shall give a surety bond to the state in such sum as the board determines, conditioned on the faithful performance of the duties of the executive director's office. The executive director shall receive a salary from the board and shall be reimbursed for actual and necessary expenses incurred in carrying out duties as executive director.

The executive director shall submit a report to the director of public safety at least every three months regarding the status of emergency medical services in this state. The executive director shall meet with the director of public safety at the director's request.

(B) The board shall appoint a medical director, who shall serve at the pleasure of the board. The medical director shall be a physician certified by the American board of emergency medicine or the American osteopathic board of emergency medicine who is active in the practice of emergency medicine and has been actively involved with an emergency medical service organization for at least five years prior to being appointed. The board shall consider any recommendations for this appointment from the Ohio chapter of the American college of emergency physicians, the Ohio chapter of the American college of surgeons, the Ohio chapter of the American academy of pediatrics, the Ohio osteopathic association, and the Ohio state medical association.

The medical director shall direct the executive director and advise the board with regard to adult and pediatric trauma and emergency medical services issues. The medical director shall attend each meeting of the board, except the board may exclude the medical director from discussions concerning the appointment or performance of the medical director or executive director of the board. The medical director shall be employed and paid by the board and shall be reimbursed for actual and necessary expenses incurred in carrying out duties as medical director.

(C) The board may appoint employees as it determines necessary. The board shall prescribe the duties and titles of its employees.

HISTORY: RC § 3303.09, 141 v H 222 (Eff 5-15-86); RC § 4765.03, 144 v S 98 (Eff 11-12-92); 148 v H 138. Eff 11-3-2000.

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§ 4765.04. Firefighter and fire safety inspector training committee; trauma committee and subcommittee; other committees and subcommittees.

(A) The firefighter and fire safety inspector training committee of the state board of emergency medical services is hereby created and shall consist of the members of the board who are chiefs of fire departments, and the members of the board who are emergency medical technicians-basic, emergency medical technicians-intermediate, and emergency medical technicians-paramedic appointed from among persons nominated by the Ohio association of professional fire fighters or the northern Ohio fire fighters and from among persons nominated by the Ohio state firefighter's association. Each member of the committee, except the chairperson, may designate a person with fire experience to serve in that member's place. The members of the committee or their designees shall select a chairperson from among the members or their designees.

(B) The trauma committee of the state board of emergency medical services is hereby created and shall consist of the following members appointed by the director of public safety:

(1) A physician who is certified by the American board of surgery or American osteopathic board of surgery and actively practices general trauma surgery, appointed from among three persons nominated by the Ohio chapter of the American college of surgeons, three persons nominated by the Ohio state medical association, and three persons nominated by the Ohio osteopathic association;

(2) A physician who is certified by the American board of surgery or the American osteopathic board of surgery and actively practices orthopedic trauma surgery, appointed from among three persons nominated by the Ohio orthopedic society and three persons nominated by the Ohio osteopathic association;

(3) A physician who is certified by the American board of neurological surgeons or the American osteopathic board of surgery and actively practices neurosurgery on trauma victims, appointed from among three persons nominated by the Ohio state neurological society and three persons nominated by the Ohio osteopathic association;

(4) A physician who is certified by the American board of surgeons or American osteopathic board of surgeons and actively specializes in treating burn victims, appointed from among three persons nominated by the Ohio chapter of the American college of surgeons and three persons nominated by the Ohio osteopathic association;

(5) A dentist who is certified by the American board of oral and maxillofacial surgery and actively practices oral and maxillofacial surgery, appointed from among three persons nominated by the Ohio dental association;

(6) A physician who is certified by the American board of physical medicine and rehabilitation or American osteopathic board of rehabilitation medicine and actively provides rehabilitative care to trauma victims, appointed from among three persons nominated by the Ohio society of physical medicine and rehabilitation and three persons nominated by the Ohio osteopathic association;

(7) A physician who is certified by the American board of surgery or American osteopathic board of surgery with special qualifications in pediatric surgery and actively practices pediatric trauma surgery, appointed from among three persons nominated by the Ohio chapter of the American academy of pediatrics and three persons nominated by the Ohio osteopathic association;

(8) A physician who is certified by the American board of emergency medicine or American osteopathic board of emergency medicine, actively practices emergency medicine, and is actively involved in emergency medical services, appointed from among three persons nominated by the Ohio chapter of the American college of emergency physicians and three persons nominated by the Ohio osteopathic association;

(9) A physician who is certified by the American board of pediatrics, American osteopathic board of pediatrics, or American board of emergency medicine, is sub-boarded in pediatric emergency medicine, actively practices pediatric emergency medicine, and is actively involved in emergency medical services, appointed from among three persons nominated by the Ohio chapter of the American academy of pediatrics, three persons nominated by the Ohio chapter of the American college of emergency physicians, and three persons nominated by the Ohio osteopathic association;

(10) A physician who is certified by the American board of surgery, American osteopathic board of surgery, or American board of emergency medicine and is the chief medical officer of an air medical organization, appointed from among three persons nominated by the Ohio association of air medical services;

(11) A coroner or medical examiner appointed from among three people nominated by the Ohio state coroners' association;

(12) A registered nurse who actively practices trauma nursing at an adult or pediatric trauma center, appointed from among three persons nominated by the Ohio association of trauma nurse coordinators;

(13) A registered nurse who actively practices emergency nursing and is actively involved in emergency medical services, appointed from among three persons nominated by the Ohio chapter of the emergency nurses' association;

(14) The chief trauma registrar of an adult or pediatric trauma center, appointed from among three persons nominated by the alliance of Ohio trauma registrars;

(15) The administrator of an adult or pediatric trauma center, appointed from among three persons nominated by OHA: the association for hospitals and health systems, three persons nominated by the Ohio osteopathic association, three persons nominated by the association of Ohio children's hospitals, and three persons nominated by the health forum of Ohio;

(16) The administrator of a hospital that is not a trauma center and actively provides emergency care to adult or pediatric trauma patients, appointed from among three persons nominated by OHA: the association for hospitals and health systems, three persons nominated by the Ohio osteopathic association, three persons nominated by the association of Ohio children's hospitals, and three persons nominated by the health forum of Ohio;

(17) The operator of an ambulance company that actively provides trauma care to emergency patients, appointed from among three persons nominated by the Ohio ambulance association;

(18) The chief of a fire department that actively provides trauma care to emergency patients, appointed from among three persons nominated by the Ohio fire chiefs' association;

(19) An EMT or paramedic who is certified under this chapter and actively provides trauma care to emergency patients, appointed from among three persons nominated by the Ohio association of professional firefighters, three persons nominated by the northern Ohio fire fighters, three persons nominated by the Ohio state firefighters' association, and three persons nominated by the Ohio association of emergency medical services;

(20) A person who actively advocates for trauma victims, appointed from three persons nominated by the Ohio brain injury association and three persons nominated by the governor's council on people with disabilities;

(21) A physician or nurse who has substantial administrative responsibility for trauma care provided in or by an adult or pediatric trauma center, appointed from among three persons nominated by OHA: the association for hospitals and health systems, three persons nominated by the Ohio osteopathic association, three persons nominated by the association of Ohio children's hospitals, and three persons nominated by the health forum of Ohio;

(22) Three representatives of hospitals that are not trauma centers and actively provide emergency care to trauma patients, appointed from among three persons nominated by OHA: the association for hospitals and health systems, three persons nominated by the Ohio osteopathic association, three persons nominated by the association of Ohio children's hospitals, and three persons nominated by the health forum of Ohio. The representatives may be hospital administrators, physicians, nurses, or other clinical professionals.

Members of the committee shall have substantial experience in the categories they represent, shall be residents of this state, and may be members of the state board of emergency medical services. In appointing members of the committee, the director shall attempt to include members representing urban and rural areas, various geographical areas of the state, and various schools of training. The director shall not appoint to the committee more than one member who is employed by or practices at the same hospital, health system, or emergency medical service organization.

The director may refuse to appoint any of the persons nominated by an organization or organizations under this division. In that event, the organization or organizations shall continue to nominate the required number of persons until the director appoints to the committee one or more of the persons nominated by the organization or organizations.

Initial appointments to the committee shall be made by the director not later than ninety days after November 3, 2000. Members of the committee shall serve at the pleasure of the director, except that any member of the committee who ceases to be qualified for the position to which the member was appointed shall cease to be a member of the committee. Vacancies on the committee shall be filled in the same manner as original appointments.

The members of the committee shall serve without compensation but shall be reimbursed for actual and necessary expenses incurred in carrying out duties as members of the committee.

The committee shall select a chairperson and vice-chairperson from among its members. A majority of all members of the committee shall constitute a quorum. No action shall be taken without the concurrence of a majority of all members of the committee. The committee shall meet at the call of the chair, upon written request of five members of the committee, and at the direction of the state board of emergency medical services. The committee shall not meet at times or locations that conflict with meetings of the board. The executive director and medical director of the state board of emergency medical services may participate in any meeting of the committee and shall do so at the request of the committee.

The committee shall advise and assist the state board of emergency medical services in matters related to adult and pediatric trauma care and the establishment and operation of the state trauma registry. In matters relating to the state trauma registry, the board and the committee shall consult with trauma registrars from adult and pediatric trauma centers in the state. The committee may appoint a subcommittee to advise and assist with the trauma registry. The subcommittee may include persons with expertise relevant to the trauma registry who are not members of the board or committee.

(C) The state board of emergency medical services may appoint other committees and subcommittees as it considers necessary.

(D) The state board of emergency medical services, and any of its committees or subcommittees, may request assistance from any state agency. The board and its committees and subcommittees may permit persons who are not members of those bodies to participate in deliberations of those bodies, but no person who is not a member of the board shall vote on the board and no person who is not a member of a committee created under division (A) or (B) of this section shall vote on that committee.

(E) Sections 101.82 to 101.87 of the Revised Code do not apply to the committees established under division (A) or (B) of this section.

HISTORY: 148 v H 138 (Eff 11-3-2000); 148 v H 548. Eff 3-22-2001./D

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§ 4765.05. Prehospital emergency medical services regions; directors, advisory boards.

As used in this section, "prehospital emergency medical services" means an emergency medical services system that provides medical services to patients who require immediate assistance, because of illness or injury, prior to their arrival at an emergency medical facility.

The state board of emergency medical services shall divide the state into prehospital emergency medical services regions for purposes of overseeing the delivery of adult and pediatric prehospital emergency medical services. These regions shall consist of the same geographic regions as the health service areas designated by the director of health under section 3702.58 of the Revised Code. For each region, the board shall appoint either a physician to serve as the regional director or a physician advisory board to serve as the regional advisory board. The board shall specify the duties of each regional director and regional advisory board. Regional directors and members of regional advisory boards shall serve without compensation, but shall be reimbursed for actual and necessary expenses incurred in carrying out duties as regional directors and members of regional advisory boards.

HISTORY: 144 v S 98 (Eff 11-12-92); 148 v H 138. Eff 11-3-2000.

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§ 4765.06. Incidence reporting system for collecting information on delivery and frequency of services; trauma registries; confidentiality of information.

(A) The state board of emergency medical services shall establish an emergency medical services incidence reporting system for the collection of information regarding the delivery of emergency medical services in this state and the frequency at which the services are provided. All emergency medical service organizations shall submit to the board any information that the board determines is necessary for maintaining the incidence reporting system.

(B) The board shall establish a state trauma registry to be used for the collection of information regarding the care of adult and pediatric trauma victims in this state. The registry shall provide for the reporting of adult and pediatric trauma-related deaths, identification of adult and pediatric trauma patients, monitoring of adult and pediatric trauma patient care data, determination of the total amount of uncompensated adult and pediatric trauma care provided annually by each facility that provides care to trauma victims, and collection of any other information specified by the board. All persons designated by the board shall submit to the board any information it determines is necessary for maintaining the state trauma registry. At the request of the board any state agency possessing information regarding adult or pediatric trauma care shall provide the information to the board. The board shall maintain the state trauma registry in accordance with rules adopted under section 4765.11 of the Revised Code.

Rules relating to the state trauma registry adopted under this section and section 4765.11 of the Revised Code shall not prohibit the operation of other trauma registries and may provide for the reporting of information to the state trauma registry by or through other trauma registries in a manner consistent with information otherwise reported to the state trauma registry. Other trauma registries may report aggregate information to the state trauma registry, provided the information can be matched to the person that reported it. Information maintained by another trauma registry and reported to the state trauma registry in lieu of being reported directly to the state trauma registry is a public record and shall be maintained, made available to the public, held in confidence, risk adjusted, and not subject to discovery or introduction into evidence in a civil action as provided in section 149.43 of the Revised Code and this section. Any person who provides, maintains, or risk adjusts such information shall comply with this section and rules adopted under it in performing that function and has the same immunities with respect to that function as a person who performs that function with respect to the state trauma registry.

(C) The board and any employee or contractor of the board or the department of public safety shall not make public information it receives under Chapter 4765 of the Revised Code that identifies or would tend to identify a specific recipient of emergency medical services or adult or pediatric trauma care.

(D) Not later than two years after the effective date of this amendment, the board shall adopt and implement rules under section 4765.11 of the Revised Code that provide written standards and procedures for risk adjustment of information received by the board under Chapter 4765 of the Revised Code. The rules shall be developed in consultation with appropriate medical, hospital, and emergency medical service organizations and may provide for risk adjustment by a contractor of the board. Before risk adjustment standards and procedures are implemented, no member of the board and no employee or contractor of the board or the department of public safety shall make public information received by the board under Chapter 4765 of the Revised Code that identifies or would tend to identify a specific provider of emergency medical services or adult or pediatric trauma care. After risk adjustment standards and procedures are implemented, the board shall make public such information only on a risk adjusted basis.

(E) The board shall adopt rules under section 4765.11 of the Revised Code that specify procedures for ensuring the confidentiality of information that is not to be made public under this section. The rules shall specify the circumstances in which deliberations of the persons performing risk adjustment functions under this section are not open to the public and records of those deliberations are maintained in confidence. Nothing in this section prohibits the board from making public statistical information that does not identify or tend to identify a specific recipient or provider of emergency medical services or adult or pediatric trauma care.

(F) No provider that furnishes information to the board with respect to any patient the provider examined or treated shall, because of this furnishing, be deemed liable in damages to any person or be held to answer for betrayal of a professional confidence in the absence of willful or wanton misconduct. No such information shall be subject to introduction in evidence in any civil action against the provider. No provider that furnishes information to the board shall be liable for the misuse or improper release of the information by the board or any other person.

No person who performs risk adjustment functions under this section shall, because of performing such functions, be held liable in a civil action for betrayal of professional confidence or otherwise in the absence of willful or wanton misconduct.

HISTORY: 144 v S 98 (Eff 11-12-92); 148 v H 138. Eff 11-3-2000.

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§ 4765.07. Grant program.

(A) The state board of emergency medical services shall adopt rules under section 4765.11 of the Revised Code to establish and administer a grant program under which grants are distributed according to the following priorities:

(1) First priority shall be given to emergency medical service organizations for the training of personnel, for the purchase of equipment and vehicles, and to improve the availability, accessibility, and quality of emergency medical services in this state. In this category, the board shall give priority to grants that fund training and equipping of emergency medical service personnel.

(2) Second priority shall be given to entities that research the causes, nature, and effects of traumatic injuries, educate the public about injury prevention, and implement, test, and evaluate injury prevention strategies.

(3) Third priority shall be given to entities that research, test, and evaluate procedures that promote the rehabilitation, retraining, and reemployment of adult or pediatric trauma victims and social service support mechanisms for adult or pediatric trauma victims and their families.

(4) Fourth priority shall be given to entities that research, test, and evaluate medical procedures related to adult and pediatric trauma care.

(B) The grant program shall be funded from the trauma and emergency medical services grants fund created by section 4513.263 [4513.26.3] of the Revised Code.

HISTORY: 144 v S 98 (Eff 11-12-92); 148 v H 138. Eff 11-3-2000.

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§ 4765.08. Statewide plan; plan for regulation during disasters; coordination with emergency operations plan.

The state board of emergency medical services shall prepare a statewide emergency medical services plan and shall revise the plan as necessary.

The board shall prepare a plan for the statewide regulation of emergency medical services during periods of disaster. The plan shall be consistent with the statewide emergency medical services plan required under this section and with the statewide emergency operations plan required under section 5502.22 of the Revised Code. The board shall submit the plan to the emergency management agency created under section 5502.22 of the Revised Code. The board shall cooperate with the agency in any other manner the agency considers necessary to develop and implement the statewide emergency operations plan.

HISTORY: 144 v S 98 (Eff 11-12-92); 146 v S 162 (Eff 10-29-95); 146 v H 670. Eff 12-2-96.

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§ 4765.09. Recommendations for operation of ambulance and emergency medical service organizations; compliance reports.

The state board of emergency medical services shall prepare recommendations for the operation of ambulance service organizations, air medical organizations, and emergency medical service organizations. Within thirty days following the preparation or modification of recommendations, the board shall notify the board of county commissioners of any county, the board of township trustees of any township, the board of trustees of any joint ambulance district, or the board of trustees of any joint emergency medical services district in which there exist ambulance service organizations, air medical organizations, or emergency medical service organizations of any board recommendations for the operation of such organizations. The recommendations shall include, but not be limited to:

(A) The definition and classification of ambulances and medical aircraft;

(B) The design, equipment, and supplies for ambulances and medical aircraft, including special equipment, supplies, training, and staffing required to assist pediatric and geriatric emergency victims;

(D) The communication systems necessary for the operation of ambulances and medical aircraft;

(E) Reports to be made by persons holding certificates of accreditation or approval issued under section 4765.17 of the Revised Code and certificates to practice issued under section 4765.30 of the Revised Code to ascertain compliance with this chapter and the rules and recommendations adopted thereunder and to ascertain the quantity and quality of ambulance service organizations, air medical organizations, and emergency medical service organizations throughout the state.

HISTORY: RC § 4731.93, 136 v H 832 (Eff 8-31-76); RC § 3303.24, 141 v H 222 (Eff 5-15-86); 141 v H 428 (Eff 12-13-86); 142 v H 131 (Eff 6-29-88); 142 v H 708 (Eff 4-19-88); 143 v H 623 (7-24-90); RC § 4765.09, 144 v S 98 (Eff 11-12-92); 147 v S 30 (Eff 5-6-98); 148 v H 138. Eff 11-3-2000.

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§ 4765.10. General powers and duties of state board.

(A) The state board of emergency medical services shall do all of the following:

(1) Administer and enforce the provisions of this chapter and the rules adopted under it;

(2) Approve, in accordance with procedures established in rules adopted under section 4765.11 of the Revised Code, examinations that demonstrate competence to have a certificate to practice renewed without completing a continuing education program;

(3) Advise applicants for state or federal emergency medical services funds, review and comment on applications for these funds, and approve the use of all state and federal funds designated solely for emergency medical service programs unless federal law requires another state agency to approve the use of all such federal funds;

(4) Serve as a statewide clearinghouse for discussion, inquiry, and complaints concerning emergency medical services;

(5) Make recommendations to the general assembly on legislation to improve the delivery of emergency medical services;

(6) Maintain a toll-free long distance telephone number through which it shall respond to questions about emergency medical services;

(7) Work with appropriate state offices in coordinating the training of firefighters and emergency medical service personnel. Other state offices that are involved in the training of firefighters or emergency medical service personnel shall cooperate with the board and its committees and subcommittees to achieve this goal.

(8) Provide a liaison to the state emergency operation center during those periods when a disaster, as defined in section 5502.21 of the Revised Code, has occurred in this state and the governor has declared an emergency as defined in that section.

(B) The board may do any of the following:

(1) Investigate complaints concerning emergency medical services and emergency medical service organizations as it determines necessary;

(2) Enter into reciprocal agreements with other states that have standards for accreditation of emergency medical services training programs and for certification of first responders, EMTs-basic, EMTs-I, paramedics, firefighters, or fire safety inspectors that are substantially similar to those established under this chapter and the rules adopted under it;

(3) Establish a statewide public information system and public education programs regarding emergency medical services;

(4) Establish an injury prevention program.

HISTORY: 144 v S 98 (Eff 11-12-92); 145 v S 226 (Eff 1-1-95); 146 v S 162 (Eff 10-29-95); 146 v S 150 (Eff 11-24-95); 146 v H 405 (Eff 10-1-96); 146 v H 670 (Eff 12-2-96); 147 v S 30 (Eff 5-6-98); 148 v H 138. Eff 11-3-2000.

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§ 4765.11. Rule-making authority.

(A) The state board of emergency medical services shall adopt, and may amend and rescind, rules in accordance with Chapter 119 of the Revised Code and division (C) of this section that establish all of the following:

(1) Procedures for its governance and the control of its actions and business affairs;

(2) Standards for the performance of emergency medical services by first responders, emergency medical technicians-basic, emergency medical technicians-intermediate, and emergency medical technicians-paramedic;

(3) Application fees for certificates of accreditation, certificates of approval, certificates to teach, and certificates to practice, which shall be deposited into the trauma and emergency medical services fund created in section 4513.263 [4513.26.3] of the Revised Code;

(4) Criteria for determining when the application or renewal fee for a certificate to practice may be waived because an applicant cannot afford to pay the fee;

(5) Procedures for issuance and renewal of certificates of accreditation, certificates of approval, certificates to teach, and certificates to practice, including any procedures necessary to ensure that adequate notice of renewal is provided in accordance with division (D) of section 4765.30 of the Revised Code;

(6) Procedures for suspending or revoking certificates of accreditation, certificates of approval, certificates to teach, and certificates to practice;

(7) Grounds for suspension or revocation of a certificate to practice issued under section 4765.30 of the Revised Code and for taking any other disciplinary action against a first responder, EMT-basic, EMT-I, or paramedic;

(8) Procedures for taking disciplinary action against a first responder, EMT-basic, EMT-I, or paramedic;

(9) Standards for certificates of accreditation and certificates of approval;

(10) Qualifications for certificates to teach;

(11) Requirements for a certificate to practice;

(12) The curricula, number of hours of instruction and training, and instructional materials to be used in adult and pediatric emergency medical services training programs and adult and pediatric emergency medical services continuing education programs;

(13) Procedures for conducting courses in recognizing symptoms of life-threatening allergic reactions and in calculating proper dosage levels and administering injections of epinephrine to adult and pediatric patients who suffer life-threatening allergic reactions;

(14) Examinations for certificates to practice;

(15) Procedures for administering examinations for certificates to practice;

(16) Procedures for approving examinations that demonstrate competence to have a certificate to practice renewed without completing an emergency medical services continuing education program;

(17) Procedures for granting extensions and exemptions of emergency medical services continuing education requirements;

(18) Procedures for approving the additional emergency medical services first responders are authorized by division (C) of section 4765.35 of the Revised Code to perform, EMTs-basic are authorized by division (C) of section 4765.37 of the Revised Code to perform, EMTs-I are authorized by division (B)(5) of section 4765.38 of the Revised Code to perform, and paramedics are authorized by division (B)(6) of section 4765.39 of the Revised Code to perform;

(19) Standards and procedures for implementing the requirements of section 4765.06 of the Revised Code, including designations of the persons who are required to report information to the board and the types of information to be reported;

(20) Procedures for administering the emergency medical services grant program established under section 4765.07 of the Revised Code;

(21) Procedures consistent with Chapter 119 of the Revised Code for appealing decisions of the board;

(22) Minimum qualifications and peer review and quality improvement requirements for persons who provide medical direction to emergency medical service personnel.

(B) The board may adopt, and may amend and rescind, rules in accordance with Chapter 119 of the Revised Code and division (C) of this section that establish the following:

(1) Specifications of information that may be collected under the trauma system registry and incidence reporting system created under section 4765.06 of the Revised Code;

(2) Standards and procedures for implementing any of the recommendations made by any committees of the board or under section 4765.57 of the Revised Code;

(3) Requirements that a person must meet to receive a certificate to practice as a first responder pursuant to division (A)(2) of section 4765.30 of the Revised Code;

(4) Any other rules necessary to implement this chapter.

(C) In developing and administering rules adopted under this chapter, the state board of emergency medical services shall consult with regional directors and regional physician advisory boards created by section 4765.05 of the Revised Code and emphasize the special needs of pediatric and geriatric patients.

(D) Except as otherwise provided in this division, before adopting, amending, or rescinding any rule under this chapter, the board shall submit the proposed rule to the director of public safety for review. The director may review the proposed rule for not more than sixty days after the date it is submitted. If, within this sixty-day period, the director approves the proposed rule or does not notify the board that the rule is disapproved, the board may adopt, amend, or rescind the rule as proposed. If, within this sixty-day period, the director notifies the board that the proposed rule is disapproved, the board shall not adopt, amend, or rescind the rule as proposed unless at least twelve members of the board vote to adopt, amend, or rescind it.

This division does not apply to an emergency rule adopted in accordance with section 119.03 of the Revised Code.

HISTORY: 144 v S 98 (Eff 11-12-92); 146 v H 107 (Eff 6-30-95); 146 v S 150 (Eff 11-24-95); 146 v H 405 (Eff 10-1-96); 148 v H 138. Eff 11-3-2000.

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§ 4765.12. Guidelines for trauma victim care and conduct of peer review and quality assurance programs.

(A) Not later than two years after the effective date of this section, the state board of emergency medical services shall develop and distribute guidelines for the care of trauma victims by emergency medical service personnel and for the conduct of peer review and quality assurance programs by emergency medical service organizations. The guidelines shall be consistent with the state trauma triage protocols adopted in rules under sections 4765.11 and 4765.40 of the Revised Code and shall place emphasis on the special needs of pediatric and geriatric trauma victims. In developing the guidelines, the board shall consult with entities with interests in trauma and emergency medical services and shall consider any relevant guidelines adopted by national organizations, including the American college of surgeons, American college of emergency physicians, and American academy of pediatrics. The board shall distribute the guidelines, and amendments to the guidelines, to each emergency medical service organization, regional director, regional physician advisory board, certified emergency medical service instructor, and person who regularly provides medical direction to emergency medical service personnel in this state.

(B) Not later than three years after the effective date of this section, each emergency medical service organization in this state shall implement ongoing peer review and quality assurance programs designed to improve the availability and quality of the emergency medical services it provides. The form and content of the programs shall be determined by each emergency medical service organization. In implementing the programs, each emergency medical service organization shall consider how to improve its ability to provide effective trauma care, particularly for pediatric and geriatric trauma victims, and shall take into account the trauma care guidelines developed by the state board of emergency medical services under this section.

Information generated solely for use in a peer review or quality assurance program conducted on behalf of an emergency medical service organization is not a public record under section 149.43 of the Revised Code. Such information, and any discussion conducted in the course of a peer review or quality assurance program conducted on behalf of an emergency medical service organization, is not subject to discovery in a civil action and shall not be introduced into evidence in a civil action against the emergency medical service organization on whose behalf the information was generated or the discussion occurred.

No emergency medical service organization on whose behalf a peer review or quality assurance program is conducted, and no person who conducts such a program, because of performing such functions, shall be liable in a civil action for betrayal of professional confidence or otherwise in the absence of willful or wanton misconduct.

HISTORY: 148 v H 138. Eff 11-3-2000.

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§ 4765.15. Accreditation of training programs; approval of continuing education programs.

A person seeking to operate an emergency medical services training program shall submit a completed application for accreditation to the state board of emergency medical services on a form the board shall prescribe and furnish. The application shall be accompanied by the appropriate application fee established in rules adopted under section 4765.11 of the Revised Code.

A person seeking to operate an emergency medical services continuing education program shall submit a completed application for approval to the board on a form the board shall prescribe and furnish. The application shall be accompanied by the appropriate application fee established in rules adopted under section 4765.11 of the Revised Code.

The board shall administer the accreditation and approval processes pursuant to rules adopted under section 4765.11 of the Revised Code. In administering these processes, the board may authorize other persons to evaluate applications for accreditation or approval and may accept the recommendations made by those persons.

The board may cause an investigation to be made into the accuracy of the information submitted in any application for accreditation or approval. If an investigation indicates that false, misleading, or incomplete information has been submitted to the board in connection with any application for accreditation or approval, the board shall conduct a hearing on the matter in accordance with Chapter 119. of the Revised Code.

HISTORY: RC § 4731.83, 136 v H 832 (Eff 8-31-76); 137 v H 1092 (Eff 7-21-78); 140 v H 291 (Eff 7-1-83); RC § 3303.11, 141 v H 222 (Eff 5-15-86); RC § 4765.15, 144 v S 98 (Eff 11-12-92); 148 v H 138. Eff 11-3-2000.

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§ 4765.16. Development and teaching of training and continuing education programs; standards.

(A) All courses offered through an emergency medical services training program or an emergency medical services continuing education program, other than ambulance driving, shall be developed under the direction of a physician who specializes in emergency medicine. Each course that deals with trauma care shall be developed in consultation with a physician who specializes in trauma surgery. Each course offered through a training program or continuing education program shall be taught by a person who holds the appropriate certificate to teach issued under section 4765.23 of the Revised Code.

(B) A training program for first responders shall meet the standards established in rules adopted by the state board of emergency medical services under section 4765.11 of the Revised Code. The program shall include courses in both of the following areas for at least the number of hours established by the board's rules:

(1) Emergency victim care;

(2) Reading and interpreting a trauma victim's vital signs.

(C) A training program for emergency medical technicians-basic shall meet the standards established in rules adopted by the board under section 4765.11 of the Revised Code. The program shall include courses in each of the following areas for at least the number of hours established by the board's rules:

(1) Emergency victim care;

(2) Reading and interpreting a trauma victim's vital signs;

(3) Triage protocols for adult and pediatric trauma victims;

(4) In-hospital training;

(5) Clinical training;

(6) Training as an ambulance driver.

Each operator of a training program for emergency medical technicians-basic shall allow any pupil in the twelfth grade in a secondary school who is at least seventeen years old and who otherwise meets the requirements for admission into such a training program to be admitted to and complete the program and, as part of the training, to ride in an ambulance with emergency medical technicians-basic, emergency medical technicians-intermediate, and emergency medical technicians-paramedic. Each emergency medical service organization shall allow pupils participating in training programs to ride in an ambulance with emergency medical technicians-basic, advanced emergency medical technicians-intermediate, and emergency medical technicians-paramedic.

(D) A training program for emergency medical technicians-intermediate shall meet the standards established in rules adopted by the board under section 4765.11 of the Revised Code. The program shall include, or require as a prerequisite, the training specified in division (C) of this section and courses in each of the following areas for at least the number of hours established by the board's rules:

(1) Recognizing symptoms of life-threatening allergic reactions and in calculating proper dosage levels and administering injections of epinephrine to persons who suffer life-threatening allergic reactions, conducted in accordance with rules adopted by the board under section 4765.11 of the Revised Code;

(2) Venous access procedures;

(3) Cardiac monitoring and electrical interventions to support or correct the cardiac function.

(E) A training program for emergency medical technicians-paramedic shall meet the standards established in rules adopted by the board under section 4765.11 of the Revised Code. The program shall include, or require as a prerequisite, the training specified in divisions (C) and (D) of this section and courses in each of the following areas for at least the number of hours established by the board's rules:

(1) Medical terminology;

(2) Venous access procedures;

(3) Airway procedures;

(4) Patient assessment and triage;

(5) Acute cardiac care, including administration of parenteral injections, electrical interventions, and other emergency medical services;

(6) Emergency and trauma victim care beyond that required under division (C) of this section;

(7) Clinical training beyond that required under division (C) of this section.

(F) A continuing education program for first responders, EMTs-basic, EMTs-I, or paramedics shall meet the standards established in rules adopted by the board under section 4765.11 of the Revised Code. A continuing education program shall include instruction and training in subjects established by the board's rules for at least the number of hours established by the board's rules.

HISTORY: RC § 4731.84, 136 v H 832 (Eff 8-31-76); 137 v H 1092 (Eff 7-21-78); 140 v S 19 (Eff 9-18-84); 141 v S 62 (Eff 9-4-85); RC § 3303.12, 141 v H 222 (Eff 5-15-86); RC § 4765.16, 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 146 v H 405 (Eff 10-1-96); 148 v H 138. Eff 11-3-2000.

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§ 4765.17. Issuance of certificate of accreditation or certificate of approval; renewal.

(A) The state board of emergency medical services shall issue the appropriate certificate of accreditation or certificate of approval to an applicant who is of good reputation and meets the requirements of section 4765.16 of the Revised Code. The board shall grant or deny a certificate of accreditation or certificate of approval within one hundred twenty days of receipt of the application. The board may issue a certificate of accreditation or certificate of approval on a provisional basis to an applicant who is of good reputation and is in substantial compliance with the requirements of section 4765.16 of the Revised Code. The board shall inform an applicant receiving such a certificate of the conditions he must meet to complete compliance with section 4765.16 of the Revised Code.

(B) Except as provided in division (C) of this section, a certificate of accreditation or certificate of approval is valid for three years and may be renewed by the board pursuant to procedures established in rules adopted under section 4765.11 of the Revised Code. An application for renewal shall be accompanied by the appropriate renewal fee established in rules adopted under section 4765.11 of the Revised Code.

(C) A certificate of accreditation or certificate of approval issued on a provisional basis is valid for one year and shall not be renewed by the board. If the board finds that the holder of such a certificate has met the conditions it specifies under division (A) of this section, the board shall issue the appropriate certificate of accreditation or certificate of approval.

(D) A certificate of accreditation is valid only for the emergency medical services training program for which it is issued. A certificate of approval is valid only for the emergency medical services continuing education program for which it is issued. Neither is transferable.

(E) The operator of an accredited or approved program may offer courses from the program at more than one location.

HISTORY: 144 v S 98 (Eff 11-12-92); 144 v H 478. Eff 1-14-93.

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§ 4765.18. Grounds for suspending, revoking or canceling certificate.

The state board of emergency medical services may suspend or revoke a certificate of accreditation or a certificate of approval issued under section 4765.17 of the Revised Code for any of the following reasons:

(A) Violation of this chapter or any rule adopted under it;

(B) Furnishing of false, misleading, or incomplete information to the board;

(C) The signing of an application or the holding of a certificate of accreditation by a person who has pleaded guilty to or has been convicted of a felony, or has pleaded guilty to or been convicted of a crime involving moral turpitude;

(D) The signing of an application or the holding of a certificate of accreditation by a person who is addicted to the use of any controlled substance or has been adjudicated incompetent for that purpose by a court, as provided in section 5122.301 [5122.30.1] of the Revised Code;

(E) Violation of any commitment made in an application for a certificate of accreditation or certificate of approval;

(F) Presentation to prospective students of misleading, false, or fraudulent information relating to the emergency medical services training program or emergency medical services continuing education program, employment opportunities, or opportunities for enrollment in accredited institutions of higher education after entering or completing courses offered by the operator of a program;

(G) Failure to maintain in a safe and sanitary condition premises and equipment used in conducting courses of study;

(H) Failure to maintain financial resources adequate for the satisfactory conduct of courses of study or to retain a sufficient number of certified instructors;

(I) Discrimination in the acceptance of students upon the basis of race, color, religion, sex, or national origin.

HISTORY: RC § 4731.85, 136 v H 832 (Eff 8-31-76); 137 v H 725 (Eff 3-16-78); 137 v H 1092 (Eff 7-21-78); RC § 3303.14, 141 v H 222 (Eff 5-15-86); RC § 4765.18, 144 v S 98. Eff 11-12-92.

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§ 4765.22. Application for teaching certificate.

A person seeking a certificate to teach in an emergency medical services training program or an emergency medical services continuing education program shall submit a completed application for certification to the state board of emergency medical services on a form the board shall prescribe and furnish. The application shall be accompanied by the appropriate application fee established in rules adopted under section 4765.11 of the Revised Code.

HISTORY: 144 v S 98. Eff 11-12-92.

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§ 4765.23. Issuance; renewal; suspension or revocation.

The state board of emergency medical services shall issue a certificate to teach in an emergency medical services training program or an emergency medical services continuing education program to any applicant who it determines meets the qualifications established in rules adopted under section 4765.11 of the Revised Code. The certificate shall indicate each type of instruction and training the certificate holder may teach under the certificate.

A certificate to teach is valid for two years and may be renewed by the board pursuant to procedures established in rules adopted under section 4765.11 of the Revised Code. An application for renewal shall be accompanied by the appropriate renewal fee established in rules adopted under section 4765.11 of the Revised Code.

The board may suspend or revoke a certificate to teach pursuant to rules adopted under section 4765.11 of the Revised Code.

HISTORY: 144 v S 98. Eff 11-12-92.

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§ 4765.24. Certificate of successful completion issued to graduates; continuing education certificate.

The operator of an accredited training program for first responders shall issue a certificate of completion in first responder training to each student who successfully completes the training program described in division (B) of section 4765.16 of the Revised Code.

The operator of an accredited training program for emergency medical technicians-basic shall issue a certificate of completion in emergency medical services training-basic to each student who successfully completes the EMT-basic program described in division (C) of section 4765.16 of the Revised Code.

The operator of an accredited training program for emergency medical technicians-intermediate shall issue a certificate of completion in emergency medical services training-intermediate to each student who successfully completes the EMT-I program described in division (D) of section 4765.16 of the Revised Code.

The operator of an accredited training program for emergency medical technicians-paramedic shall issue a certificate of completion in emergency medical services training-paramedic to each student who successfully completes the training program described in division (E) of section 4765.16 of the Revised Code.

The operator of an approved emergency medical services continuing education program shall issue the appropriate certificate of completion in emergency medical services continuing education to each student who successfully completes a continuing education program described in division (F) of section 4765.16 of the Revised Code.

HISTORY: RC § 4731.86, 136 v H 832 (Eff 8-31-76); 137 v H 1092 (Eff 7-21-78); RC § 3303.15, 141 v H 222 (Eff 5-15-86); RC § 4765.24, 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 146 v H 405. Eff 10-1-96.

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§ 4765.28. Application for certificate to practice.

A person seeking a certificate to practice as a first responder, emergency medical technician-basic, emergency medical technician-intermediate, or emergency medical technician-paramedic shall submit a completed application for certification to the state board of emergency medical services on a form the board shall prescribe and furnish. Except as provided in division (B) of section 4765.29 of the Revised Code, the application shall include evidence that the applicant received the appropriate certificate of completion pursuant to section 4765.24 of the Revised Code. The application shall be accompanied by the appropriate application fee established in rules adopted under section 4765.11 of the Revised Code, unless the board waives the fee on determining pursuant to those rules that the applicant cannot afford to pay the fee.

HISTORY: 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 146 v H 405. Eff 10-1-96.

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§ 4765.29. Examination for certificate to practice.

(A) The state board of emergency medical services shall provide for the examination of applicants for certification to practice as first responders, emergency medical technicians-basic, emergency medical technicians-intermediate, and emergency medical technicians-paramedic. The examinations shall be established by the board in rules adopted under section 4765.11 of the Revised Code. The board may administer the examinations or contract with other persons to administer the examinations. In either case, the examinations shall be administered pursuant to procedures established in rules adopted under section 4765.11 of the Revised Code and shall be offered at various locations in the state selected by the board.

Except as provided in division (B) of this section, an applicant shall not be permitted to take an examination for the same certificate to practice more than three times since last receiving the certificate of completion pursuant to section 4765.24 of the Revised Code that qualifies the applicant to take the examination unless the applicant receives another certificate of completion that qualifies the applicant to take the examination.

(B) On request of an applicant who fails three examinations for the same certificate to practice, the board may direct the applicant to complete a specific portion of an accredited emergency medical services training program. If the applicant provides satisfactory proof to the board that the applicant has successfully completed that portion of the program, the applicant shall be permitted to take the examination.

HISTORY: 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 146 v H 405. Eff 10-1-96.

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§ 4765.30. Conditions for issuance of certificate; renewal.

(A) (1) The state board of emergency medical services shall issue a certificate to practice as a first responder to an applicant who meets all of the following conditions:

(a) Except as provided in division (A)(2) of this section, is a volunteer for a nonprofit emergency medical service organization or a nonprofit fire department;

(b) Holds the appropriate certificate of completion issued in accordance with section 4765.24 of the Revised Code;

(d) Is not in violation of any provision of this chapter or the rules adopted under it;

(e) Meets any other certification requirements established in rules adopted under section 4765.11 of the Revised Code.

(2) The board may waive the requirement to be a volunteer for a nonprofit entity if the applicant meets other requirements established in rules adopted under division (B)(3) of section 4765.11 of the Revised Code relative to a person's eligibility to practice as a first responder.

(B) The state board of emergency medical services shall issue a certificate to practice as an emergency medical technician-basic to an applicant who meets all of the following conditions:

(1) Holds a certificate of completion in emergency medical services training-basic issued in accordance with section 4765.24 of the Revised Code;

(2) Passes the examination for emergency medical technicians-basic conducted under section 4765.29 of the Revised Code;

(3) Is not in violation of any provision of this chapter or the rules adopted under it;

(4) Meets any other certification requirements established in rules adopted under section 4765.11 of the Revised Code.

(C) The state board of emergency medical services shall issue a certificate to practice as an emergency medical technician-intermediate or emergency medical technician-paramedic to an applicant who meets all of the following conditions:

(1) Holds a certificate to practice as an emergency medical technician-basic;

(2) Holds the appropriate certificate of completion issued in accordance with section 4765.24 of the Revised Code;

(3) Passes the appropriate examination conducted under section 4765.29 of the Revised Code;

(4) Is not in violation of any provision of this chapter or the rules adopted under it;

(5) Meets any other certification requirements established in rules adopted under section 4765.11 of the Revised Code.

(D) A certificate to practice is valid for three years and may be renewed by the board pursuant to procedures established in rules adopted under section 4765.11 of the Revised Code. Not later than sixty days prior to the expiration date of an individual's certificate to practice, the board shall notify the individual of the scheduled expiration and furnish an application for renewal.

An application for renewal shall be accompanied by the appropriate renewal fee established in rules adopted under section 4765.11 of the Revised Code, unless the board waives the fee on determining pursuant to those rules that the applicant cannot afford to pay the fee. Except as provided in division (B) of section 4765.31 of the Revised Code, the application shall include evidence of either of the following:

(1) That the applicant received a certificate of completion from the appropriate emergency medical services continuing education program pursuant to section 4765.24 of the Revised Code;

(2) That the applicant has successfully passed an examination that demonstrates the competence to have a certificate renewed without completing an emergency medical services continuing education program. The board shall approve such examinations in accordance with rules adopted under section 4765.11 of the Revised Code.

(E) The board shall not require an applicant for renewal of a certificate to practice to take an examination as a condition of renewing the certificate. This division does not preclude the use of examinations by operators of approved emergency medical services continuing education programs as a condition for issuance of a certificate of completion in emergency medical services continuing education.

HISTORY: 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 146 v H 405 (Eff 10-1-96); 148 v H 138. Eff 11-3-2000.

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§ 4765.301. Criminal records check for prospective EMT.

(A) An appointing authority may request the superintendent of BCII to conduct a criminal records check with respect to any person who is under consideration for appointment or employment as an emergency medical technician-basic, an emergency medical technician-intermediate, or an emergency medical technician-paramedic.

(B) (1) The appointing authority may request that the superintendent of BCII obtain information from the federal bureau of investigation as a part of the criminal records check requested pursuant to division (A) of this section.

(2) An appointing authority authorized by division (A) of this section to request a criminal records check shall provide to each person for whom the appointing authority intends to request a criminal records check a copy of the form prescribed pursuant to division (C)(1) of section 109.578 [109.57.8] of the Revised Code and a standard impression sheet to obtain fingerprint impressions prescribed pursuant to division (C)(2) of section 109.578 [109.57.8] of the Revised Code, obtain the completed form and impression sheet from the person, and forward the completed form and impression sheet to the superintendent of BCII at the time the criminal records check is requested.

(3) Any person subject to a criminal records check who receives a copy of the form and a copy of the impression sheet pursuant to division (B)(2) of this section and who is requested to complete the form and provide a set of fingerprint impressions shall complete the form or provide all the information necessary to complete the form and shall provide the impression sheet with the impressions of the person's fingerprints. If a person fails to provide the information necessary to complete the form or fails to provide impressions of the person's fingerprints, the appointing authority shall not appoint or employ the person as an emergency medical technician-basic, an emergency medical technician-intermediate, or an emergency medical technician-paramedic.

(C) (1) Except as otherwise provided in division (C)(2) of this section, an appointing authority shall not appoint or employ a person as an emergency medical technician-basic, an emergency medical technician-intermediate, or an emergency medical technician-paramedic if the appointing authority has requested a criminal records check pursuant to division (A) of this section and the criminal records check indicates that the person previously has been convicted of or pleaded guilty to any of the following:

(a) A felony;

(b) A violation of section 2909.03 of the Revised Code;

(c) A violation of an existing or former law of this state, any other state, or the United States that is substantially equivalent to any of the offenses described in division (C)(1)(a) or (b) of this section.

(2) Notwithstanding division (C)(1) of this section, an appointing authority may appoint or employ a person as an emergency medical technician-basic, an emergency medical technician-intermediate, or an emergency medical technician-paramedic if all of the following apply:

(a) The appointing authority has requested a criminal records check pursuant to division (A) of this section.

(b) The criminal records check indicates that the person previously has been convicted of or pleaded guilty to any of the offenses described in division (C)(1) of this section.

(3) If an appointing authority requests a criminal records check pursuant to division (A) of this section, the appointing authority may appoint or employ a person as an emergency medical technician-basic, an emergency medical technician-intermediate, or an emergency medical technician-paramedic conditionally until the criminal records check is completed and the appointing authority receives the results. If the results of the criminal records check indicate that, pursuant to division (C)(1) of this section, the person subject to the criminal records check is disqualified from appointment or employment, the appointing authority shall release the person from appointment or employment.

(D) The appointing authority shall pay to the bureau of criminal identification and investigation the fee prescribed pursuant to division (C)(3) of section 109.578 [109.57.8] of the Revised Code for each criminal records check conducted in accordance with that section. The appointing authority may charge the applicant who is subject to the criminal records check a fee for the costs the appointing authority incurs in obtaining the criminal records check. A fee charged under this division shall not exceed the amount of fees the appointing authority pays for the criminal records check. If a fee is charged under this division, the appointing authority shall notify the applicant at the time of the applicant's initial application for appointment or employment of the amount of the fee and that, unless the fee is paid, the applicant will not be considered for appointment or employment.

(E) The appointing authority shall adopt rules in accordance with Chapter 119. of the Revised Code to implement this section. The rules shall include rehabilitation standards a person who has been convicted of or pleaded guilty to an offense listed in division (C)(1) of this section must meet for the appointing authority to appoint or employ the person as an emergency medical technician-basic, an emergency medical technician-intermediate, or an emergency medical technician-paramedic.

(F) An appointing authority that intends to request a criminal records check for an applicant shall inform each applicant, at the time of the person's initial application for appointment or employment, that the applicant is required to provide a set of impressions of the person's fingerprints and that the appointing authority requires a criminal records check to be conducted and satisfactorily completed in accordance with section 109.578 [109.57.8] of the Revised Code.

(G) As used in this section:

(1) "Appointing authority" means any person or body that has the authority to hire, appoint, or employ emergency medical technicians-basic, emergency medical technicians-intermediate, or emergency medical technicians-paramedic.

(2) "Criminal records check" has the same meaning as in section 109.578 [109.57.8] of the Revised Code.

(3) "Superintendent of BCII" has the same meaning as in section 2151.86 of the Revised Code.

HISTORY: 149 v S 258. Eff 4-9-2003.

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§ 4765.31. Continuing education requirements; extension or exemption.

(A) Except as provided in division (B) of this section, a first responder, emergency medical technician-basic, emergency medical technician-intermediate, and emergency medical technician-paramedic shall complete an emergency medical services continuing education program or pass an examination approved by the state board of emergency medical services under division (A) of section 4765.10 of the Revised Code prior to the expiration of the individual's certificate to practice. Completion of the continuing education requirements for EMTs-I or paramedics satisfies the continuing education requirements for renewing the certificate to practice as an EMT-basic held by an EMT-I or paramedic.

(B) (1) An applicant for renewal of a certificate to practice may apply to the board, in writing, for an extension to complete the continuing education requirements established under division (A) of this section. The board may grant such an extension and determine the length of the extension. The board may authorize the applicant to continue to practice during the extension as if the certificate to practice had not expired.

(2) An applicant for renewal of a certificate to practice may apply to the board, in writing, for an exemption from the continuing education requirements established under division (A) of this section. The board may exempt an individual or a group of individuals from all or any part of the continuing education requirements due to active military service, unusual circumstance, emergency, special hardship, or any other cause considered reasonable by the board.

(C) Decisions of whether to grant an extension or exemption under division (B) of this section shall be made by the board pursuant to procedures established in rules adopted under section 4765.11 of the Revised Code.

HISTORY: 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 146 v H 405. Eff 10-1-96.

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§ 4765.32. Status of certificates issued under prior law.

A current, valid certificate of accreditation issued under the provisions of former section 3303.11 or 3303.23 of the Revised Code shall remain valid until one year after the expiration date of the certificate as determined by the provisions of those sections and shall confer the same privileges and impose the same responsibilities and requirements as a certificate of accreditation issued by the state board of emergency medical services under section 4765.17 of the Revised Code.

A certificate to practice as an emergency medical technician-ambulance that is valid on November 24, 1995, shall be considered a certificate to practice as an emergency medical technician-basic. A certificate to practice as an advanced emergency medical technician-ambulance that is valid on November 24, 1995, shall be considered a certificate to practice as an emergency medical technician-intermediate.

HISTORY: RC § 3303.23, 141 v H 222 (Eff 5-15-86); RC § 4765.32, 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 148 v H 138. Eff 11-3-2000.

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§ 4765.33. Rules for disciplinary actions.

The state board of emergency medical services may suspend or revoke certificates to practice issued under section 4765.30 of the Revised Code, and may take other disciplinary action against first responders, emergency medical technicians-basic, emergency medical technicians-intermediate, and emergency medical technicians-paramedic pursuant to rules adopted under section 4765.11 of the Revised Code.

HISTORY: RC § 3303.20.1, 141 v H 222 (Eff 5-15-86); RC § 4765.33, 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 146 v H 405. Eff 10-1-96.

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§ 4765.35. Performance of services by first responders.

(A) A first responder shall perform the emergency medical services described in this section in accordance with this chapter and any rules adopted under it.

(B) A first responder may provide limited emergency medical services to patients until the arrival of an emergency medical technician-basic, emergency medical technician-intermediate, or emergency medical technician-paramedic. In an emergency, a first responder may render emergency medical services such as opening and maintaining an airway, giving mouth to barrier ventilation, chest compressions, electrical interventions with automated defibrillators to support or correct the cardiac function and other methods determined by the board, controlling of hemorrhage, manual stabilization of fractures, bandaging, assisting in childbirth, and determining triage of trauma victims.

(C) A first responder may perform any other emergency medical services approved pursuant to rules adopted under section 4765.11 of the Revised Code. The board shall determine whether the nature of any such service requires that a first responder receive authorization prior to performing the service.

(D) (1) Except as provided in division (D)(2) of this section, if the board determines under division (C) of this section that a service requires prior authorization, the service shall be performed only pursuant to the written or verbal authorization of a physician or of the cooperating physician advisory board, or pursuant to an authorization transmitted through a direct communication device by a physician or registered nurse designated by a physician.

(2) If communications fail during an emergency situation or the required response time prohibits communication, a first responder may perform services subject to this division, if, in the judgment of the first responder, the life of the patient is in immediate danger. Services performed under these circumstances shall be performed in accordance with the written protocols for triage of adult and pediatric trauma victims established in rules adopted under sections 4765.11 and 4765.40 of the Revised Code and any applicable protocols adopted by the emergency medical service organization with which the first responder is affiliated.

HISTORY: 146 v H 405 (Eff 10-1-96); 148 v H 138. Eff 11-3-2000.

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§ 4765.36. Performance of services while in hospital.

In a hospital, an emergency medical technician-basic, emergency medical technician-intermediate, or emergency medical technician-paramedic may perform emergency medical services only under the direction and supervision of a physician or registered nurse designated by a physician and only in the hospital's emergency department or while moving a patient between the emergency department and another part of the hospital.

HISTORY: 146 v H 117 (Eff 9-29-95); 146 v S 150. Eff 11-24-95.

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§ 4765.37. Performance of services by EMT-basic.

(A) An emergency medical technician-basic shall perform the emergency medical services described in this section in accordance with this chapter and any rules adopted under it by the state board of emergency medical services.

(B) An emergency medical technician-basic may operate, or be responsible for operation of, an ambulance and may provide emergency medical services to patients. In an emergency, an EMT-basic may determine the nature and extent of illness or injury and establish priority for required emergency medical services. An EMT-basic may render emergency medical services such as opening and maintaining an airway, giving positive pressure ventilation, cardiac resuscitation, electrical interventions with automated defibrillators to support or correct the cardiac function and other methods determined by the board, controlling of hemorrhage, treatment of shock, immobilization of fractures, bandaging, assisting in childbirth, management of mentally disturbed patients, initial care of poison and burn patients, and determining triage of adult and pediatric trauma victims. Where patients must in an emergency be extricated from entrapment, an EMT-basic may assess the extent of injury and render all possible emergency medical services and protection to the entrapped patient; provide light rescue services if an ambulance has not been accompanied by a specialized unit; and after extrication, provide additional care in sorting of the injured in accordance with standard emergency procedures.

(C) An EMT-basic may perform any other emergency medical services approved pursuant to rules adopted under section 4765.11 of the Revised Code. The board shall determine whether the nature of any such service requires that an EMT-basic receive authorization prior to performing the service.

(2) If communications fail during an emergency situation or the required response time prohibits communication, an EMT-basic may perform services subject to this division, if, in the judgment of the EMT-basic, the life of the patient is in immediate danger. Services performed under these circumstances shall be performed in accordance with the protocols for triage of adult and pediatric trauma victims established in rules adopted under sections 4765.11 and 4765.40 of the Revised Code and any applicable protocols adopted by the emergency medical service organization with which the EMT-basic is affiliated.

HISTORY: 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 147 v S 30 (Eff 5-6-98); 148 v H 138. Eff 11-3-2000.

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§ 4765.38. Performance of services by EMT-I.

(A) An emergency medical technician-intermediate shall perform the emergency medical services described in this section in accordance with this chapter and any rules adopted under it.

(B) An EMT-I may do any of the following:

(1) Establish and maintain an intravenous lifeline that has been approved by a cooperating physician or physician advisory board;

(2) Perform cardiac monitoring;

(3) Perform electrical interventions to support or correct the cardiac function;

(4) Administer epinephrine;

(5) Determine triage of adult and pediatric trauma victims;

(6) Perform any other emergency medical services approved pursuant to rules adopted under section 4765.11 of the Revised Code.

(C) (1) Except as provided in division (C)(2) of this section, the services described in division (B) of this section shall be performed by an EMT-I only pursuant to the written or verbal authorization of a physician or of the cooperating physician advisory board, or pursuant to an authorization transmitted through a direct communication device by a physician or registered nurse designated by a physician.

(2) If communications fail during an emergency situation or the required response time prohibits communication, an EMT-I may perform any of the services described in division (B) of this section, if, in the judgment of the EMT-I, the life of the patient is in immediate danger. Services performed under these circumstances shall be performed in accordance with the protocols for triage of adult and pediatric trauma victims established in rules adopted under sections 4765.11 and 4765.40 of the Revised Code and any applicable protocols adopted by the emergency medical service organization with which the EMT-I is affiliated.

HISTORY: RC § 4731.89.1, 137 v H 1092 (Eff 7-21-78); 141 v S 62 (Eff 9-4-85); RC § 3303.20, 141 v H 222 (Eff 5-15-86); RC § 4765.38, 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 148 v H 138. Eff 11-3-2000.

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§ 4765.39. Authorization to perform paramedic techniques; emergency situations.

(A) An emergency medical technician-paramedic shall perform the emergency medical services described in this section in accordance with this chapter and any rules adopted under it.

(B) A paramedic may do any of the following:

(1) Perform cardiac monitoring;

(2) Perform electrical interventions to support or correct the cardiac function;

(3) Perform airway procedures;

(4) Perform relief of pneumothorax;

(5) Administer appropriate drugs and intravenous fluids;

(6) Determine triage of adult and pediatric trauma victims;

(7) Perform any other emergency medical services, including life support or intensive care techniques, approved pursuant to rules adopted under section 4765.11 of the Revised Code.

(C) (1) Except as provided in division (C)(2) of this section, the services described in division (B) of this section shall be performed by a paramedic only pursuant to the written or verbal authorization of a physician or of the cooperating physician advisory board, or pursuant to an authorization transmitted through a direct communication device by a physician or registered nurse designated by a physician.

(2) If communications fail during an emergency situation or the required response time prohibits communication, a paramedic may perform any of the services described in division (B) of this section, if, in the paramedic's judgment, the life of the patient is in immediate danger. Services performed under these circumstances shall be performed in accordance with the protocols for triage of adult and pediatric trauma victims established in rules adopted under sections 4765.11 and 4765.40 of the Revised Code and any applicable protocols adopted by the emergency medical service organization with which the paramedic is affiliated.

HISTORY: RC § 4731.89, 136 v H 832 (Eff 8-31-76); 137 v H 1092 (Eff 7-21-78); RC § 3303.19, 141 v H 222 (Eff 5-15-86); RC § 4765.39, 144 v S 98 (Eff 11-12-92); 148 v H 138. Eff 11-3-2000.

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§ 4765.40. State and regional triage protocols for trauma victims.

(A) (1) Not later than two years after the effective date of this amendment, the state board of emergency medical services shall adopt rules under section 4765.11 of the Revised Code establishing written protocols for the triage of adult and pediatric trauma victims. The rules shall define adult and pediatric trauma in a manner that is consistent with section 4765.01 of the Revised Code, minimizes overtriage and undertriage, and emphasizes the special needs of pediatric and geriatric trauma patients.

(2) The state triage protocols adopted under division (A) of this section shall require a trauma victim to be transported directly to an adult or pediatric trauma center that is qualified to provide appropriate adult or pediatric trauma care, unless one or more of the following exceptions applies:

(a) It is medically necessary to transport the victim to another hospital for initial assessment and stabilization before transfer to an adult or pediatric trauma center;

(b) It is unsafe or medically inappropriate to transport the victim directly to an adult or pediatric trauma center due to adverse weather or ground conditions or excessive transport time;

(c) Transporting the victim to an adult or pediatric trauma center would cause a shortage of local emergency medical service resources;

(d) No appropriate adult or pediatric trauma center is able to receive and provide adult or pediatric trauma care to the trauma victim without undue delay;

(e) Before transport of a patient begins, the patient requests to be taken to a particular hospital that is not a trauma center or, if the patient is less than eighteen years of age or is not able to communicate, such a request is made by an adult member of the patient's family or a legal representative of the patient.

(3) (a) The state triage protocols adopted under division (A) of this section shall require trauma patients to be transported to an adult or pediatric trauma center that is able to provide appropriate adult or pediatric trauma care, but shall not require a trauma patient to be transported to a particular trauma center. The state triage protocols shall establish one or more procedures for evaluating whether an injury victim requires or would benefit from adult or pediatric trauma care, which procedures shall be applied by emergency medical service personnel based on the patient's medical needs. In developing state trauma triage protocols, the board shall consider relevant model triage rules and shall consult with the commission on minority health, regional directors, regional physician advisory boards, and appropriate medical, hospital, and emergency medical service organizations.

(b) Before the joint committee on agency rule review considers state triage protocols for trauma victims proposed by the state board of emergency medical services, or amendments thereto, the board shall send a copy of the proposal to the Ohio chapter of the American college of emergency physicians, the Ohio chapter of the American college of surgeons, the Ohio chapter of the American academy of pediatrics, OHA: the association for hospitals and health systems, the Ohio osteopathic association, and the association of Ohio children's hospitals and shall hold a public hearing at which it must consider the appropriateness of the protocols to minimize overtriage and undertriage of trauma victims.

(c) The board shall provide copies of the state triage protocols, and amendments to the protocols, to each emergency medical service organization, regional director, regional physician advisory board, certified emergency medical service instructor, and person who regularly provides medical direction to emergency medical service personnel in the state; to each medical service organization in other jurisdictions that regularly provide emergency medical services in this state; and to others upon request.

(B) (1) The state board of emergency medical services shall approve regional protocols for the triage of adult and pediatric trauma victims, and amendments to such protocols, that are submitted to the board as provided in division (B)(2) of this section and provide a level of adult and pediatric trauma care comparable to the state triage protocols adopted under division (A) of this section. The board shall not otherwise approve regional triage protocols for trauma victims. The board shall not approve regional triage protocols for regions that overlap and shall resolve any such disputes by apportioning the overlapping territory among appropriate regions in a manner that best serves the medical needs of the residents of that territory. The trauma committee of the board shall have reasonable opportunity to review and comment on regional triage protocols and amendments to such protocols before the board approves or disapproves them.

(2) Regional protocols for the triage of adult and pediatric trauma victims, and amendments to such protocols, shall be submitted in writing to the state board of emergency medical services by the regional physician advisory board or regional director, as appropriate, that serves a majority of the population in the region in which the protocols apply. Prior to submitting regional triage protocols, or an amendment to such protocols, to the state board of emergency medical services, a regional physician advisory board or regional director shall consult with each of the following that regularly serves the region in which the protocols apply:

(a) Other regional physician advisory boards and regional directors;

(b) Hospitals that operate an emergency facility;

(d) Professional societies of physicians who specialize in adult or pediatric emergency medicine or adult or pediatric trauma surgery;

(e) Professional societies of nurses who specialize in adult or pediatric emergency nursing or adult or pediatric trauma surgery;

(f) Professional associations or labor organizations of emergency medical service personnel;

(g) Emergency medical service organizations and medical directors of such organizations;

(h) Certified emergency medical service instructors.

(3) Regional protocols for the triage of adult and pediatric trauma victims approved under division (B)(2) of this section shall require patients to be transported to a trauma center that is able to provide an appropriate level of adult or pediatric trauma care; shall not discriminate among trauma centers for reasons not related to a patient's medical needs; shall seek to minimize undertriage and overtriage; may include any of the exceptions in division (A)(2) of this section; and supersede the state triage protocols adopted under division (A) of this section in the region in which the regional protocols apply.

(4) Upon approval of regional protocols for the triage of adult and pediatric trauma victims under division (B)(2) of this section, or an amendment to such protocols, the state board of emergency medical services shall provide written notice of the approval and a copy of the protocols or amendment to each entity in the region in which the protocols apply to which the board is required to send a copy of the state triage protocols adopted under division (A) of this section.

(C) (1) The state board of emergency medical services shall review the state triage protocols adopted under division (A) of this section at least every three years to determine if they are causing overtriage or undertriage of trauma patients, and shall modify them as necessary to minimize overtriage and undertriage.

(2) Each regional physician advisory board or regional director that has had regional triage protocols approved under division (B)(2) of this section shall review the protocols at least every three years to determine if they are causing overtriage or undertriage of trauma patients and shall submit an appropriate amendment to the state board, as provided in division (B) of this section, as necessary to minimize overtriage and undertriage. The state board shall approve the amendment if it will reduce overtriage or undertriage while complying with division (B) of this section, and shall not otherwise approve the amendment.

(D) No provider of emergency medical services or person who provides medical direction to emergency medical service personnel in this state shall fail to comply with the state triage protocols adopted under division (A) of this section or applicable regional triage protocols approved under division (B)(2) of this section.

(E) The state board of emergency medical services shall adopt rules under section 4765.11 of the Revised Code that provide for enforcement of the state triage protocols adopted under division (A) of this section and regional triage protocols approved under division (B)(2) of this section, and for education regarding those protocols for emergency medical service organizations and personnel, regional directors and regional physician advisory boards, emergency medical service instructors, and persons who regularly provide medical direction to emergency medical service personnel in this state.

HISTORY: 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 146 v H 405 (Eff 10-1-96); 148 v H 138. Eff 11-3-2000.

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§ 4765.41. Protocols to govern when communications unavailable.

The medical director or cooperating physician advisory board of each emergency medical service organization shall establish written protocols to be followed by first responders, emergency medical technicians-basic, emergency medical technicians-intermediate, and emergency medical technicians-paramedic in performing emergency medical services when communications have failed or the required response prevents communication and the life of the patient is in immediate danger. Those protocols shall be consistent with applicable trauma triage protocols adopted under division (A) or approved under division (B)(2) of section 4765.40 of the Revised Code, but may direct to an adult or pediatric trauma center emergency victims that the applicable trauma triage protocols do not require to be transported to an adult or pediatric trauma center.

HISTORY: 148 v H 138. Eff 11-3-2000.

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§ 4765.42. Notice of name of medical director or of advisory physicians.

Each emergency medical service organization shall give notice of the name of its medical director or the names of the members of its cooperating physician advisory board to the state board of emergency medical services. The notice shall be made in writing.

HISTORY: 144 v S 98. Eff 11-12-92.

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§ 4765.43. Ambulance drivers; staffing.

(A) A person who drives an ambulance that is equipped for emergency medical services, is not required by this chapter to be certified as an emergency medical technician-basic, emergency medical technician-intermediate, or emergency medical technician-paramedic.

(B) During each emergency run made by an ambulance that is equipped for emergency medical services and is operated by an emergency medical service organization that does not utilize any volunteer emergency medical service providers, the ambulance shall be staffed by at least two EMTs-Basic, EMTs-I, or paramedics. At any time a patient is being transported in an ambulance that is equipped for emergency medical services and is operated by an emergency medical service organization that utilizes volunteer emergency medical service providers, the ambulance shall be staffed by at least two EMTs-Basic, EMTs-I, or paramedics. At all other times during an emergency run, the ambulance shall be staffed by at least one EMT-Basic, EMT-I, or paramedic. When an ambulance is so staffed, it may be driven by a person who is not certified as an EMT-Basic, EMT-I, or paramedic.

HISTORY: RC § 4731.84.1, 137 v H 1092 (Eff 7-21-78); RC § 3303.13, 141 v H 222 (Eff 5-15-86); RC § 4765.43, 144 v S 98 (Eff 11-12-92); 145 v H 152 (Eff 7-1-93); 146 v S 150. Eff 11-24-95.

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§ 4765.48. Actions against violators.

The attorney general, the prosecuting attorney of the county, or the city director of law shall, upon complaint of the state board of emergency medical services, prosecute to termination or bring an action for injunction against any person violating this chapter or the rules adopted under it. The common pleas court in which an action for injunction is filed has the jurisdiction to grant injunctive relief upon a showing that the respondent named in the complaint is in violation of this chapter or the rules adopted under it.

HISTORY: RC § 4731.88, 136 v H 832 (Eff 8-31-76); 136 v H 1 (Special) (Eff 9-2-76); 137 v H 219 (Eff 11-1-77); RC § 3303.18, 141 v H 222 (Eff 5-15-86); RC § 4765.48, 144 v S 98. Eff 11-12-92.

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§ 4765.49. Civil immunity of emergency medical personnel and agencies.

(A) A first responder, emergency medical technician-basic, emergency medical technician-intermediate, or emergency medical technician-paramedic is not liable in damages in a civil action for injury, death, or loss to person or property resulting from the individual's administration of emergency medical services, unless the services are administered in a manner that constitutes willful or wanton misconduct. A physician or registered nurse designated by a physician, who is advising or assisting in the emergency medical services by means of any communication device or telemetering system, is not liable in damages in a civil action for injury, death, or loss to person or property resulting from the individual's advisory communication or assistance, unless the advisory communication or assistance is provided in a manner that constitutes willful or wanton misconduct. Medical directors and members of cooperating physician advisory boards of emergency medical service organizations are not liable in damages in a civil action for injury, death, or loss to person or property resulting from their acts or omissions in the performance of their duties, unless the act or omission constitutes willful or wanton misconduct.

(B) A political subdivision, joint ambulance district, joint emergency medical services district, or other public agency, and any officer or employee of a public agency or of a private organization operating under contract or in joint agreement with one or more political subdivisions, that provides emergency medical services, or that enters into a joint agreement or a contract with the state, any political subdivision, joint ambulance district, or joint emergency medical services district for the provision of emergency medical services, is not liable in damages in a civil action for injury, death, or loss to person or property arising out of any actions taken by a first responder, EMT-basic, EMT-I, or paramedic working under the officer's or employee's jurisdiction, or for injury, death, or loss to person or property arising out of any actions of licensed medical personnel advising or assisting the first responder, EMT-basic, EMT-I, or paramedic, unless the services are provided in a manner that constitutes willful or wanton misconduct.

(C) A student who is enrolled in an emergency medical services training program accredited under section 4765.17 of the Revised Code or an emergency medical services continuing education program approved under that section is not liable in damages in a civil action for injury, death, or loss to person or property resulting from either of the following:

(1) The student's administration of emergency medical services or patient care or treatment, if the services, care, or treatment is administered while the student is under the direct supervision and in the immediate presence of an EMT-basic, EMT-I, paramedic, registered nurse, or physician and while the student is receiving clinical training that is required by the program, unless the services, care, or treatment is provided in a manner that constitutes willful or wanton misconduct;

(2) The student's training as an ambulance driver, unless the driving is done in a manner that constitutes willful or wanton misconduct.

(D) An EMT-basic, EMT-I, paramedic, or other operator, who holds a valid commercial driver's license issued pursuant to Chapter 4506. of the Revised Code or driver's license issued pursuant to Chapter 4507. of the Revised Code and who is employed by an emergency medical service organization that is not owned or operated by a political subdivision as defined in section 2744.01 of the Revised Code, is not liable in damages in a civil action for injury, death, or loss to person or property that is caused by the operation of an ambulance by the EMT-basic, EMT-I, paramedic, or other operator while responding to or completing a call for emergency medical services, unless the operation constitutes willful or wanton misconduct or does not comply with the precautions of section 4511.03 of the Revised Code. An emergency medical service organization is not liable in damages in a civil action for any injury, death, or loss to person or property that is caused by the operation of an ambulance by its employee or agent, if this division grants the employee or agent immunity from civil liability for the injury, death, or loss.

(E) An employee or agent of an emergency medical service organization who receives requests for emergency medical services that are directed to the organization, dispatches first responders, EMTs-basic, EMTs-I, or paramedics in response to those requests, communicates those requests to those employees or agents of the organization who are authorized to dispatch first responders, EMTs-basic, EMTs-I, or paramedics, or performs any combination of these functions for the organization, is not liable in damages in a civil action for injury, death, or loss to person or property resulting from the individual's acts or omissions in the performance of those duties for the organization, unless an act or omission constitutes willful or wanton misconduct.

(F) A person who is performing the functions of a first responder, EMT-basic, EMT-I, or paramedic under the authority of the laws of a state that borders this state and who provides emergency medical services to or transportation of a patient in this state is not liable in damages in a civil action for injury, death, or loss to person or property resulting from the person's administration of emergency medical services, unless the services are administered in a manner that constitutes willful or wanton misconduct. A physician or registered nurse designated by a physician, who is licensed to practice in the adjoining state and who is advising or assisting in the emergency medical services by means of any communication device or telemetering system is not liable in damages in a civil action for injury, death, or loss to person or property resulting from the person's advisory communication or assistance, unless the advisory communication or assistance is provided in a manner that constitutes willful or wanton misconduct.

(G) A person certified under section 4765.23 of the Revised Code to teach in an emergency medical services training program or emergency medical services continuing education program, and a person who teaches at the Ohio fire academy established under section 3737.33 of the Revised Code or in a fire service training program described in division (B) of section 4765.55 of the Revised Code, is not liable in damages in a civil action for injury, death, or loss to person or property resulting from the person's acts or omissions in the performance of the person's duties, unless an act or omission constitutes willful or wanton misconduct.

(H) In the accreditation of emergency medical services training programs or approval of emergency medical services continuing education programs, the state board of emergency medical services and any person or entity authorized by the board to evaluate applications for accreditation or approval are not liable in damages in a civil action for injury, death, or loss to person or property resulting from their acts or omissions in the performance of their duties, unless an act or omission constitutes willful or wanton misconduct.

(I) A person authorized by an emergency medical service organization to review the performance of first responders, EMTs-basic, EMTs-I, and paramedics or to administer quality assurance programs is not liable in damages in a civil action for injury, death, or loss to person or property resulting from the person's acts or omissions in the performance of the person's duties, unless an act or omission constitutes willful or wanton misconduct.

HISTORY: RC § 4731.90, 136 v H 832 (Eff 8-31-76); 137 v S 347 (Eff 7-13-78); 137 v H 1092 (Eff 7-21-78); 138 v H 1 (Eff 5-16-79); 138 v H 201 (Eff 2-28-80); 140 v H 446 (Eff 6-20-84); 141 v H 176 (Eff 11-20-85); RC § 3303.21, 141 v H 222 (Eff 5-15-86); 141 v H 428 (Eff 12-23-86); 143 v H 381 (Eff 7-1-89); RC § 4765.49, 144 v S 98 (Eff 11-12-92); 145 v H 384 (Eff 11-11-94); 146 v S 150 (Eff 11-24-95); 146 v H 405 (Eff 10-1-96); 149 v S 115. Eff 3-19-2003.

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§ 4765.50. Prohibited representations or activities without appropriate certificate; physician prohibitions concerning trauma patients.

(A) Except as provided in division (D) of this section, no person shall represent that the person is a first responder, an emergency medical technician-basic or EMT-basic, an emergency medical technician-intermediate or EMT-I, or an emergency medical technician-paramedic or paramedic unless appropriately certified under section 4765.30 of the Revised Code.

(B) (1) No person shall operate an emergency medical services training program without a certificate of accreditation issued under section 4765.17 of the Revised Code.

(2) No person shall operate an emergency medical services continuing education program without a certificate of approval issued under section 4765.17 of the Revised Code.

(C) No public or private entity shall advertise or disseminate information leading the public to believe that the entity is an emergency medical service organization, unless that entity actually provides emergency medical services.

(D) A person who is performing the functions of a first responder, EMT-basic, EMT-I, or paramedic under the authority of the laws of a jurisdiction other than this state, who is employed by or serves as a volunteer with an emergency medical service organization based in that state, and provides emergency medical services to or transportation of a patient in this state is not in violation of division (A) of this section.

A person who is performing the functions of a first responder, EMT-basic, EMT-I, or paramedic under a reciprocal agreement authorized by section 4765.10 of the Revised Code is not in violation of division (A) of this section.

(E) On and after November 3, 2002, no physician shall purposefully do any of the following:

(1) Admit an adult trauma patient to a hospital that is not an adult trauma center for the purpose of providing adult trauma care;

(2) Admit a pediatric trauma patient to a hospital that is not a pediatric trauma center for the purpose of providing pediatric trauma care;

(3) Fail to transfer an adult or pediatric trauma patient to an adult or pediatric trauma center in accordance with applicable federal law, state law, and adult or pediatric trauma protocols and patient transfer agreements adopted under section 3727.09 of the Revised Code.

HISTORY: RC § 4731.92, 136 v H 832 (Eff 8-31-76); 136 v H 1 (Special) (Eff 9-2-76); 137 v S 347 (Eff 7-13-78); 137 v H 1092 (Eff 7-21-78); 140 v H 446 (Eff 6-20-84); RC § 3303.22, 141 v H 222 (Eff 5-15-86); RC § 4765.50, 144 v S 98 (Eff 11-12-92); 146 v S 150 (Eff 11-24-95); 146 v H 405 (Eff 10-1-96); 148 v H 138 (Eff 11-3-2000); 149 v S 124. Eff 9-17-2002.

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§ 4765.51. Registered nurses not affected.

Nothing in this chapter prevents or restricts the practice, services, or activities of any registered nurse practicing within the scope of his practice.

HISTORY: 144 v S 98. Eff 11-12-92.

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§ 4765.55. Firefighter and fire safety inspector training programs.

(A) This section does not apply to a cooperative education school district.

(B) The executive director of the state board of emergency medical services shall, with the advice and counsel of the firefighter and fire safety inspector training committee of the state board of emergency medical services, assist in the establishment and maintenance by any state agency, or any county, township, city, village, school district, or educational service center of a fire service training program for the training of all paid and volunteer firefighters and fire safety inspectors in this state. The executive director, with the advice and counsel of the committee, shall adopt standards to regulate such firefighter and fire safety inspector training programs. The standards may include, but need not be limited to, provisions for minimum courses of study, minimum hours of instruction, attendance requirements, required equipment and facilities, qualifications of instructors, basic physical and methods training required of firefighters and fire safety inspectors, and training schedules. The standards adopted to regulate training programs for volunteer firefighters shall not require more than thirty-six hours of training. The executive director, with the advice and counsel of the committee, shall provide for the classification and chartering of such training programs and may revoke any charter for failure to meet standards.

(C) Certificates issued under this division shall be prescribed by the executive director, with the advice and counsel of the firefighter and fire inspector training committee of the state board of emergency medical services.

(1) The executive director shall issue a certificate to each person satisfactorily completing a chartered training program.

(2) The executive director, with the committee's advice and counsel, shall establish criteria for evaluating the standards maintained by other states and the branches of the United States military for firefighter training programs to determine whether the standards are equivalent to those established under this section and shall establish requirements and procedures for issuing a certificate to each person who presents proof to the executive director of having satisfactorily completed a training program that meets those standards.

(3) The executive director, with the committee's advice and counsel, shall establish requirements and procedures for issuing a certificate in lieu of completing a chartered firefighter training program to any person requesting a certificate who began serving as a permanent full-time paid firefighter with the fire department of a city or village prior to July 2, 1970, or as a volunteer firefighter with the fire department of a township, fire district, city, or village prior to July 2, 1979.

(D) Nothing in this section invalidates any other section of the Revised Code relating to the fire training academy.

HISTORY: RC § 3303.07, 133 v S 226 (Eff 11-19-69); 137 v H 590 (Eff 7-1-79); RC § 4765.55, 144 v S 98 (Eff 11-12-92); 144 v S 195 (Eff 4-16-93); 146 v H 117 (Eff 9-29-95); 146 v S 150 (Eff 11-24-95); 146 v H 405 (Eff 10-1-96); 148 v H 138. Eff 11-3-2000.

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§ 4765.56. Effect of child support default.

On receipt of a notice pursuant to section 3123.43 of the Revised Code, the state board of emergency medical services shall comply with sections 3123.41 to 3123.50 of the Revised Code and any applicable rules adopted under section 3123.63 of the Revised Code with respect to a certificate to practice issued pursuant to this chapter.

HISTORY: 146 v H 167 (Eff 11-15-96); 147 v S 30 (Eff 5-6-98); 148 v S 180. Eff 3-22-2001.

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§ 4765.99. Penalties.

Whoever violates division (A), (B), or (C) of section 4765.50 of the Revised Code is guilty of a minor misdemeanor on a first offense. On each subsequent offense, such person is guilty of a misdemeanor of the fourth degree.

HISTORY: 144 v S 98. Eff 11-12-92.

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§ 4113.41. Volunteer firefighter or emergency medical services provider not to be terminated for missing work due to emergency.

(A) No employer shall terminate an employee who is a member of a volunteer fire department, or who is employed by a political subdivision of this state as a volunteer firefighter, or who is a volunteer provider of emergency medical services because that employee, when acting as a volunteer firefighter or a volunteer provider of emergency medical services, is absent from or late to the employee's employment in order to respond to an emergency prior to the time the employee is to report to work. An employer may charge any time that an employee who is a volunteer firefighter or a volunteer provider of emergency medical services loses from employment because of the employee's response to an emergency against the employee's regular pay.

(B) An employee who is a volunteer firefighter or volunteer provider of emergency medical services shall do all of the following:

(1) Not later than thirty days after receiving certification as a volunteer firefighter or a volunteer provider of emergency services, submit to the employee's employer a written notification signed by the chief of the volunteer fire department with which the employee serves, or the medical director or chief administrator of the cooperating physician advisory board of the emergency medical organization with which the employee serves, to notify the employer of the employee's status as a volunteer firefighter or volunteer provider of emergency services;

(2) Make every effort to notify the employee's employer that the employee may report late to or be absent from work due to the employee's dispatch to an emergency.

If notification of dispatch to an emergency cannot be made either due to the extreme circumstances of the emergency or the inability to contact the employer, then the employee shall submit to the employee's employer a written explanation from the chief of the volunteer fire department with which the employee serves, or the medical director or chief administrator of the cooperating physician advisory board of the emergency medical service organization with which the employee serves, as applicable, to explain why prior notice was not given.

(C) At the employer's request, an employee who loses time from the employee's employment to respond to an emergency shall provide the employer with a written statement from the chief of the volunteer fire department or the medical director or chief administrator of the cooperating physician advisory board of the emergency medical service organization, as applicable, stating that the employee responded to an emergency and listing the time of that response.

(D) An employee who is a member of a volunteer fire department, or who is employed by a political subdivision of this state as a volunteer firefighter, or who is a volunteer provider of emergency medical services shall notify that employee's employer when the employee's status as a volunteer firefighter or volunteer provider of emergency medical services changes, including when the employee's status as a volunteer firefighter or volunteer provider of emergency medical services is terminated.

(E) If an employer purposely violates division (A) of this section, the employee may bring a civil action for reinstatement to the employee's former position of employment, payment of back wages, and full reinstatement of fringe benefits and seniority rights. An action to enforce this section shall be commenced within one year after the date of the violation in the court of common pleas of the county where the place of employment is located.

(F) As used in this section:

(1) "Emergency" means going to, attending to, or coming from a fire, hazardous or toxic materials spill and cleanup, medical emergency, or other situation that poses an imminent threat of loss of life or property to which the fire department or provider of emergency medical services has been or later could be dispatched.

(2) "Emergency medical services" and "emergency medical service organization" have the same meanings as in section 4765.01 of the Revised Code.

(3) "Volunteer firefighter" has the same meaning as in section 146.01 of the Revised Code.

HISTORY: 148 v H 203. Eff 3-5-2001.

The provisions of § 2 of HB 203 (148 v - ) read as follows:

SECTION 2. (A) Within thirty days after the effective date of this act, the State Fire Marshal shall notify every volunteer fire department and every volunteer emergency medical organization of the provisions contained in this act.

(B) Not later than thirty days after the State Fire Marshal provides the notification required under division (A) of this section to the volunteer fire department or volunteer emergency medical organization with which a volunteer firefighter or volunteer provider of emergency medical services serves, each employee who is a volunteer firefighter or volunteer provider of emergency medical services serving with that department or organization shall submit to the employee's employer a written notification signed by the chief of the volunteer fire department with which the employee serves or the medical director or chief administrator of the cooperating physician advisory board of the volunteer emergency medical organization with which the employee serves, to notify the employer of the employee's status as a volunteer firefighter or volunteer provider of emergency services.

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§2151.42.1 Duty to report child abuse or neglect; investigation and followup procedures.

(A) (1) (a) No person described in division (A)(1)(b) of this section who is acting in an official or professional capacity and knows or suspects that a child under eighteen years of age or a mentally retarded, developmentally disabled, or physically impaired child under twenty-one years of age has suffered or faces a threat of suffering any physical or mental wound, injury, disability, or condition of a nature that reasonably indicates abuse or neglect of the child, shall fail to immediately report that knowledge or suspicion to the entity or persons specified in this division. Except as provided in section 5120.173 [5120.17.3] of the Revised Code, the person making the report shall make it to the public children services agency or a municipal or county peace officer in the county in which the child resides or in which the abuse or neglect is occurring or has occurred. In the circumstances described in section 5120.173 [5120.17.3] of the Revised Code, the person making the report shall make it to the entity specified in that section.

(b) Division (A)(1)(a) of this section applies to any person who is an attorney; physician, including a hospital intern or resident; dentist; podiatrist; practitioner of a limited branch of medicine as specified in section 4731.15 of the Revised Code; registered nurse; licensed practical nurse; visiting nurse; other health care professional; licensed psychologist; licensed school psychologist; independent marriage and family therapist or marriage and family therapist; speech pathologist or audiologist; coroner; administrator or employee of a child day-care center; administrator or employee of a residential camp or child day camp; administrator or employee of a certified child care agency or other public or private children services agency; school teacher; school employee; school authority; person engaged in social work or the practice of professional counseling; agent of a county humane society; person rendering spiritual treatment through prayer in accordance with the tenets of a well-recognized religion; superintendent, board member, or employee of a county board of mental retardation; investigative agent contracted with by a county board of mental retardation; or employee of the department of mental retardation and developmental disabilities.

(2) An attorney or a physician is not required to make a report pursuant to division (A)(1) of this section concerning any communication the attorney or physician receives from a client or patient in an attorney-client or physician-patient relationship, if, in accordance with division (A) or (B) of section 2317.02 of the Revised Code, the attorney or physician could not testify with respect to that communication in a civil or criminal proceeding, except that the client or patient is deemed to have waived any testimonial privilege under division (A) or (B) of section 2317.02 of the Revised Code with respect to that communication and the attorney or physician shall make a report pursuant to division (A)(1) of this section with respect to that communication, if all of the following apply:

(a) The client or patient, at the time of the communication, is either a child under eighteen years of age or a mentally retarded, developmentally disabled, or physically impaired person under twenty-one years of age.

(b) The attorney or physician knows or suspects, as a result of the communication or any observations made during that communication, that the client or patient has suffered or faces a threat of suffering any physical or mental wound, injury, disability, or condition of a nature that reasonably indicates abuse or neglect of the client or patient.

(c) The attorney-client or physician-patient relationship does not arise out of the client's or patient's attempt to have an abortion without the notification of her parents, guardian, or custodian in accordance with section 2151.85 of the Revised Code.

(B) Anyone, who knows or suspects that a child under eighteen years of age or a mentally retarded, developmentally disabled, or physically impaired person under twenty-one years of age has suffered or faces a threat of suffering any physical or mental wound, injury, disability, or other condition of a nature that reasonably indicates abuse or neglect of the child may report or cause reports to be made of that knowledge or suspicion to the entity or persons specified in this division. Except as provided in section 5120.173 [5120.17.3] of the Revised Code, a person making a report or causing a report to be made under this division shall make it or cause it to be made to the public children services agency or to a municipal or county peace officer. In the circumstances described in section 5120.173 [5120.17.3] of the Revised Code, a person making a report or causing a report to be made under this division shall make it or cause it to be made to the entity specified in that section.

(C) Any report made pursuant to division (A) or (B) of this section shall be made forthwith either by telephone or in person and shall be followed by a written report, if requested by the receiving agency or officer. The written report shall contain:

(1) The names and addresses of the child and the child's parents or the person or persons having custody of the child, if known;

(2) The child's age and the nature and extent of the child's known or suspected injuries, abuse, or neglect or of the known or suspected threat of injury, abuse, or neglect, including any evidence of previous injuries, abuse, or neglect;

(3) Any other information that might be helpful in establishing the cause of the known or suspected injury, abuse, or neglect or of the known or suspected threat of injury, abuse, or neglect.

Any person, who is required by division (A) of this section to report known or suspected child abuse or child neglect, may take or cause to be taken color photographs of areas of trauma visible on a child and, if medically indicated, cause to be performed radiological examinations of the child.

(D) (1) When a municipal or county peace officer receives a report concerning the possible abuse or neglect of a child or the possible threat of abuse or neglect of a child, upon receipt of the report, the municipal or county peace officer who receives the report shall refer the report to the appropriate public children services agency.

(2) When a public children services agency receives a report pursuant to this division or division (A) or (B) of this section, upon receipt of the report, the public children services agency shall comply with section 2151.422 [2151.42.2] of the Revised Code.

(E) No township, municipal, or county peace officer shall remove a child about whom a report is made pursuant to this section from the child's parents, stepparents, or guardian or any other persons having custody of the child without consultation with the public children services agency, unless, in the judgment of the officer, and, if the report was made by physician, the physician, immediate removal is considered essential to protect the child from further abuse or neglect. The agency that must be consulted shall be the agency conducting the investigation of the report as determined pursuant to section 2151.422 [2151.42.2] of the Revised Code.

(F) (1) Except as provided in section 2151.422 [2151.42.2] of the Revised Code, the public children services agency shall investigate, within twenty-four hours, each report of known or suspected child abuse or child neglect and of a known or suspected threat of child abuse or child neglect that is referred to it under this section to determine the circumstances surrounding the injuries, abuse, or neglect or the threat of injury, abuse, or neglect, the cause of the injuries, abuse, neglect, or threat, and the person or persons responsible. The investigation shall be made in cooperation with the law enforcement agency and in accordance with the memorandum of understanding prepared under division (J) of this section. A failure to make the investigation in accordance with the memorandum is not grounds for, and shall not result in, the dismissal of any charges or complaint arising from the report or the suppression of any evidence obtained as a result of the report and does not give, and shall not be construed as giving, any rights or any grounds for appeal or post-conviction relief to any person. The public children services agency shall report each case to a central registry which the department of job and family services shall maintain in order to determine whether prior reports have been made in other counties concerning the child or other principals in the case. The public children services agency shall submit a report of its investigation, in writing, to the law enforcement agency.

(2) The public children services agency shall make any recommendations to the county prosecuting attorney or city director of law that it considers necessary to protect any children that are brought to its attention.

(G) (1) (a) Except as provided in division (H)(3) of this section, anyone or any hospital, institution, school, health department, or agency participating in the making of reports under division (A) of this section, anyone or any hospital, institution, school, health department, or agency participating in good faith in the making of reports under division (B) of this section, and anyone participating in good faith in a judicial proceeding resulting from the reports, shall be immune from any civil or criminal liability for injury, death, or loss to person or property that otherwise might be incurred or imposed as a result of the making of the reports or the participation in the judicial proceeding.

(b) Notwithstanding section 4731.22 of the Revised Code, the physician-patient privilege shall not be a ground for excluding evidence regarding a child's injuries, abuse, or neglect, or the cause of the injuries, abuse, or neglect in any judicial proceeding resulting from a report submitted pursuant to this section.

(2) In any civil or criminal action or proceeding in which it is alleged and proved that participation in the making of a report under this section was not in good faith or participation in a judicial proceeding resulting from a report made under this section was not in good faith, the court shall award the prevailing party reasonable attorney's fees and costs and, if a civil action or proceeding is voluntarily dismissed, may award reasonable attorney's fees and costs to the party against whom the civil action or proceeding is brought.

(H) (1) Except as provided in divisions (H)(4) and (M) of this section, a report made under this section is confidential. The information provided in a report made pursuant to this section and the name of the person who made the report shall not be released for use, and shall not be used, as evidence in any civil action or proceeding brought against the person who made the report. In a criminal proceeding, the report is admissible in evidence in accordance with the Rules of Evidence and is subject to discovery in accordance with the Rules of Criminal Procedure.

(2) No person shall permit or encourage the unauthorized dissemination of the contents of any report made under this section.

(3) A person who knowingly makes or causes another person to make a false report under division (B) of this section that alleges that any person has committed an act or omission that resulted in a child being an abused child or a neglected child is guilty of a violation of section 2921.14 of the Revised Code.

(4) If a report is made pursuant to division (A) or (B) of this section and the child who is the subject of the report dies for any reason at any time after the report is made, but before the child attains eighteen years of age, the public children services agency or municipal or county peace officer to which the report was made or referred, on the request of the child fatality review board, shall submit a summary sheet of information providing a summary of the report to the review board of the county in which the deceased child resided at the time of death. On the request of the review board, the agency or peace officer may, at its discretion, make the report available to the review board.

(5) A public children services agency shall advise a person alleged to have inflicted abuse or neglect on a child who is the subject of a report made pursuant to this section in writing of the disposition of the investigation. The agency shall not provide to the person any information that identifies the person who made the report, statements of witnesses, or police or other investigative reports.

(I) Any report that is required by this section, other than a report that is made to the state highway patrol as described in section 5120.173 [5120.17.3] of the Revised Code, shall result in protective services and emergency supportive services being made available by the public children services agency on behalf of the children about whom the report is made, in an effort to prevent further neglect or abuse, to enhance their welfare, and, whenever possible, to preserve the family unit intact. The agency required to provide the services shall be the agency conducting the investigation of the report pursuant to section 2151.422 [2151.42.2] of the Revised Code.

(J) (1) Each public children services agency shall prepare a memorandum of understanding that is signed by all of the following:

(a) If there is only one juvenile judge in the county, the juvenile judge of the county or the juvenile judge's representative;

(b) If there is more than one juvenile judge in the county, a juvenile judge or the juvenile judges' representative selected by the juvenile judges or, if they are unable to do so for any reason, the juvenile judge who is senior in point of service or the senior juvenile judge's representative;

(d) All chief municipal peace officers within the county;

(e) Other law enforcement officers handling child abuse and neglect cases in the county;

(f) The prosecuting attorney of the county;

(g) If the public children services agency is not the county department of job and family services, the county department of job and family services;

(h) The county humane society.

(2) A memorandum of understanding shall set forth the normal operating procedure to be employed by all concerned officials in the execution of their respective responsibilities under this section and division (C) of section 2919.21, division (B)(1) of section 2919.22, division (B) of section 2919.23, and section 2919.24 of the Revised Code and shall have as two of its primary goals the elimination of all unnecessary interviews of children who are the subject of reports made pursuant to division (A) or (B) of this section and, when feasible, providing for only one interview of a child who is the subject of any report made pursuant to division (A) or (B) of this section. A failure to follow the procedure set forth in the memorandum by the concerned officials is not grounds for, and shall not result in, the dismissal of any charges or complaint arising from any reported case of abuse or neglect or the suppression of any evidence obtained as a result of any reported child abuse or child neglect and does not give, and shall not be construed as giving, any rights or any grounds for appeal or post-conviction relief to any person.

(3) A memorandum of understanding shall include all of the following:

(a) The roles and responsibilities for handling emergency and nonemergency cases of abuse and neglect;

(b) Standards and procedures to be used in handling and coordinating investigations of reported cases of child abuse and reported cases of child neglect, methods to be used in interviewing the child who is the subject of the report and who allegedly was abused or neglected, and standards and procedures addressing the categories of persons who may interview the child who is the subject of the report and who allegedly was abused or neglected.

(K) (1) Except as provided in division (K)(4) of this section, a person who is required to make a report pursuant to division (A) of this section may make a reasonable number of requests of the public children services agency that receives or is referred the report to be provided with the following information:

(a) Whether the agency has initiated an investigation of the report;

(b) Whether the agency is continuing to investigate the report;

(d) The general status of the health and safety of the child who is the subject of the report;

(e) Whether the report has resulted in the filing of a complaint in juvenile court or of criminal charges in another court.

(2) A person may request the information specified in division (K)(1) of this section only if, at the time the report is made, the person's name, address, and telephone number are provided to the person who receives the report.

When a municipal or county peace officer or employee of a public children services agency receives a report pursuant to division (A) or (B) of this section the recipient of the report shall inform the person of the right to request the information described in division (K)(1) of this section. The recipient of the report shall include in the initial child abuse or child neglect report that the person making the report was so informed and, if provided at the time of the making of the report, shall include the person's name, address, and telephone number in the report.

Each request is subject to verification of the identity of the person making the report. If that person's identity is verified, the agency shall provide the person with the information described in division (K)(1) of this section a reasonable number of times, except that the agency shall not disclose any confidential information regarding the child who is the subject of the report other than the information described in those divisions.

(3) A request made pursuant to division (K)(1) of this section is not a substitute for any report required to be made pursuant to division (A) of this section.

(4) If an agency other than the agency that received or was referred the report is conducting the investigation of the report pursuant to section 2151.422 [2151.42.2] of the Revised Code, the agency conducting the investigation shall comply with the requirements of division (K) of this section.

(L) The director of job and family services shall adopt rules in accordance with Chapter 119. of the Revised Code to implement this section. The department of job and family services may enter into a plan of cooperation with any other governmental entity to aid in ensuring that children are protected from abuse and neglect. The department shall make recommendations to the attorney general that the department determines are necessary to protect children from child abuse and child neglect.

(M) (1) As used in this division:

(a) "Out-of-home care" includes a nonchartered nonpublic school if the alleged child abuse or child neglect, or alleged threat of child abuse or child neglect, described in a report received by a public children services agency allegedly occurred in or involved the nonchartered nonpublic school and the alleged perpetrator named in the report holds a certificate, permit, or license issued by the state board of education under section 3301.071 [3301.07.1] or Chapter 3319. of the Revised Code.

(b) "Administrator, director, or other chief administrative officer" means the superintendent of the school district if the out-of-home care entity subject to a report made pursuant to this section is a school operated by the district.

(2) No later than the end of the day following the day on which a public children services agency receives a report of alleged child abuse or child neglect, or a report of an alleged threat of child abuse or child neglect, that allegedly occurred in or involved an out-of-home care entity, the agency shall provide written notice of the allegations contained in and the person named as the alleged perpetrator in the report to the administrator, director, or other chief administrative officer of the out-of-home care entity that is the subject of the report unless the administrator, director, or other chief administrative officer is named as an alleged perpetrator in the report. If the administrator, director, or other chief administrative officer of an out-of-home care entity is named as an alleged perpetrator in a report of alleged child abuse or child neglect, or a report of an alleged threat of child abuse or child neglect, that allegedly occurred in or involved the out-of-home care entity, the agency shall provide the written notice to the owner or governing board of the out-of-home care entity that is the subject of the report. The agency shall not provide witness statements or police or other investigative reports.

(3) No later than three days after the day on which a public children services agency that conducted the investigation as determined pursuant to section 2151.422 [2151.42.2] of the Revised Code makes a disposition of an investigation involving a report of alleged child abuse or child neglect, or a report of an alleged threat of child abuse or child neglect, that allegedly occurred in or involved an out-of-home care entity, the agency shall send written notice of the disposition of the investigation to the administrator, director, or other chief administrative officer and the owner or governing board of the out-of-home care entity. The agency shall not provide witness statements or police or other investigative reports.

HISTORY: 130 v 625 (Eff 10-10-63); 131 v 632 (Eff 11-11-65); 133 v S 49 (Eff 8-13-69); 133 v H 338 (Eff 11-25-69); 136 v H 85 (Eff 11-28-75); 137 v H 219 (Eff 11-1-77); 140 v S 321 (Eff 4-9-85); 141 v H 349 (Eff 3-6-86); 141 v H 528 (Eff 7-9-86); 141 v H 529 (Eff 3-11-87); 143 v H 257 (Eff 8-3-89); 143 v H 44 (Eff 7-24-90); 143 v S 3 (Eff 4-11-91); 144 v H 154 (Eff 7-31-92); 146 v S 269 (Eff 7-1-96); 146 v H 274 (Eff 8-8-96); 146 v S 223 (Eff 3-18-97); 147 v H 215 (6-30-97); 147 v H 408 (Eff 10-1-97); 147 v S 212 (Eff 9-30-98); 147 v H 606 (Eff 3-9-99); 148 v H 471 (Eff 7-1-2000); 148 v H 448 (Eff 10-5-2000); 149 v H 510 (Eff 3-31-2003); 149 v H 374 (Eff 4-7-2003); 149 v S 221. Eff 4-9-2003; 150 v S 178, § 1, eff. 1-30-04; 150 v H 106, § 1, eff. 9-16-04.

The provisions of § 4 of S.B. 178 (150 v - ) read as follows:

Section 4. Section 2151.421 of the Revised Code is presented in this act as a composite of the section as amended by Am. Sub. H.B. 374, Sub. H.B. 510, and Am. Sub. S.B. 221 all of the 124th General Assembly. Section 5126.28 of the Revised Code is presented in this act as a composite of the section as amended by both Sub. H.B. 538 and Sub. S.B. 171 of the 123rd General Assembly. The General Assembly, applying the principle stated in division (B) of section 1.52 of the Revised Code that amendments are to be harmonized if reasonably capable of simultaneous operation, finds that the composites are the resulting versions of the sections in effect prior to the effective date of the sections as presented in this act.

Effect of Amendments

150 v H 106, effective September 16, 2004, added (M)(1) and redesignated former (M) and (N) as (M)(2) and (3), and corrected internal references.

S.B. 178, Acts 2004, effective January 30, 2004, added "superintendent, board member ... developmental disabilities" to the end of (A)(1)(b), and made related changes.

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§ 5101.61. Duty to report abuse, neglect or exploitation of adult.

(A) As used in this section:

(1) "Senior service provider" means any person who provides care or services to a person who is an adult as defined in division (B) of section 5101.60 of the Revised Code.

(2) "Ambulatory health facility" means a nonprofit, public or proprietary freestanding organization or a unit of such an agency or organization that:

(a) Provides preventive, diagnostic, therapeutic, rehabilitative, or palliative items or services furnished to an outpatient or ambulatory patient, by or under the direction of a physician or dentist in a facility which is not a part of a hospital, but which is organized and operated to provide medical care to outpatients;

(b) Has health and medical care policies which are developed with the advice of, and with the provision of review of such policies, an advisory committee of professional personnel, including one or more physicians, one or more dentists, if dental care is provided, and one or more registered nurses;

(c) Has a medical director, a dental director, if dental care is provided, and a nursing director responsible for the execution of such policies, and has physicians, dentists, nursing, and ancillary staff appropriate to the scope of services provided;

(d) Requires that the health care and medical care of every patient be under the supervision of a physician, provides for medical care in a case of emergency, has in effect a written agreement with one or more hospitals and other centers or clinics, and has an established patient referral system to other resources, and a utilization review plan and program;

(e) Maintains clinical records on all patients;

(f) Provides nursing services and other therapeutic services in accordance with programs and policies, with such services supervised by a registered professional nurse, and has a registered professional nurse on duty at all times of clinical operations;

(g) Provides approved methods and procedures for the dispensing and administration of drugs and biologicals;

(h) Has established an accounting and record keeping system to determine reasonable and allowable costs;

(i) "Ambulatory health facilities" also includes an alcoholism treatment facility approved by the joint commission on accreditation of healthcare organizations as an alcoholism treatment facility or certified by the department of alcohol and drug addiction services, and such facility shall comply with other provisions of this division not inconsistent with such accreditation or certification.

(3) "Community mental health facility" means a facility which provides community mental health services and is included in the comprehensive mental health plan for the alcohol, drug addiction, and mental health service district in which it is located.

(4) "Community mental health service" means services, other than inpatient services, provided by a community mental health facility.

(5) "Home health agency" means an institution or a distinct part of an institution operated in this state which:

(a) Is primarily engaged in providing home health services;

(b) Has home health policies which are established by a group of professional personnel, including one or more duly licensed doctors of medicine or osteopathy and one or more registered professional nurses, to govern the home health services it provides and which includes a requirement that every patient must be under the care of a duly licensed doctor of medicine or osteopathy;

(c) Is under the supervision of a duly licensed doctor of medicine or doctor of osteopathy or a registered professional nurse who is responsible for the execution of such home health policies;

(d) Maintains comprehensive records on all patients;

(e) Is operated by the state, a political subdivision, or an agency of either, or is operated not for profit in this state and is licensed or registered, if required, pursuant to law by the appropriate department of the state, county, or municipality in which it furnishes services; or is operated for profit in this state, meets all the requirements specified in divisions (A)(5)(a) to (d) of this section, and is certified under Title XVIII of the "Social Security Act," 49 Stat. 620 (1935), 42 U.S.C. 301, as amended.

(6) "Home health service" means the following items and services, provided, except as provided in division (A)(6)(g) of this section, on a visiting basis in a place of residence used as the patient's home:

(a) Nursing care provided by or under the supervision of a registered professional nurse;

(b) Physical, occupational, or speech therapy ordered by the patient's attending physician;

(c) Medical social services performed by or under the supervision of a qualified medical or psychiatric social worker and under the direction of the patient's attending physician;

(d) Personal health care of the patient performed by aides in accordance with the orders of a doctor of medicine or osteopathy and under the supervision of a registered professional nurse;

(e) Medical supplies and the use of medical appliances;

(f) Medical services of interns and residents-in-training under an approved teaching program of a nonprofit hospital and under the direction and supervision of the patient's attending physician;

(g) Any of the foregoing items and services which:

(i) Are provided on an outpatient basis under arrangements made by the home health agency at a hospital or skilled nursing facility;

(ii) Involve the use of equipment of such a nature that the items and services cannot readily be made available to the patient in the patient's place of residence, or which are furnished at the hospital or skilled nursing facility while the patient there to receive any item or service involving the use of such equipment.

Any attorney, physician, osteopath, podiatrist, chiropractor, dentist, psychologist, any employee of a hospital as defined in section 3701.01 of the Revised Code, any nurse licensed under Chapter 4723. of the Revised Code, any employee of an ambulatory health facility, any employee of a home health agency, any employee of an adult care facility as defined in section 3722.01 of the Revised Code, any employee of a community alternative home as defined in section 3724.01 of the Revised Code, any employee of a nursing home, residential care facility, or home for the aging, as defined in section 3721.01 of the Revised Code, any senior service provider, any peace officer, coroner, clergyman, any employee of a community mental health facility, and any person engaged in social work or counseling having reasonable cause to believe that an adult is being abused, neglected, or exploited, or is in a condition which is the result of abuse, neglect, or exploitation shall immediately report such belief to the county department of job and family services. This section does not apply to employees of any hospital or public hospital as defined in section 5122.01 of the Revised Code.

(B) Any person having reasonable cause to believe that an adult has suffered abuse, neglect, or exploitation may report, or cause reports to be made of such belief to the department.

(C) The reports made under this section shall be made orally or in writing except that oral reports shall be followed by a written report if a written report is requested by the department. Written reports shall include:

(1) The name, address, and approximate age of the adult who is the subject of the report;

(2) The name and address of the individual responsible for the adult's care, if any individual is, and if the individual is known;

(3) The nature and extent of the alleged abuse, neglect, or exploitation of the adult;

(4) The basis of the reporter's belief that the adult has been abused, neglected, or exploited.

(D) Any person with reasonable cause to believe that an adult is suffering abuse, neglect, or exploitation who makes a report pursuant to this section or who testifies in any administrative or judicial proceeding arising from such a report, or any employee of the state or any of its subdivisions who is discharging responsibilities under section 5101.62 of the Revised Code shall be immune from civil or criminal liability on account of such investigation, report, or testimony, except liability for perjury, unless the person has acted in bad faith or with malicious purpose.

(E) No employer or any other person with the authority to do so shall discharge, demote, transfer, prepare a negative work performance evaluation, or reduce benefits, pay, or work privileges, or take any other action detrimental to an employee or in any way retaliate against an employee as a result of the employee's having filed a report under this section.

(F) Neither the written or oral report provided for in this section nor the investigatory report provided for in section 5101.62 of the Revised Code shall be considered a public record as defined in section 149.43 of the Revised Code. Information contained in the report shall upon request be made available to the adult who is the subject of the report, to agencies authorized by the department to receive information contained in the report, and to legal counsel for the adult.

HISTORY: 139 v H 694 (Eff 11-15-81); 141 v H 66 (Eff 3-6-86); 142 v S 124 (Eff 10-1-87); 143 v S 2 (Eff 11-1-89); 143 v H 253 (Eff 11-15-90); 143 v H 317 (Eff 10-10-89); 146 v H 117 (Eff 9-29-95); 148 v H 471. Eff 7-1-2000.

The effective date is set by section 12(A) of HB 471.

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§ 2305.23. Liability for emergency care.

No person shall be liable in civil damages for administering emergency care or treatment at the scene of an emergency outside of a hospital, doctor's office, or other place having proper medical equipment, for acts performed at the scene of such emergency, unless such acts constitute willful or wanton misconduct.

Nothing in this section applies to the administering of such care or treatment where the same is rendered for remuneration, or with the expectation of remuneration, from the recipient of such care or treatment or someone on his behalf. The administering of such care or treatment by one as a part of his duties as a paid member of any organization of law enforcement officers or fire fighters does not cause such to be a rendering for remuneration or expectation of remuneration.

HISTORY: 130 v 648 (Eff 9-16-63); 137 v S 209. Eff 8-18-77.

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1301:7-1-03 Enforcement.

Section FM-102.0 Enforcement

(A) FM-102.1 Fire official: The fire marshal, any assistant fire marshal, any certified fire safety inspector, the chief of the fire department of each municipal corporation where a fire department is established, the chief of the fire department in each township where a designated by such chief, the fire prevention officer of a municipal corporation where no fire department exists, or the fire prevention officer of a township where no fire department is established shall be designated to enforce the provisions of this code. The fire official is herein also referred to as the code official.

(B) FM-102.2 Inspections: The fire marshal, any assistant fire marshal, or certified fire safety inspector may inspect all structures, premises and vehicles pursuant to section 3737.14 of the Revised Code as often as may be necessary for the purpose of ascertaining and causing to be corrected, any conditions liable to cause fire, contribute to the spread of fire, interfere with fire fighting operations, endanger life or any violations of the provisions or intent of this code or any other ordinance affecting fire safety.

(C) FM-102.2.1 Coordinated inspections: Whenever in the enforcement of the fire prevention code or another code or ordinance the responsibility of more than one enforcement official of the jurisdiction may be involved, it shall be their duty to coordinate their inspections and administrative orders as fully as practicable so that the owners and occupants of the structures shall not be subjected to visits by numerous inspectors nor multiple or conflicting orders. Whenever an inspector from any agency or department observes an apparent or actual violation of some provision of law, ordinance or code of the jurisdiction, not within his authority to enforce, he shall report his findings to the official having jurisdiction in order that such official may institute the necessary corrective measures.

(D) FM-102.2.2 Right of entry: Whenever necessary for the purpose of enforcing the provisions of this code, or whenever the fire official has reasonable cause to believe that there exists in any structure or upon any premises any condition which makes such structure or premises unsafe, the fire official may enter such structure or premises at all reasonable times to inspect the same or to perform any duty imposed upon the fire official by this code; provided, that if such structure or premises be occupied, he shall first present proper credentials and request entry. If such entry is refused, the fire official shall have recourse to every remedy provided by law to secure entry.

(E) FM-102.3 Investigation of fires: The fire official shall investigate, or cause to be investigated, every fire or explosion occurring within the jurisdiction that is of a suspicious nature or which involves the loss of life or serious injury or causes destruction or damage to property. Such investigation shall be initiated immediately upon the occurrence of such fire or explosion; and if it appears that such an occurrence is of a suspicious nature, the fire official shall take charge immediately of the physical evidence, and in order to preserve any physical evidence relating to the cause or origin of such fire or explosion, take means to prevent access by any person or persons to such building, structure or premises until such evidence has been properly processed. The fire official shall notify such persons designated by law to pursue investigations into such matters and shall further cooperate with such authorities in the collection of evidence and prosecution of the case and shall pursue the investigation to its conclusion.

(F) FM-102.4 Fire records: The reports of fire investigations required by section 3737.23 of the Revised Code shall be reported on form NFIRS-1, the "Incident Report," "the Civilian Casualty Report," and form NFIRS-3, "the Fire Service Casualty Report." Instructions for the use of these reports including the coding procedures that shall be used are found in the "National Fire Incident Reporting System" (NFIRS) version 4 hand book.

The report forms, manuals and coding information shall be compatible with the program prescribed by the United States fire administration as version 4 of the "National Fire Incident Reporting System" and sent to the state fire marshal in a manner approved by the state fire marshal. Electronic reporting of "Incident Reports" to the state fire marshal when utilizing version 5 NFIRS files is permitted if the version 5 of NFIRS is a version approved by both the United States fire administration and the state fire marshal as being compatible with version 5 of the "National Fire Incident Reporting System." Any electronic reporting also must be in a format that is specifically compatible with the software used by the state fire marshal to process such reports and transmitted in a format that has been approved by the state fire marshal.

(G) FM-102.5 Administrative liability: Pursuant to section 9.86 of the Revised Code, no fire official, officer or employee of the state of Ohio shall be liable in any civil action that arises under the law of Ohio for damage or injury caused in the performance of his duties in enforcing this code, unless his actions were manifestly outside the scope of his employment or official responsibilities, or unless he acted with malicious purpose, in bad faith, or in wanton or reckless manner. Pursuant to section 9.87 of the Revised Code, the state of Ohio shall indemnify a fire official, officer or employee of the state of Ohio from liability incurred in the performance of his duties in enforcing this code by paying any judgement in, or amount negotiated in settlement of any civil action arising under federal law, the law of another state, or the law of a foreign jurisdiction subject to the limitations set out in section 9.87 of the Revised Code.

(H) FM-102.6 Rules and regulations: A political subdivision shall have authority as may be necessary in the interest of public safety, health and general welfare to promulgate rules and regulations, to interpret and implement the provisions of this code, to secure the intent thereof and to designate requirements applicable because of climatic or other conditions, but no such rules shall have the effect of waiving any fire safety requirements specifically provided in this code, or violating accepted engineering practice involving public safety.

(I) FM-102.7 Authority at fires and emergencies: The fire chief or his authorized representative shall be in charge at the scene of a fire or other emergency involving the protection of life and/or property, and shall remain in charge until authority is relinquished.

(J) FM-102.8 "Ohio Basic Building Code": The fire marshal or fire chief of municipal corporations having fire departments or the fire chief of townships having fire departments shall enforce all provisions of the "Ohio Basic Building Code" relating to fire prevention in accordance with section 3781.03 of the Revised Code.

HISTORY: Eff 7-1-79; 6-1-85; 6-15-92; 9-1-95; 4-30-01

Rule promulgated under: RC 119.03

Rule authorized by: RC 3737.82

Rule amplifies: RC 3737.22

R.C. 119.032 Review Date: 11/27/02

CASE NOTES AND OAG

1. (1987) A fire chief or his authorized representative, pursuant to the authority conferred thereon by OAC 1301:7-1-03(I), may order the evacuation of persons residing or otherwise situated in the vicinity of a hazardous materials accident or emergency when reasonably necessary for the protection of the health, safety, and well-being of such persons. In effecting such an evacuation the fire chief or his authorized representative may, in a reasonable manner, remove to a safe area any persons who refuse to evacuate voluntarily: OAG No. 87-099.

2. (1987) A fire chief or his authorized representative, pursuant to the authority conferred thereon by OAC 1301:7-1-03(I), may commandeer a vehicle or other heavy equipment for use at the site of, or in conjunction with, a hazardous materials accident or emergency: OAG No. 87-099.

3. (1986) A person who has received a certificate issued by the State Superintendent of Public Instruction under RC § 3303.07, evidencing his satisfactory completion of a chartered fire safety inspector training program, must be appointed as a fire safety inspector by a board of township trustees or other fire agency before he will be considered to be a fire safety inspector for the purposes of RC Chapter 3737. and 2 OAC Chapter 1301:7-1. A person may, within the limited authority granted by RC § 3737.64, carry out the functions of a fire safety inspector, even though he has not been appointed as a fire safety inspector by a board of township trustees or other fire agency: OAG No. 86-014.

4. (1997) 3 OAC 1301:7-1-03(I) does not impose upon the fire chief or his representative the specific duty of evacuating, searching, or clearing a school building that is the object of a bomb threat: OAG No. 97-046.

5. (2001) Pursuant to RC § 505.37(A) and 3 OAC 1301:7-1-3(I), when emergency medical services personnel of a county emergency medical service organization and a township fire department respond to a call for emergency medical services within the township, the township fire department's emergency medical services personnel are authorized to exercise control of the administration of medical care and treatment at the scene of the medical emergency: OAG No. 2001-011

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§ 4511.041. Exceptions for emergency or public safety vehicle responding to emergency call.

Sections 4511.12, 4511.13, 4511.131 [4511.13.1], 4511.132 [4511.13.2], 4511.14, 4511.15, 4511.202 [4511.20.2], 4511.21, 4511.211 [4511.21.1], 4511.22, 4511.23, 4511.25, 4511.26, 4511.27, 4511.28, 4511.29, 4511.30, 4511.31, 4511.32, 4511.33, 4511.34, 4511.35, 4511.36, 4511.37, 4511.38, 4511.39, 4511.40, 4511.41, 4511.42, 4511.43, 4511.431 [4511.43.1], 4511.432 [4511.43.2], 4511.44, 4511.441 [4511.44.1], 4511.57, 4511.58, 4511.59, 4511.60, 4511.61, 4511.62, 4511.66, 4511.68, 4511.681 [4511.68.1], and 4511.69 of the Revised Code do not apply to the driver of an emergency vehicle or public safety vehicle if the emergency vehicle or public safety vehicle is responding to an emergency call, is equipped with and displaying at least one flashing, rotating, or oscillating light visible under normal atmospheric conditions from a distance of five hundred feet to the front of the vehicle and if the driver of the vehicle is giving an audible signal by siren, exhaust whistle, or bell. This section does not relieve the driver of an emergency vehicle or public safety vehicle from the duty to drive with due regard for the safety of all persons and property upon the highway.

HISTORY: 145 v H 149. Eff 5-20-93.

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§ 4511.45. Right-of-way of public safety or coroner's vehicle.

(A) (1) Upon the approach of a public safety vehicle or coroner's vehicle, equipped with at least one flashing, rotating or oscillating light visible under normal atmospheric conditions from a distance of five hundred feet to the front of the vehicle and the driver is giving an audible signal by siren, exhaust whistle, or bell, no driver of any other vehicle shall fail to yield the right-of-way, immediately drive if practical to a position parallel to, and as close as possible to, the right edge or curb of the highway clear of any intersection, and stop and remain in that position until the public safety vehicle or coroner's vehicle has passed, except when otherwise directed by a police officer.

(2) Upon the approach of a public safety vehicle or coroner's vehicle, as stated in division (A)(1) of this section, no operator of any streetcar or trackless trolley shall fail to immediately stop the streetcar or trackless trolley clear of any intersection and keep it in that position until the public safety vehicle or coroner's vehicle has passed, except when otherwise directed by a police officer.

(B) This section does not relieve the driver of a public safety vehicle or coroner's vehicle from the duty to drive with due regard for the safety of all persons and property upon the highway.

(C) This section applies to a coroner's vehicle only when the vehicle is operated in accordance with section 4513.171 of the Revised Code. As used in this section, "coroner's vehicle" means a vehicle used by a coroner, deputy coroner, or coroner's investigator that is equipped with a flashing, oscillating, or rotating red or blue light and a siren, exhaust whistle, or bell capable of giving an audible signal.

(D) Except as otherwise provided in this division, whoever violates division (A)(1) or (2) of this section is guilty of a misdemeanor of the fourth degree on a first offense. On a second offense within one year after the first offense, the person is guilty of a misdemeanor of the third degree, and, on each subsequent offense within one year after the first offense, the person is guilty of a misdemeanor of the second degree.

HISTORY: GC § 6307-44; 119 v 766(782), § 44; 124 v 514; Bureau of Code Revision, 10-1-53; 132 v H 878 (Eff 12-14-67); 132 v S 451 (Eff 2-29-68); 145 v H 149 (Eff 5-20-93); 147 v H 282. Eff 11-12-97; 149 v S 123, § 1, eff. 1-1-04.

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§ 4513.17. Number of lights permitted; direction of beam; flashing, oscillating or rotating lights.

(A) Whenever a motor vehicle equipped with headlights also is equipped with any auxiliary lights or spotlight or any other light on the front thereof projecting a beam of an intensity greater than three hundred candle power, not more than a total of five of any such lights on the front of a vehicle shall be lighted at any one time when the vehicle is upon a highway.

(B) Any lighted light or illuminating device upon a motor vehicle, other than headlights, spotlights, signal lights, or auxiliary driving lights, that projects a beam of light of an intensity greater than three hundred candle power, shall be so directed that no part of the beam will strike the level of the roadway on which the vehicle stands at a distance of more than seventy-five feet from the vehicle.

(C) (1) Flashing lights are prohibited on motor vehicles, except as a means for indicating a right or a left turn, or in the presence of a vehicular traffic hazard requiring unusual care in approaching, or overtaking or passing. This prohibition does not apply to emergency vehicles, road service vehicles servicing or towing a disabled vehicle, traffic line stripers, snow plows, rural mail delivery vehicles, vehicles as provided in section 4513.182 of the Revised Code, department of transportation maintenance vehicles, funeral hearses, funeral escort vehicles, and similar equipment operated by the department or local authorities, which shall be equipped with and display, when used on a street or highway for the special purpose necessitating such lights, a flashing, oscillating, or rotating amber light, but shall not display a flashing, oscillating, or rotating light of any other color, nor to vehicles or machinery permitted by section 4513.11 of the Revised Code to have a flashing red light.

(2) When used on a street or highway, farm machinery and vehicles escorting farm machinery may be equipped with and display a flashing, oscillating, or rotating amber light, and the prohibition contained in division (C)(1) of this section does not apply to such machinery or vehicles. Farm machinery also may display the lights described in section 4513.11 of the Revised Code.

(D) Except a person operating a public safety vehicle, as defined in division (E) of section 4511.01 of the Revised Code, or a school bus, no person shall operate, move, or park upon, or permit to stand within the right-of-way of any public street or highway any vehicle or equipment that is equipped with and displaying a flashing red or a flashing combination red and white light, or an oscillating or rotating red light, or a combination red and white oscillating or rotating light; and except a public law enforcement officer, or other person sworn to enforce the criminal and traffic laws of the state, operating a public safety vehicle when on duty, no person shall operate, move, or park upon, or permit to stand within the right-of-way of any street or highway any vehicle or equipment that is equipped with, or upon which is mounted, and displaying a flashing blue or a flashing combination blue and white light, or an oscillating or rotating blue light, or a combination blue and white oscillating or rotating light.

(E) This section does not prohibit the use of warning lights required by law or the simultaneous flashing of turn signals on disabled vehicles or on vehicles being operated in unfavorable atmospheric conditions in order to enhance their visibility. This section also does not prohibit the simultaneous flashing of turn signals or warning lights either on farm machinery or vehicles escorting farm machinery, when used on a street or highway.

(F) Whoever violates this section shall be punished as provided in section 4513.99 of the Revised Code.

HISTORY: GC § 6307-90; 119 v 766(795), § 90; Bureau of Code Revision, 10-1-53; 126 v 790 (Eff 9-14-55); 127 v 54 (Eff 8-27-57); 128 v 591 (Eff 11-2-59); 131 v 1112 (Eff 4-1-66); 131 v 1113 (Eff 10-13-65); 132 v H 878 (Eff 12-14-67); 135 v H 956 (Eff 7-26-74); 136 v H 272 (Eff 1-1-76); 146 v S 121 (Eff 11-19-96); 147 v H 282. Eff 11-12-97; 149 v S 123, § 1, eff. 1-1-04.

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§ 2305.235. Immunity as to automated external defibrillation.

(A) As used in this section:

(1) "Automated external defibrillation" means the process of applying a specialized defibrillator to a person in cardiac arrest, allowing the defibrillator to interpret the cardiac rhythm, and, if appropriate, delivering an electrical shock to the heart to allow it to resume effective electrical activity.

(2) "Physician" has the same meaning as in section 4765.01 of the Revised Code.

(B) Except in the case of willful or wanton misconduct, no physician shall be held liable in civil damages for injury, death, or loss to person or property for providing a prescription for an automated external defibrillator approved for use as a medical device by the United States food and drug administration or consulting with a person regarding the use and maintenance of a defibrillator.

(C) Except in the case of willful or wanton misconduct, no person shall be held liable in civil damages for injury, death, or loss to person or property for providing training in automated external defibrillation and cardiopulmonary resuscitation.

(D) Except in the case of willful or wanton misconduct or when there is no good faith attempt to activate an emergency medical services system in accordance with section 3701.85 of the Revised Code, no person shall be held liable in civil damages for injury, death, or loss to person or property, or held criminally liable, for performing automated external defibrillation in good faith, regardless of whether the person has obtained appropriate training on how to perform automated external defibrillation or successfully completed a course in cardiopulmonary resuscitation.

HISTORY: 147 v H 717. Eff 12-17-98.

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§ 3314.16. Placement of automated external defibrillators in schools; training of staff.

(A) (1) As used in this section, "automated external defibrillator" means a specialized defibrillator that is approved for use as a medical device by the United States food and drug administration for performing automated external defibrillation, as defined in section 2305.235 [2305.23.5] of the Revised Code.

(2) This section does not apply to an internet- or computer-based community school.

(B) The governing board of a community school established under this chapter may require the placement of an automated external defibrillator in each school under the control of the governing authority. If a governing authority requires the placement of an automated external defibrillator as provided in this section, the governing authority also shall require that a sufficient number of the staff persons assigned to each school under the control of the governing authority successfully complete an appropriate training course in the use of an automated external defibrillator as described in section 3701.85 of the Revised Code.

(C) In regard to the use of an automated external defibrillator that is placed in a community school as specified in this section, and except in the case of willful or wanton misconduct or when there is no good faith attempt to activate an emergency medical services system in accordance with section 3701.85 of the Revised Code, no person shall be held liable in civil damages for injury, death, or loss to person or property, or held criminally liable, for performing automated external defibrillation in good faith, regardless of whether the person has obtained appropriate training on how to perform automated external defibrillation or successfully completed a course in cardiopulmonary resuscitation.

HISTORY: 150 v H 434, § 1, eff. 8-27-04.

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§ 3701.85. Duties of possessor of automated external defibrillator; authorized use.

(A) As used in this section:

(1) "Automated external defibrillation" has the same meaning as in section 2305.235 [2305.23.5] of the Revised Code.

(2) "Emergency medical services organization" has the same meaning as in section 4765.01 of the Revised Code.

(3) "Emergency medical service provider" means a person who is an "emergency medical technician-basic," "emergency medical technician-intermediate," "emergency medical technician-paramedic," or "first responder" as defined in section 4765.01 of the Revised Code.

(4) "Physician" has the same meaning as in section 4765.01 of the Revised Code.

(5) "Registered nurse" and "licensed practical nurse" have the same meanings as in section 4723.01 of the Revised Code.

(B) A person who possesses an automated external defibrillator shall do all of the following:

(1) Require expected users to complete successfully a course in automated external defibrillation and cardiopulmonary resuscitation that is offered or approved by the American heart association or another nationally recognized organization;

(2) Maintain and test the defibrillator according to the manufacturer's guidelines;

(3) Consult with a physician regarding compliance with the requirements of divisions (B)(1) and (2) of this section.

(C) A person who possesses an automated external defibrillator may notify an emergency medical services organization of the location of the defibrillator.

(D) A person who has obtained appropriate training on how to perform automated external defibrillation and has successfully completed a course in cardiopulmonary resuscitation may perform automated external defibrillation, regardless of whether the person is a physician, registered nurse, licensed practical nurse, or emergency medical service provider. When automated external defibrillation is not performed as part of an emergency medical services system or at a hospital as defined in section 3727.01 of the Revised Code, an emergency medical services system shall be activated as soon as possible.

HISTORY: 147 v H 717 (Eff 12-17-98); 148 v H 511. Eff 4-10-2001.

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Ohio Administrative Code (pages 62 – 209)

Rule # Rule Title

4765-1-01 Definitions.

4765-2-01 Definitions.

4765-2-02 Organization of the Board.

4765-2-03 Subcommittees and special committees.

4765-2-04 Public notice of rule adoption, amendment, or rescission.

4765-2-05 Notice of meetings.

4765-2-06 Personal information system.

Regional Physician Advisory Boards (RPAB)

4765-3-01 Definitions.

4765-3-02 Regional physician advisory boards.

4765-3-03 Operations of regional physician advisory boards.

4765-3-04 Responsibilities of regional physician advisory boards.

4765-3-05 Medical Director Requirements.

Ohio Trauma Registry (OTR)

4765-4-01 State trauma registry.

4765-4-02 Operation of state trauma registry.

4765-4-03 Required reporting to state trauma registry.

4765-4-04 Definitions.

4765-4-05 Purpose of risk adjustment.

4765-4-06 Risk adjustment of state trauma registry data.

4765-4-07 Protected information within the state trauma registry.

4765-4-08 Risk adjustment deliberations.

EMS/Trauma Grant Program (Grants)

4765-5-01 Definitions.

4765-5-02 Criteria for Eligibility.

4765-5-03 General Provisions.

4765-5-04 Grant Applications.

4765-5-05 Grant Restrictions and Requirements.

4765-5-06 Distribution of Grant Funds.

EMT Curriculms (Curriculm)

4765-6-01 Procedures for additional services

4765-6-02 General Provisions.

4765-6-03 Additional services in a declared emergency

4765-6-06 EMT Special Program Curriculum.

Accreditations of Training Centers (Accreditations)

4765-7-01 Definitions.

4765-7-02 Accreditation of Training Programs.

4765-7-03 Provisional Accreditation of Training Programs.

4765-7-04 Application for Accreditation.

4765-7-05 Offsite Locations.

4765-7-06 Notification to Board.

4765-7-07 Renewal of Accreditation.

4765-7-08 Reinstatement of Certificate of Accreditation.

4765-7-09 Approval of Continuing Education Programs.

4765-7-10 Validity of Current Certificates.

Certification (Cert)

4765-8-01 Qualifications for a Certificate to Practice.

4765-8-02 Application for Certificate to Practice.

4765-8-03 Notification to Board.

4765-8-04 Renewal of Certificate to Practice.

4765-8-15 Certification by Reciprocity.

4765-8-16 Fees for Certification.

4765-8-17 Voluntary Change in Level of Certificate to Practice.

4765-8-18 Reinstatement of Certificate to Practice.

Ethics for EMS Providers (Ethics)

4765-9-01 Ethical Standards of Conduct.

4765-9-02 Ethical Standards of Conduct for Holders of Certificate to Teach.

Investigations (Invest)

4765-10-01 Complaint Procedure.

4765-10-02 Investigations by the Board.

4765-10-03 Administrative Actions.

4765-10-05 Report of Administrative Actions.

4765-10-06 Medical Director

Firefighters (FF)

4765-11-01 Definitions.

4765-11-03 Chartering of Training Programs.

4765-11-04 Application for Charter.

4765-11-05 Renewal of Charter.

4765-11-06 Notification to Executive Director.

4765-11-07 Revocation of a Charter.

4765-11-08 Qualifications for Instructors.

4765-11-10 Volunteer Firefighters.

4765-11-11 Firefighter I.

4765-11-12 Firefighter II.

4765-11-13 Fire Safety Inspectors.

4765-11-15 Certificate in Lieu of Completion of a Chartered Training

4765-11-16 Certificate of Equivalency

First Responder Certification (First Responder)

4765-12-02 General Provisions.

4765-12-03 First Responder.

4765-12-04 First Responder Instructor Curriculum.

4765-12-05 Accreditation of Training Programs.

4765-12-06 Provisional Accreditation of Training Programs.

4765-12-07 Certificate to Practice.

4765-12-08 Continuing Education for First Responder.

4765-12-09 Certificate to Teach.

4765-12-10 Ethical Standards of Conduct.

4765-12-11 Medical Director.

EMS Incident Reporting System (EMSIRS)

4765-13-01 Definitions.

4765-13-02 Purpose.

4765-13-03 Required Reporting.

4765-13-04 Format.

4765-13-05 Reporting Deadlines.

4765-13-06 Reports.

4765-13-07 Notifications.

4765-13-08 Failure to Report.

4765-13-09 Advisory Committee.

4765-13-10 Protected Information within the EMS Incident Reporting System.

Trauma Triage (Triage)

4765-14-01 Definitions.

4765-14-02 Determination of a Trauma Victim.

4765-14-03 Enforcement of State or Regional Trauma Triage Protocols.

4765-14-04 Education of State and Regional Trauma Triage Protocols.

4765-14-05 Exceptions to Mandatory Transport.

Emergency Medical Technician-Basic (EMT-B)

4765-15-01 EMT-Basic Curriculum.

4765-15-02 EMT-Basic Bridge Course Requirement.

4765-15-03 EMT-Basic Continuing Education.

4765-15-04 EMT-Basic Scope of Practice.

Emergency Medical Technician-Basic (EMT-I

4765-16-01 EMT-Intermediate Curriculum.

4765-16-02 Transitional EMT-Intermediate Update Course.

4765-16-03 EMT-Intermediate Continuing Education.

4765-16-04 EMT-Intermediate Scope of Practice.

4765-16-05 EMT-Intermediate Special Requirements.

Emergency Medical Technician-Basic (EMT-P)

4765-17-01 EMT-Paramedic Curriculum.

4765-17-02 EMT-Paramedic Continuing Education.

4765-17-03 EMT-Paramedic Scope of Practice.

Emergency Medical Service-Instructors (EMS-I)

4765-18-01 Definitions.

4765-18-02 General Provisions.

4765-18-03 EMS Instructor Training Program Entrance Requirements.

4765-18-04 EMS Instructor Training Program Curriculum.

4765-18-05 Criteria for a Certificate to Teach.

4765-18-06 Renewal of a Certificate to Teach.

4765-18-07 Extension of a Certificate to Teach.

4765-18-08 Reinstatement of a Certificate to Teach.

4765-18-09 Physician as an EMS Instructor.

4765-18-10 Special Topic Instructor.

4765-18-11 Reciprocity Criteria for Certificate to Teach.

4765-18-12 EMS Instructor Trainer Qualifications.

4765-18-13 Fire Instructors Seeking EMS Instructor Certification.

Continuing Education (CE)

4765-19-01 Continuing Education Requirement.

4765-19-02 Examination Alternative to Continuing Education.

4765-19-03 Extension of Continuing Education Requirement.

4765-19-04 Exemptions from Continuing Education.

Other Section of Ohio Administrative Code of Interest

4123:1-21-07 Fire department occupational safety and health.

4765-1-01 Definitions.

As used in Chapters 4765-1 to 4765-19 of the Administrative Code:

(A) "Administrator" means the individual appointed by the director of public safety pursuant to section 4765.03 of the Revised Code to serve as the chief executive officer of the board of emergency medical services and as the executive director of the division of emergency medical services.

(B) "Affiliation agreement" means a written agreement between an EMS training program and any person that sets forth the roles and responsibilities of the parties and that provides for either of the following:

(1) The use of specified equipment necessary in the training of EMS personnel;

(2) A site for the clinical experience or prehospital internship components of an EMS training program.

(C) "Board" means the emergency medical services board within the division of emergency medical services of the department of public safety created in section 4765.02 of the Revised Code.

(D) "Certificate to practice" means the certificate to practice as a first responder, emergency medical technician-basic, emergency medical technician-intermediate, or emergency medical technician-paramedic issued by the division pursuant to section 4765.30 of the Revised Code and Chapter 4765-8 of the Administrative Code as directed by the board.

(E) "Clinical experience" means training in a hospital or other clinical setting that allows an EMS student to develop and utilize EMS procedures and protocols in a supervised setting and leads to an understanding of hospital emergency departments as well as their relationship to other departments such as anesthesia, coronary care, critical care and obstetrics.

(F) "Cooperating physician advisory board" means those physicians whom an emergency medical service organization has designated pursuant to section 4765.42 of the Revised Code, to perform the duties of medical director including establishing medical protocols that must be followed in the delivery of emergency medical services.

(G) "The division" means the division of emergency medical services within the department of public safety.

(H) "Drop back" is the process by which an EMT chooses to become certified to practice at a lower level than the one at which he is currently certified.

(I) "EMS" means emergency medical service as defined in section 4765.01 of the Revised Code.

(J) "EMT" means emergency medical technician.

(K) "EMT-basic" means an individual who holds a current, valid certificate issued under section 4765.30 of the Revised Code to practice as an emergency medical technician-basic.

(L) "EMT-intermediate" means an individual who holds a current, valid certificate issued under section 4765.30 of the Revised Code to practice as an emergency medical technician-intermediate.

(M) "EMT-paramedic" means an individual who holds a current, valid certificate issued under section 4765.30 of the Revised Code to practice as an emergency medical technician-paramedic.

(N) "First responder" means an individual who holds a current, valid certificate issued under section 4765.30 of the Revised Code to practice as a first responder.

(O) "Good reputation" means:

(1) If the person is an individual, he is not the subject of an investigation or disciplinary action by any agency of the federal, state, or local government, and has not been denied a license or certificate or had a license or certificate limited, suspended, or revoked by any public agency.

(2) If the person is not an individual, that it is in compliance with all federal, state, and local regulations that are applicable to its operations, is not currently under investigation by any agency of the federal, state, or local government, has not been denied any necessary licenses or certificates, or had such licenses or certificates limited, suspended, or revoked.

(P) "Government unit" means the state and any county, municipal corporation, township, or other political subdivision of the state, any department, division, board, or other agency of the state or a political subdivision.

(Q) "Hospital" has the same meaning as in section 3701.07 of the Revised Code.

(R) "Moral turpitude" means the act of baseness, vileness, or the depravity in private and social duties which one owes to society, contrary to accepted and customary rule of right and duty between human beings.

(S) "Nurse" or "registered nurse" means an individual who holds a current, valid license issued under Chapter 4723 of the Revised Code authorizing the practice of nursing as a registered nurse.

(T) "Person" includes any individual, corporation, business trust, estate, trust, partnership, association, government unit or other entity.

(U) "Physician" means an individual who holds a current, valid certificate issued under Chapter 4731 of the Revised Code authorizing the practice of medicine and surgery or osteopathic medicine and surgery.

(V) "Prehospital emergency medical services" means an emergency medical service system that provides medical services to patients who require immediate assistance, because of illness or injury, prior to their arrival at an emergency medical facility and functions as an EMS organization.

(W) "Prehospital internship" means training outside of a classroom or clinical facility that allows an EMS student to develop and utilize EMS procedures and protocols under supervision in a prehospital setting and affords the opportunity to gain an understanding of the nature of prehospital EMS practice and the relationship between it and hospital emergency departments.

(X) "Program coordinator" means that person who is responsible for the general administration and operation of an EMS training program that applies for, or holds, a certificate of accreditation or certificate of approval issued by the board under section 4765.17 of the Revised Code.

(Y) "Program medical director" means a physician who is involved in the practice or supervision of emergency medicine in a hospital or prehospital setting and who assumes responsibility for the medical components of an EMS training program that applies for, or holds, a certificate of accreditation or certificate of approval issued by the board under section 4765.17 of the Revised Code.

(Z) "Provisional accreditation" means the approval by the board of a certificate of accreditation on a provisional basis in accordance with division (C) of section 4765.17 of the Revised Code.

(AA) "Regional physician advisory board" means the physician advisory board appointed by the board pursuant to section 4765.05 of the Revised Code to oversee the delivery of prehospital emergency medical services in each region of the state.

(BB) "Reinstatement" is the process by which an EMT or first responder, whose certificate to practice in Ohio has since expired, may regain certification.

(CC) "Special topics instructor" means a person who applies for, or holds, a certificate to teach special topics issued by the division in accordance with section 4765.23 of the Revised Code and rule 4765-8-14 of the Administrative Code as directed by the board.

(DD) "State medical director" means the physician appointed by the board to serve as its medical director pursuant to section 4765.03 of the Revised Code.

(EE) "Substantial compliance" means that a person seeking accreditation under section 4765.17 of the Revised Code and this chapter meets the minimum standards set forth in paragraphs (A)(1) to (A)(10) and (A)(13) to (A)(19) of rule 4765-7-02 of the Administrative Code.

(FF) "Trauma" or "traumatic injury" means severe damage to or destruction of tissue that satisfies both of the following conditions:

(1) It creates a significant risk of any of the following:

(a) Loss of life;

(b) Loss of a limb;

(d) Significant, permanent disability.

(2) It is caused by any of the following:

(a) Blunt or penetrating injury;

(b) Exposure to electromagnetic, chemical, or radioactive energy;

(d) A deficit or excess of heat.

(GG) "Automated external defibrillation" or "AED" means the process of applying a specialized defibrillator to a patient of cardiac arrest, allowing the defibrillator to interpret the cardiac rhythm and, if appropriate, deliver an electrical shock to the heart that will allow the heart to resume an effective electrical activity. Automated external defibrillation can include either fully-automatic or semi-automatic external defibrillation.

(HH) "Institution" means any public agency, private school, educational institution, emergency medical service organization, vocational school, college, university, or hospital.

(II) "Medical direction" means the written or verbal authorization of a physician or cooperating physician advisory board, designated pursuant to section 4765.42 of the Revised Code, that may be required prior to the performance of certain prehospital emergency medical services by a first responder, EMT-basic, EMT-intermediate, or EMT-paramedic.

HISTORY: Eff 10-1-95; 2-22-99; 6-29-01; 1-13-02; 10-2-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC Chapter Chapter 4765.

R.C. 119.032 review dates: 01/25/2004

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4765-2-01 Definitions.

As used in Chapter 4765-2 of the Administrative Code:

(A) "Board chairman" means the member of the board who is selected annually to serve as chair pursuant to section 4765.02 of the Revised Code.

(B) "Disputant" means a person who disputes the accuracy, relevance, timeliness, or completeness of personal information maintained by the board in any personal information system.

(C) "Personal information" means any information that describes anything about a person, including actions done by or to such person, that can be retrieved from a system.

(D) "System" means any collection or group of related records that are kept in an organized manner, that are maintained by the board, and from which personal information can be retrieved by the name of the person or by some identifying number, symbol, or other identifier assigned to the person and which is subject to Chapter 1347. of the Revised Code.

(E) "Vice chairman" means the member of the board who is selected annually to serve as vice-chair pursuant to this chapter.

HISTORY: Eff 10-1-95; 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.02, 4765.04, 4765.06, 4765.10

R.C. 119.032 review dates: 2/11/2002 and 01/25/2004

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4765-2-02 Organization Of The Board.

(A) The board shall annually select from among its members a board chairman and a vice chairman. Nomination and election of a board chairman and vice chairman shall be made at the last regularly scheduled board meeting of the calendar year. Newly elected officers shall assume their duties on the first day of January of the next calendar year for a term lasting through the end of that year. Any vacancies occurring during the term shall be filled by the board at the next regularly scheduled meeting of the board, or at an earlier meeting called for the purpose of filling the vacancy. No member may serve more than two consecutive terms as board chairman or vice chairman.

(B) The board chairman shall preside at all meetings of the board. In the absence of the board chairman, the vice chairman shall preside at meetings of the board. The board chairman may assign such other duties to the vice chairman as the deems necessary to assist in board operations. In the absence of the chairman and the vice chairman the members of the board may designate a board members as acting chair.

(C) The board shall hold regular meetings at the call of the board chairman at least four times annually, and as often as necessary to carry out its duties. The board chairman shall call a board meeting on the request of the administrator or the state medical director, or on the written request of ten members of the board.

(D) All meetings of the board, the firefighter and fire safety inspector training committee established in section 4765.55 of the Revised Code, other subcommittees and special committees created by the board pursuant to this chapter, shall be conducted in accordance with the most recent edition of "Roberts Rules of Order".

(E) Ten members of the board shall constitute a quorum. No action shall be taken without the concurrence of ten members of the board. Board members who are unable to attend a scheduled meeting of the board shall provide advance notice to the administrator or his designee.

(F) Board meetings shall be held in locations determined appropriate by the administrator.

HISTORY: Eff 10-1-95; 2-22-99; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC Chapter 4765-11.

Rule amplifies: RC 4765.02

R.C. 119.032 review dates: 01/25/2004

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4765-2-03 Subcommittees and special committees.

(A) In addition to the firefighter and fire safety inspector training committee established in section 4765.55 of the Revised Code, the board may create such other subcommittees or special committees as it determines necessary to carry out its functions and responsibilities.

(B) The board chairman shall recommend a member of the board to serve as chairman of subcommittees or special committees created pursuant to this chapter. The terms of chairmen shall be for one year.

(C) The board may appoint members of the public, appropriate state and local agencies of government, EMS organizations, and other interested parties to serve as members of each subcommittee and special committee created pursuant to this chapter. Subcommittees shall consist of no fewer than three and no more than fifteen voting members. Special committees may be of such size as determined appropriate by the board.

(D) When making appointments to subcommittees and special committees the board shall make a good faith effort to insure educational, professional, cultural and geographical diversity, and to afford adequate representation for those individuals or groups with an interest in, or who would be affected by, the substantive work of the subcommittee or special committees.

(E) The board chairman shall appoint members of any subcommittees created pursuant to this chapter with the approval of the board.

(F) No more than two representatives of any organization, profession, or specialty authorized by section 4765.02 of the Revised Code to provide nominations for appointment of board members, may represent that organization, profession, or specialty as voting members of subcommittee, or special committee. Upon the request of a subcommittee, or special committee chairman, the board may waive this provision with an affirmative vote of ten members.

(G) Terms of appointment to subcommittees or special committees shall be for three years. Members may serve a total of not more than two terms, or six conservative years, on a subcommittee or special committee.

(H) Subcommittees and special committees shall meet at the call of the chairman and at such locations as determined appropriate by the executive director.

(I) A majority of the voting members of a subcommittee or special committee shall constitute a quorum. No action shall be taken by a subcommittee or special committee without the concurrence of a majority of its voting members.

(J) Each subcommittee or special committee shall designate a member as a recording secretary who shall submit to the administrator written minutes of proceedings within two weeks after each meeting.

(K) The chairman of the firefighter and fire safety inspector training committee of the board, created in section 4765.55 of the Revised Code, shall annually advise the administrator in writing of the names and affiliations of the members of such committee. If, pursuant to section 4765.55 of the Revised Code, any member of the committee other than the chairman exercises his right to designate another person to serve in his place, the committee chairman shall also advise the administrator in writing of the names and affiliations of such designees.

(L) Except as provided in section 4765.55 of the Revised Code, the board has complete discretion to create, establish, restructure, or discontinue subcommittees and special committees, and to appoint or remove their members, as it determines necessary or appropriate.

HISTORY: Eff 10-1-95; 2-22-99; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.04, 4765.10

R.C. 119.032 review dates: 01/25/2004

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4765-2-04 Public notice of rule adoption, amendment, or rescission.

(A) Prior to adoption, amendment, or rescission of any rule, other than an emergency rule authorized by executive order, the board shall give public notice in accordance with section 119.03 of the Revised Code, of its intention to consider adopting, amending, or rescinding such rule or rules. The content of such public notice shall conform to the requirements of section 119.03 of the Revised Code.

HISTORY: Eff 6-15-95 (Emer.); 9-13-95; 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 119.03

R.C. 119.032 review dates: 2/11/2002 and 01/25/2004

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4765-2-05 Notice of meetings.

(A) Any person may obtain information regarding the time and location of all regularly scheduled meetings and information regarding the time, location, and purpose of any special meetings of the board, its subcommittees, and special committees. Requests for notice of meetings may be submitted to the division of EMS in written form, or may be made in person during regular business hours.

(B) Written request for notice of meetings may be general in nature or may be specific to meetings where a particular type of business will be considered. Such requests shall include the name of the person submitting the request, any organization with which he is affiliated, mailing address, telephone number, and whether notice is sought for all or specified types of meetings. Notice requests submitted pursuant to this paragraph shall include either:

(1) Fifteen self-addressed envelopes with appropriate postage affixed; or

(2) A reasonable postage fee as determined annually by the board.

(C) The board shall provide twenty-four hour advance notice of special meetings of the board, subcommittees; and special committees to representatives of news organizations who have submitted written requests for such notice to the division of EMS. In the event that an emergency meeting is scheduled and twenty-four hour notice is not possible, the board shall notify those representatives of news organizations who have requested notice in accordance with this paragraph, as soon as is reasonably possible after such meeting is scheduled. The notice requested by representatives of news organizations pursuant to this rule may be general or specific in nature.

HISTORY: Eff 10-1-95; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.04, 4765.10

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-2-06 Personal information system.

(A) In accordance with section 1347.05 of the Revised Code, the board shall appoint a privacy officer who shall be directly responsible for the personal information system operated or maintained by the board. Responsibilities of the privacy officer or the privacy officer's designee include, but are not limited to, the following:

(1) Receive all correspondence or inquiries related to personal information or the system;

(2) Inform each board employee who has any responsibility for the operation or maintenance of the system, or for the use of personal information maintained in the system, of the applicable provisions of Chapter 1347. of the Revised Code, and any applicable rules adopted thereunder;

(3) Monitor the accuracy, relevance, timeliness, and completeness of the personal information in the system and, in accordance with procedures established by the board, maintain the personal information in the system with the accuracy, relevance, timeliness, and completeness that is necessary to assure fairness in any determination made with respect to a person on the basis of information contained within the system;

(4) Assure the collection, maintenance, and use of only personal information that is necessary and relevant to functions the board is required or authorized to perform by statute or rule, and the elimination of such information from the personal information system when it is no longer necessary or relevant to functions of the board;

(5) Assure that the board does not place personal information in an interconnected or combined system, or use personal information that is placed in an interconnected or combined system by another state or local agency or another organization, unless the interconnected or combined system will contribute to the efficiency of the involved agencies in implementing programs that are authorized by law;

(6) Assure that the board does not use personal information placed in an interconnected or combined system by another state or local agency or another organization unless the personal information is necessary and relevant to the performance of a lawful function of the board.

(7) Provide a person who is asked to supply personal information that will be placed in an interconnected or combined system, with information relevant to the system, including the identity of the other agencies or organizations that have access to the information in the system.

(B) The board shall inform a person who is asked to supply personal information for the system whether such person is legally required, or may refuse, to supply the information.

(C) The board shall allow a person who is the subject of any record in the personal information system to inspect the record and dispute any information contained therein, in accordance with section 1347.08 of the Revised Code. Upon the request of such person, the board shall:

(1) Inform the person of any personal information in the system of which the person is the subject;

(2) Except as provided in divisions (C), (E)(2), and (F) of section 1347.08 of the Revised Code, permit the person, the person's legal guardian, or an attorney who presents a signed, written authorization made by the person, to inspect all personal information in the system of which such person is the subject;

(3) Inform the person about the types of uses made of the personal information, including the identity of any user typically granted access to the system;

(4) Allow a person who wishes to exercise a right provided by this chapter to be accompanied by another individual of such person's choice;

(5) Upon the payment of a reasonable charge as established by the board, provide copies of any personal information the person is authorized to inspect.

(D) The board shall investigate disputes as to the accuracy, relevance, timeliness, or completeness of personal information in accordance with section 1347.09 of the Revised Code.

(1) Any person who is the subject of personal information in a system who disputes the accuracy, relevance, timeliness, or completeness of the personal information may request that the board investigate the current status of the information.

(2) Within ninety days after receiving the request from the disputant, the board shall:

(a) Make a reasonable investigation to determine whether the disputed information is accurate, relevant, timely, and complete;

(b) Notify the disputant of the results of the investigation;

(3) The board shall delete any information that it cannot verify or that it finds to be inaccurate.

(4) If, after the board's determination in accordance with this rule, the disputant is not satisfied, the board shall do either of the following:

(a) Permit the disputant to include within the system, a brief statement of the disputant's position on the disputed information;

(b) Permit the disputant to include within the system, a notation that the disputant protests that the information is inaccurate, irrelevant, outdated, or incomplete.

(5) The board may limit the statement of a disputant to not more than one hundred words if it assists the disputant to write a clear summary of the dispute.

(6) The board shall retain a copy of the disputant's statement of dispute.

(E) The board shall include a statement or notation made by a disputant in accordance with paragraph (D)(4) of this rule in any subsequent transfer, report, or dissemination of the disputed information and may include with the disputant's statement or notation, a statement by the board that it has reasonable grounds to believe that the dispute is frivolous or irrelevant, and the reasons for that belief.

(F) For purposes of paragraph (E) of this rule, the presence of contradictory information in a disputant's file does not alone constitute reasonable grounds to believe that the dispute is frivolous or irrelevant.

(G) Following any deletion of information that is found to be inaccurate or the accuracy of which can no longer be verified, or if a statement of dispute was filed by a disputant in accordance with paragraph (D)(4) of this rule, the board shall, at the written request of the disputant, furnish notification that the information has been deleted, or furnish a copy of the disputant's statement of the dispute, to any person specifically designated by the disputant. The board shall inform a disputant that the disputant has the right to make such a request.

HISTORY: Eff 10-1-95; 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 1347.05

R.C. 119.032 review dates: 2/11/2002 and 01/25/2004

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4765-3-01 Definitions.

As used in this chapter:

(A) "Region" means each geographic area designated as a health service area by the director of health under section 3702.58 of the Revised Code.

(B) "RPAB" means regional physician advisory board as defined in section 4765.05 of the Revised Code and this chapter.

HISTORY: Eff 1-1-96; 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.05

R.C. 119.032 review dates: 2/11/2002 and 01/25/2004

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4765-3-02 Regional physician advisory boards.

(A) For each prehospital emergency medical services region designated by the board pursuant to section 4765.05 of the Revised Code, the board may appoint a regional physician advisory board (RPAB), rather than a regional director, to oversee the delivery of prehospital emergency medical services in that region.

(B) Each RPAB shall be composed of not fewer than three and not more than nine physicians who meet both of the following criteria:

(1) Possess knowledge and experience in or related to emergency medical services;

(2) Work or reside in the region to be served by the RPAB.

(C) Appointments to each RPAB shall be made from among those physicians who have expressed an interest in serving and have provided the board with a completed application including a curriculum vitae verifying that they meet the qualifications established by this chapter.

(D) Each term of appointment to an RPAB shall be for a period of three years and shall commence on the first day of January following appointment by the board.

(E) The board may take into account the following factors when considering appointments to each RPAB:

(1) Whether the physician has experience with emergency medicine in a prehospital setting;

(2) Whether all geographic areas of a region would be adequately represented;

(3) Whether a physician's medical specialty or area of concentration will broaden the range and scope of knowledge of an RPAB;

(4) Personal references or letters of recommendation.

(F) Upon the recommendation of the state medical director, the board may remove or replace any member of an RPAB for any of the following reasons:

(1) Failure to maintain the qualifications necessary for appointment to an RPAB;

(2) Failure to satisfy responsibilities as a member of an RPAB;

(3) Suspension or revocation of a certificate to practice medicine and surgery, or osteopathic medicine and surgery, under Chapter 4731 of the Revised Code;

(4) Such other reason that the state medical director determines would preclude a member from serving as an effective member of the RPAB.

(G) The board may fill any vacancies that occur prior to the expiration of a term in accordance with this chapter. Any member appointed to fill a vacancy occurring prior to the expiration of the term for which the member's predecessor was appointed shall serve for the remainder of the unexpired term.

HISTORY: Eff 1-1-96; 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.05

R.C. 119.032 review dates: 2/11/2002 and 01/25/2004

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4765-3-03 Operations of regional physician advisory boards.

(A) Each RPAB shall annually appoint a chairman and a vice chairman from among its members. Notice of such appointment shall be provided to the state medical director no later than February fifteenth.

(B) Each RPAB shall meet as often as necessary to carry out its duties but no less often than four times annually.

(C) The chairman of each RPAB shall meet at least four times annually with he state medical director. In addition, the state medical director shall be advised of all scheduled meetings of each RPAB.

(D) To assist it in carrying out its duties and responsibilities under section 4765.05 of the Revised Code and this chapter, each RPAB shall hold a minimum of two public forums annually on the subject of delivery of prehospital emergency medical care in the region. The date, time, and location of each public forum shall be publicized in advance in a manner determined appropriate by the RPAB.

(E) Prior to the last day of February of each year, each RPAB shall submit to the state medical director and all EMS organizations in its region, a report that documents activities, improvements, accomplishments, and problem areas in the previous calendar year. Such report shall be presented in a format specified by the state medical director.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.05

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-3-04 Responsibilities of regional physician advisory boards.

(A) Each RPAB shall develop and recommend written medical protocols for EMS providers, organizations, and personnel operating in the area served by the RPAB.

(B) In order to assist in developing and maintaining appropriate emergency medical services in its region, each RPAB shall provide the following services:

(1) Assist in developing EMS continuing education programs within its region;

(2) Assist in the organization, evaluation, and procurement of equipment for EMS organizations in its region;

(3) Maintain information regarding all EMS providers and organizations in the region including the name of the medical director or physician advisory board members for each;

(4) Maintain a listing of all EMS equipment owned by or available to each EMS provider in the region;

(5) Maintain a listing of all EMS training and continuing education programs in the region;

(6) Identify problems with the provision of emergency medical services in the region and develop strategies to address such problems;

(7) Facilitate agreements for mutual aid and assistance between EMS organizations in the region;

(8) Review any experimental procedures proposed to be included in EMS medical protocols within its region.

(C) Each RPAB shall assist all EMS organizations in its region in procuring the services of a medical director or physician advisory board as required by section 4765.42 or the Revised Code. If an EMS organization is unable to locate any qualified physicians who are willing to act in this capacity, the RPAB shall serve as the physician advisory board for that EMS organization until such time as the services of a medical director or physician advisory board can be procured.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.05

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-3-05 Medical Director Requirements.

(A) Each medical director shall meet the following minimum qualifications:

(1) Possession of a valid Ohio medical license;

(2) Active in emergency care of patients;

(3) Active participation with one or more EMS organizations, including but not limited to:

(a) Conducting performance improvement programs;

(b) Conducting education programs;

(4) Evidence of high ethical standards and no conflicts of interest;

(5) Evidence that medical director will receive aggregate data from the state EMS office to benchmark at the local level.

(B) Existing medical directors who meet all the qualifications listed in paragraph (A) of this rule are not required to obtain additional training for a period of three years after the effective date of this rule. After three years, such medical directors shall:

(1) Complete the national association of emergency medical service providers (NAEMSP) medical director course, the Ohio American college of emergency physicians (ACEP) medical director course, or other equivalent course approved by the board; or

(2) Complete a board eligible/board certified residency program in emergency medicine; or

(3) Submit verification of EMS medical director experience and verification of performance improvement programs or training to the board.

(C) New medical directors, and existing medical directors who do not meet the qualifications listed in paragraph (A) of this rule, shall complete the NAEMSP or Ohio ACEP medical director course, or complete a board eligible/board certified residency program in emergency medicine.

(D) Each medical director is required to participate in peer review and quality improvement programs, as provided in section 4765.12 of the Revised Code.

(E) Each medical director shall register with the board on an annual basis in order to demonstrate that such medical director continues to meet the minimum qualifications listed in paragraph (A) of this rule.

HISTORY: Eff 8-25-02 Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11 Rule amplifies: RC 4765.11 R.C. 119.032 review dates: 01/25/2004

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4765-4-01 State Trauma Registry.

(A) In carrying out its responsibilities for the collection of trauma data pursuant to section 4765.06 of the Revised Code and this chapter, the board may reference commonly accepted medical diagnostic codes in identifying those conditions that are included within the definition of trauma.

(B) The board shall use the state trauma registry to collect and analyze data that is necessary to evaluate the delivery of adult and pediatric trauma care within the state. The data collected by the state trauma registry shall be of such a nature as to allow the board to identify and evaluate the following:

(1) Incidence, type, severity, and outcome of trauma injuries;

(2) Criteria used to establish triage protocols;

(3) Geographic patterns of injury, including but not limited to areas or regions of the state where improvements are needed in the delivery of trauma care;

(4) Other factors to consider in recommending, designing, or implementing an integrated statewide trauma care delivery system, including but not limited to public education on trauma and injury prevention, access to trauma care, prehospital availability, and cost of trauma care.

(1) Protects the identity of specific patients to whom medical care has been rendered;

(2) Identifies specific health care facilities by a code or similar designation other than name;

(3) Avoids or minimizes duplication of entry.

HISTORY: Eff 5-19-97; 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 2/11/2002 and 04/28/2007

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4765-4-02 Operation Of State Trauma Registry.

(A) As used in this rule, "subcommittee" means the trauma registry advisory subcommittee authorized in paragraph (B) of this rule.

(B) The state trauma registry established pursuant to section 4765.06 of the Revised Code and this chapter shall be overseen by a subcommittee of the state trauma committee, which shall be known as the trauma registry advisory subcommittee.

(1) Two surgeons selected from a list of nine names, three each submitted by the Ohio chapter of the American college of surgeons, the Ohio state medical association, and the Ohio osteopathic association, respectively. One of the two surgeons chosen shall be affiliated with a facility that has applied for designation as, or has been verified as, a level I or level II trauma center by the American college of surgeons;

(2) Two emergency physicians, one each selected from list of three names submitted by the Ohio chapter of the American college of emergency physicians and a list of three names submitted by the Ohio chapter of the American academy of pediatrics;

(3) Two trauma registrars selected from a list of three names submitted by the alliance of Ohio trauma registrars;

(4) Two nurses, one each selected from a list of three names submitted by the Ohio society of trauma nurse coordinators and a list of three names submitted by the Ohio emergency nurses association;

(5) Two hospital representatives selected from a list of twelve names, three each submitted by the Ohio hospital association, the Ohio osteopathic association, the association of Ohio children's hospitals, and the health forum of Ohio, respectively;

(6) One prehospital emergency medical services provider selected from a list of three names submitted by each organization representing prehospital emergency medical services providers that is authorized by section 4765.02 of the Revised Code to submit nominations to the governor for appointments to the board;

(7) One representative of rehabilitation providers selected from a list of three names submitted by the Ohio rehabilitation association;

(8) One consumer who is not affiliated with an emergency medical services provider, selected from a list of three names submitted by the chairman of the board.

(9) One physical medicine and rehabilitation physician selected from a list of nine names, three each submitted by the Ohio society of physical and rehabilitative medicine, the Ohio state medical association, and the Ohio osteopathic association, respectively.

(10) One county coroner selected from a list of nine names, three each submitted by the Ohio state coroner's association, the Ohio state medical association, and the Ohio osteopathic association, respectively.

(11) Two health information management technicians or medical record coders from non-trauma center hospitals, selected from a list of three names submitted by the Ohio health information management association.

(12) One representative from a regional trauma registry selected from a list of three names submitted by the chairman of the state trauma committee.

(D) In making appointments to the subcommittee, the board shall make a good faith effort to ensure representation from health care facilities of differing size and trauma care capabilities, and from various geographic regions of the state.

(E) The initial subcommittee members shall serve staggered terms. Of the initial appointments to the subcommittee, the board shall designate four members whose terms shall end one year after the initial date of appointment and four members whose terms shall end two years after the initial date of appointment. The remaining initial subcommittee members shall each serve a term of three years. Any member appointed to the subcommittee after the initial appointments shall serve a term of three years. No member shall serve more than two consecutive terms.

(F) The board may fill any vacancies that occur prior to the expiration of a term in the same manner as the original appointment. Any member appointed to fill a vacancy occurring prior to the expiration of the term for which his predecessor was appointed shall serve for the remainder of the unexpired term. Any member appointed to fill an unexpired term shall remain eligible to serve two additional three-year terms.

(G) The subcommittee shall annually select a chairman from among its members.

(H) The subcommittee may establish such task forces or work groups as it deems necessary to assist in its functions.

HISTORY: Eff 5-19-97; 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 2/11/2002 and 04/28/2007

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4765-4-03 Required Reporting To State Trauma Registry.

(A) The following entities shall submit data and information to the state trauma registry:

(1) Health care facilities including:

(a) Hospitals registered under Chapter 3701. of the Revised Code;

(b) Nursing facilities licensed or certified under Chapter 3721 of the Revised Code;

(d) Inpatient rehabilitation facilities as defined in Chapter 3701-83 of the Administrative Code;

(e) Ambulatory surgical facilities as defined in section 3702.30 of the Revised Code;

(2) State and other public agencies designated by the board that possess information regarding trauma care;

(3) County coroners.

(B) Those entities required to submit data and information to the state trauma registry under this chapter shall provide information regarding injured patients in the following categories that are applicable to its operations:

(1) Trauma patients who meet the minimum requirements set forth by the board for inclusion into the Ohio trauma registry;

(2) Type of trauma injury as identified by medical diagnostic codes designated by the board;

(3) Severity of injury;

(4) Patient outcomes;

(5) Type of prehospital emergency care received by each trauma patient;

(6) Financial data pertinent to trauma care;

(7) Remuneration received from all sources for treatment of trauma patients.

(C) All trauma related deaths shall be reported by the coroner of the county in which the death occurred to the state trauma registry in a manner specified by the board within one hundred-eighty days after the death occurs,

(D) The information required to be provided to the state trauma registry under section 4765.06 of the Revised Code and this chapter shall be provided and maintained in such a way as to protect against revealing the identity of the patient. Any person handling information received for the state trauma registry has a fiduciary duty to maintain the confidentiality of such information and shall sign and adhere to a contract with the department of public safety, division of EMS, regarding the confidentiality of such information. If such person violates this fiduciary duty or violates any terms of the contract, the department of public safety, division of EMS, may terminate such person and employ any other remedies, legal or equitable, available to it. Health care facilities and other providers shall be identified in the registry by a code or similar designation other than name.

(E) Except as provided in paragraph (C) of this rule or as otherwise specified by the board, the information required under section 4765.06 of the Revised Code and this chapter shall be reported on a quarterly basis and shall be submitted to the state trauma registry not later than ninety calendar days after March thirty-first, June thirtieth, September thirtieth, and December thirty-first of each year. The board may develop policies for granting extensions to the submission deadlines.

(F) The information required to be provided to the state trauma registry under section 4765.06 of the Revised Code and this chapter shall be submitted in a format authorized by the board for such purpose,

(G) In identifying the information to be provided to the state trauma registry under section 4765.06 of the Revised Code and this chapter, the board shall take into consideration the financial and other burdens that these requirements will place on the entities that are required to report.

(H) Any entity, otherwise required to report to the state trauma registry under section 4765.06 of the Revised Code or this chapter, that reports required information to a regional trauma registry need not report individually to the state trauma registry, provided the regional registry reports such information to the state trauma registry in compliance with section 4765.06 of the Revised Code and this chapter. Those entities intending to report through a regional registry shall so notify the board in a manner indicated by the board.

(I) Any entity that fails to submit data and information to the state trauma registry, as required under section 4765.06 of the Revised Code or this chapter, may be ineligible to participate in the emergency medical services grants program established under section 4765.07 of the Revised Code and as provided in Chapter 4765-5 of the Administrative Code.

HISTORY: Eff 5-19-97; 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 2/11/2002 and 04/28/2007

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4765-4-04 Definitions.

(A) "Glasgow coma scale" or "GCS" is a numeric rating used to assess the severity of neurologic injury.

(B) "Information that identifies or would tend to identify a specific recipient of emergency medical services or adult or pediatric care" shall have the same meaning as "individually identifiable health information", as defined in Title 45 of the Code of Federal Regulations, Section 160.103 (2003) of the health insurance portability and accountability act (HIPAA) of 1996,

(C) As used in HIPAA and this chapter, "Individually identifiable health information" is information that is a subset of health information, including demographic information collected from an individual, and

(1) Is created or received by a health care provider, health plan, employer, or health care clearinghouse; and

(2) Relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual; and

(a) That identifies the individual; or

(b) With respect to which there is a reasonable basis to believe the information can be used to dentify the individual.

(D) "Injury severity score" or "ISS" is a mathematical measure assessing the cumulative effect of injury severity.

(E) "Major Trauma Outcome Study" or "MTOS" is a nationally based research project conducted between 1982 and 1987, which created and validated the TRISS methodology.

(F) "Risk Adjustment" means methodologies applied to a data set in order to identify and control patient variables that are present which may influence patient outcome.

(G) "TRISS" is a methodology which combines the following variables in order to determine a probability of survival:

(1) Physiologic (systolic blood pressure, respiratory rate, Glasgow coma scale score);

(2) Anatomic injury severity score;

(3) Age (fifty five years or older, or younger than fifty five years);

(4) Trauma type (blunt or penetrating injury).

HISTORY: Eff 4-28-02; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 04/28/2007

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4765-4-05 Purpose Of Risk Adjustment.

The purpose of risk adjustment is to identify and control patient variables that are present which may influence patient outcome.

HISTORY: Eff 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 04/28/2007

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4765-4-06 Risk Adjustment Of State Trauma Registry Data.

(A) Methodologies

(1) TRISS shall be the primary methodology used to risk adjust data in the state trauma registry.

(2) The subcommittee may evaluate other methodologies and make recommendations to the trauma committee and board on the use of such methodologies.

(3) The coefficients used to calculate TRISS shall be those derived from the MTOS.

(4) The subcommittee may evaluate the possibility of creating Ohio specific coefficients, based upon the Ohio trauma registry data set, to utilize with the TRISS methodology, and when appropriate, these equations may be utilized. Additionally, the subcommittee may evaluate other appropriate data sets for use in developing specific coefficients.

(B) Analysis

(1) The subcommittee shall utilize a variety of acceptable techniques for providing statistical analysis of risk-adjusted data.

(2) The subcommittee shall utilize a variety of methodologies to risk adjust by sex, age, or other factors, in order to analyze state trauma registry data for specific age groupings, including pediatric and geriatric age groupings.

(1) Mortality shall be an outcome that is risk adjusted. In addition, the subcommittee may evaluate the feasibility of risk adjusting other outcomes and make recommendations to the trauma committee and board on the selection and evaluation of such outcomes.

HISTORY: Eff 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 04/28/2007

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4765-4-07 Protected Information Within The State Trauma Registry.

(A) Information that identifies or would tend to identify a specific recipient of emergency medical services or adult or pediatric trauma care shall include, but not be limited to, the recipient's social security number, date of birth, and name.

(1) No records shall be provided in response to a public records request if the request asks for information sorted by, or if the request contains, information that identifies or would tend to identify a specific recipient of emergency medical services or adult or pediatric trauma care.

(2) No records provided in response to a public records request shall contain any information that identifies or would tend to identify a specific recipient of emergency medical services or adult or pediatric trauma care.

(B) Information that identifies or would tend to identify a specific provider of emergency medical services or adult or pediatric trauma care shall include, but not be limited to, the provider's hospital code, medical record number, and county.

(1) Prior to the implementation of risk adjustment standards and procedures, no records shall be provided in response to a public records request if the request asks for information sorted by, or if the request contains, information that identifies or would tend to identify a specific provider of emergency medical services or adult or pediatric trauma care.

(2) Prior to the implementation of risk adjustment standards and procedures, no records provided in response to a public records request shall contain any information that identifies or would tend to identify a specific provider of emergency medical services or adult or pediatric trauma care.

(3) After risk adjustment standards and procedures are implemented, such records may be made public, but only on a risk adjusted basis.

HISTORY: Eff 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 04/28/2007

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4765-4-08 Risk Adjustment Deliberations.

(A) The department of public safety, division of EMS, may contract with individuals or organizations with specific expertise in risk adjustment and statistical analysis of medical data in order to perform risk adjustment of information received by the board under Chapter 4765. of the Revised Code.

(B) Each person performing risk adjustment of Ohio trauma registry data has a fiduciary duty to maintain the confidentiality of such information. In the event a person performing risk adjustment under this chapter violates this duty, the department of public safety, division of EMS, may terminate such person and employ any other remedies, legal or equitable, available to it.

(C) Each person performing risk adjustment of Ohio trauma registry data shall sign and adhere to a contract with the department of public safety, division of EMS, regarding the confidentiality of such information. In the event a person performing risk adjustment under this chapter violates any terms of this contract, the department of public safety, division of EMS, may terminate such person and employ any other remedies, legal or equitable, available to it.

(D) All meetings in which persons are engaged in performing risk adjustment functions, including deliberations therein, shall not be open to the public.

(E) All records of deliberations of persons performing risk adjustment functions shall be maintained in confidence.

HISTORY: Eff 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 04/28/2007

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4765-5-01 Definitions.

4765-5-01 Definitions.

As used in this chapter:

(A) "Equipment" means an item on the board-approved equipment list, which can be found at www.ems.ohio.gov, that is used by EMS personnel in providing direct patient care.

(B) "Grant" means an award of money made by the board in accordance with section

4765.07 of the Revised Code and this chapter.

contains the terms of the agreement and assurances of the department of public

safety, division of EMS, and the grant applicant.

(D) "Grant cycle" means the twelve month period beginning on the first day of July

following approval of a grant application and ending on June thirtieth of the

following year unless otherwise provided in this chapter or approved by the board.

(E) "Grantee" means the EMS organization or entity to which a grant is awarded in

accordance with section 4765.07 of the Revised Code and this chapter.

(F) "Training equipment" means an item on the board-approved equipment list, which can be found at www.ems.ohio.gov, that is used for the training of patient care skills in a program accredited or approved under section 4765.16 of the Revised Code.

HISTORY: Eff 10-1-95; 6-29-01; 1-13-02; 12-30-04

Rule promulgated under: RC Chapter 119.03

Statutory Authority: 4765.11

Rule amplifies: RC 4765.07

R.C. 119.032 review dates: 9/28/01, 1/3/07

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4765-5-02 Criteria For Eligibility.

(A) The board shall only approve grants for applicants who are eligible to be grantees

pursuant to section 4765.07 of the Revised Code and this chapter.

(B) Eligible grantees are limited to the following:

(1) EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests and/or calls from the public for emergency medical service response. Such EMS organizations must also meet one of the following:

(a) They must be established or operated by a township, municipality, village,

city, county, joint fire district, joint ambulance district, or joint township fire district within the state;

(b) They must provide services, pursuant to a contract or letter, to a township,

municipality, village, city, county, joint fire district, joint ambulance district, or joint township fire district within the state.

(2) Entities that meet the requirements of division (A)(2), (A)(3), or (A)(4) of section 4765.07 of the Revised Code.

accordance with the grant application form.

(D) Eligible grantees must comply with all applicable provisions of Chapter 4765. of the

Revised Code and this chapter.

(E) An EMS organization's failure to report as required under section 4765.06 of the

Revised Code and Chapter 4765-13 of the Administrative Code may result in

ineligibility status for purposes of the emergency medical services grant program

established under section 4765.07 of the Revised Code and as provided in this

chapter.

HISTORY: Eff 12-30-2004

Rule promulgated under: RC Chapter 119.03

Statutory Authority: 4765.11

Rule amplifies: RC 4765.07

R.C. 119.032 review dates: 1/25/99, 9/28/01, 1/3/07

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4765-5-03 General Provisions.

(A) The board may award grants subject to the availability of funds in the emergency medical services fund created in section 4513.263 of the Revised Code, and subject to the conditions listed in this chapter.

(B) Subject to paragraph (A) of this rule, grant proposals shall be solicited annually by the board through such means of public notice as it deems appropriate.

(C) Except as provided in section 4765.07 of the Revised Code, the board may establish priorities in the types of grant projects eligible for funding.

(D) The board may, on an annual basis, determine the portion of grant funds that will be allocated for one or more of the priorities listed in section 4765.07 of the Revised Code.

(E) The board may establish conditions for approval of a grant application as it deems necessary or appropriate.

(F) Except as otherwise provided in law or regulation, the board may approve or deny any, all, or a portion of a grant application.

(G) In reviewing and awarding grants in accordance with section 4765.07 of the Revised Code and this chapter, the board shall not discriminate among applicants on the basis of race, color, religion, sex, or national origin.

HISTORY: Eff 10-1-95; 1-13-02

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.07

R.C. 119.032 review dates: 9/28/01, 1/3/07

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4765-5-04 Grant Applications.

(A) Grant applications shall be submitted on forms approved by the board. Applications shall be available in both paper form and electronic form, and may be filed via the mail or electronically.

(B) Grant applications filed via the mail shall bear the original signature of the principal administrative officer of the applicant, which signature shall be witnessed or notarized.

(1) Federal tax identification number;

(2) Contact person, address, and telephone number for the applicant;

(3) Grant agreement form.

(D) In addition to submitting a grant application, all applicants, whether filing via the mail or electronically, must submit an original W-9 form to the department of public safety, division of EMS.

(E) Except as otherwise provided in this chapter or approved by the board, all grant applications must be completed and received or completed and postmarked if filing via the mail, by five p.m. of the first day of April in order to be considered for a grant cycle commencing on the first day of July of the same year.

(1) For calendar years in which the first day of April is a Saturday or Sunday, all grant applications must be completed and received, or completed and postmarked if filing via the mail, by five p.m. of the next regular business day.

(2) The board may grant such other extensions of the deadline for applications as it deems necessary or appropriate; however, if an extension is approved, the board shall make a good faith effort to inform all potential grant applicants of the new deadline date.

(3) Grant review will begin after the application deadline.

(F) Applications shall be submitted to the department of public safety, division of EMS, at such address or web site as is specified in the application form.

(G) Incomplete or illegible applications will not be considered for funding.

HISTORY: Eff 10-1-95; 2-22-99; 6-29-01; 1-13-02

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.07

R.C. 119.032 review dates: 1/25/99, 9/28/2001, 1/3/07

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4765-5-05 Grant Restrictions And Requirements.

(A) Grant funds shall not be used for activities or purchases related to an approved grant project if such activities were commenced, or such purchases were made or obligated, prior to formal approval of the grant application by the board.

(B) The board may restrict the type of expenses for which grant funds may be used. Unless otherwise authorized in writing by the board, grant funds may not be used for the following expenses:

(1) Grant preparation or administration;

(2) Salaries;

(3) Meals or lodging;

(4) Travel expenses;

(5) Equipment to be used exclusively by one individual.

(C) Grants awarded for EMS training shall be used only for tuition and fees, books, materials, and other expenses related directly to participation in the training program.

(D) Grant funds shall only be expended by the grantee to which the grant was awarded. Failure to comply with this requirement shall be considered to be A misappropriation of funds and shall result in forfeiture of unexpended grant funds. The grantee shall repay any funds determined by the board to have been inappropriately expended.

(E) A grantee who expends grant funds for purposes other than those authorized under this chapter and approved by the board shall be subject to forfeiture of unexpended funds, repayment of any grant funds determined by the board to have been used for an unauthorized purpose, and may be considered ineligible for funding in future grant cycles.

(F) Within seven days after a request by the board, a grantee shall supply original or verifiable copies of all receipts and other appropriate documentation related to disposition of the grant funds.

(G) Except as otherwise provided in this chapter, all grant funds must be expended or obligated by a grantee within the twelve month grant cycle for which they were awarded.

(H) The board may approve or extend a grant cycle beyond twelve months as it determines necessary or appropriate; however, if doing so would extend the grant cycle beyond the biennium in which it commences, the board shall expressly condition the availability of grant funds in the subsequent biennium on any necessary appropriations or certifications by the Ohio general assembly and the office of budget and management.

(I) Any grant funds not expended or obligated on the final day of the grant cycle shall be remitted to the division of EMS within thirty days following the end of the grant cycle.

(1) A grantee who fails to expend the full amount of a grant shall not be adversely impacted in future grant cycles provided that all unexpended grant funds are remitted as provided in this chapter.

(2) A grantee who fails to remit unexpended grant funds as provided in this rule shall be considered ineligible for funding in future grant cycles until such time as unexpended funds are remitted to the division of EMS.

(J) A final report accounting for all grant funds expended by a grantee shall be submitted to the board not later than thirty days after the end of the grant cycle.

(K) All expenditures and disbursements of grant funds by a grantee shall be subject to generally accepted accounting principles.

(L) Any grantee suspected of misappropriating or improperly administering grant funds will be referred by the board for investigation by the auditor of state.

HISTORY: Eff 10-1-95; 2-22-99; 6-29-01; 1-13-02

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.07

R.C. 119.032 review dates: 1/25/99, 9/28/01, 1/3/07

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4765-5-06 Distribution Of Grant Funds.

(A) Subject to section 4765.07 of the Revised Code, and to the availability of funds as determined in accordance with this chapter, the board may review and award grants according to the following priorities:

(4) Fourth priority shall be given to entities that research, test, and evaluate medical procedures related to adult and pediatric trauma care;

(5) Any other category that the board determines is consistent with the terms of section 4765.07 of the Revised Code.

(B) Equipment may be purchased with grant funds provided that the equipment will be retained by the grantee and used in accordance with the terms of the grant award for the useful life of the equipment.

(C) Unless otherwise expressly waived by the board, grants awarded for research projects are subject to all of the following:

(1) Grant funds may not be used to purchase or acquire equipment for use in research projects; however, grant funds may be used to defray the costs of renting or leasing equipment involved in a research project;

(2) Grantee shall comply with all state and federal statutes and regulations applicable to the project;

(3) All data, information, copyrights, or patents resulting from such research projects are, and shall remain, the property of the state of Ohio;

(4) Grantee shall submit to the board a final report on any findings and conclusions of the research project within one-hundred twenty days after completion of the project.

HISTORY: Eff 10-1-95; 6-29-01; 1-13-02

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.07

R.C. 119.032 review dates: 9/28/01, 1/3/07

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4765-6-01 Procedures for additional services.

(A) The board shall evaluate whether first responders, EMTs-basic, EMTs-intermediate,

and EMTs-paramedic may perform additional services beyond those contained in

Chapter 4765. of the Revised Code and Chapters 4765-12, 4765-15, 4765-16, and

4765-17 of the Administrative Code.

(B) If the board approves additional services, it shall specify whether such services

require prior written or verbal authorization. Additional services will be posted on

the EMS scope of practice matrix located on the EMS web site at

www.ems.ohio.gov. The board will also list any additional approved services in the

respective first responder or EMT rules pertaining to scope of practice on a yearly

basis.

HISTORY: Eff 12-30-04

Rule promulgated under: RC Chapter 119.03

Statutory Authority: 4765.11

Rule amplifies: 4765.11

119.032 rule review date: January 12, 2009

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4765-6-02 General Provisions.

(A) A training program for certification as a first responder. EMT-basic, EMT-intermediate, or EMT-paramedic shall meet all knowledge and skill objectives established by the board.

(B) The current national standard curriculum (NSC) as adopted by the United States department of transportation shall be used as a guideline for development of all EMS training curriculum.

(C) All EMS training programs shall be accredited or approved by the division pursuant to section 4765.15 of the Revised Code and this chapter, as directed by the board.

(D) All EMS training courses shall be taught by a person who holds a certificate to teach at the level appropriate for the course, pursuant to section 4765.16 of the Revised Code and this chapter.

(E) An accredited training program for EMT-intermediate or EMT-paramedic training with the approval of the program coordinator and program medical director may accept previous training of the student, by documenting the students competency in the objectives, as established by the board for the section that credit is given. The training program shall access the students competency through written and practical testing.

(1) Any student in an EMT-intermediate or EMT-paramedic training program given credit for previous training shall possess a certificate to practice as a EMT-basic issued by the board pursuant to section 4765.30 of the Revised Code prior to receiving credit for an EMT-intermediate or EMT-paramedic training program.

(2) No previous training credit shall be given to a student for certification as an EMT-basic or first responder.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.16

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-6-03 Additional services in a declared emergency.

(A) In the event of an emergency declared by the governor that affects the public's health,

a first responder, EMT-basic, EMT-intermediate, or EMT-paramedic, certified in

accordance with section 4765.30 of the Revised Code and Chapter 4765-8 of the

Administrative Code, may perform immunizations and administer drugs or dangerous drugs, in relation to the emergency, provided the first responder or EMT is under physician medical direction and has received appropriate training regarding the administration of such immunizations and/or drugs.

HISTORY: Eff 12-30-04

Rule promulgated under: RC Chapter 119.03

Statutory Authority: 4765.11, 4765.35, 4765.37, 4765.38, 4765.39

Rule amplifies: 4765.35, 4765.37, 4765.38, 4765.39

119.032 rule review date: January 12, 2009

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4765-6-06 EMT Special Program Curriculum.

(A) An EMT intubation training program shall consist of twelve hours allocated as follows:

(1) Four hours devoted to airway and ventilation assessment in adult and pediatric patients;

(2) Two hours devoted to pathophysiology of the airway, ventilation, and respiration;

(3) Four hours devoted to the mechanics of intubation;

(4) Two hours of written and practical certification testing.

(B) An EMT AED training program shall consist of six hours allocated as follows:

(1) One hour devoted to review of cardiopulmonary resuscitation;

(2) Three hours devoted to the application, operation, and maintenance of AED equipment;

(3) One hour devoted to communication, documentation, and medical direction in the AED process;

(4) One hour of written and practical certification testing.

(1) Pathophysiology of anaphylactic reaction;

(2) Pharmacology of epinephrine;

(3) Assessment and care of adult and pediatric patients with allergic reactions;

(4) Practical application of subcutaneous autoinjection for EMT-basic and subcutaneous injection for EMT-intermediate;

(5) Written and practical certification testing.

(D) An EMT cardiac monitoring and manual defibrillation training program shall consist of twenty hours allocated as follows:

(1) One hour devoted to assessment and management of the cardiac patient;

(2) Two hours devoted to anatomy, physiology, pathophysiology, and electrophysiology of the heart;

(3) Eight hours devoted to cardiac monitoring and electrocardiogram interpretation;

(4) Six hours devoted to electrical intervention to support or correct the cardiac function;

(5) Three hours of written and practical certification testing.

(E) A person who, on the effective date of this chapter, holds a valid certificate of competency issued under former section 3303.15 of the Revised Code, may attain the standards set forth in section 4765.16 of the Revised Code and required for renewal of a certificate to practice as an EMT-basic by successfully completing a bridge course that includes both of the following:

(1) All the requirements set forth in paragraphs (A), (B), and (C) of this rule;

(2) An additional seven hours in the area of patient assessment.

(F) An EMT-intermediate interosseous (IO) infusion training program shall consist of three hours allocated as follows:

(1) Pathophysiology of interosseous infusion;

(2) Mechanics of interosseous (IO);

(3) Course completion exam.

(G) A person who, on the effective date of this chapter, holds a valid certificate of competency issued under former section 3303.15 of the Revised Code, may attain the standards set forth in section 4765.16 of the Revised Code and required for renewal of a certificate to practice as an EMT-intermediate by successfully completing a course in each area of deficiency that includes the following:

(1) All the requirements set forth in paragraphs (A), (B), (C), (D), and (F) of this rule;

(2) An additional seven hours in the area of patient assessment.

(H) A person who, on the effective date of this chapter, holds a certificate of competency issued under former section 3303.15 of the Revised Code, may elect to complete the AED training program set forth in paragraph (B) of this rule as a program prior to, or separate from, other components of the bridge course as set forth in this rule.

HISTORY: Eff 2-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.16

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-7-01 Definitions.

As used in Chapter 4765-7 of the Administrative Code:

(A) "Offsite location" means locations where an accredited program is offered in addition to the locations that were designated and authorized in the original application for accreditation approved in accordance with this chapter.

(B) "Preceptor" means a person who supervises and evaluates EMS students during various phases of the EMS clinical or pre-hospital internship and who is licensed, certified, or possesses documentation of training at a level that meets or exceeds the level of certification for which he supervises or evaluates EMS students.

(C) "Sponsoring program" means a training program that has been issued a certificate of accreditation under section 4765.17 of the Revised Code and this chapter who has been approved to offer courses at offsite locations in accordance with this chapter.

(D) "Certificate of accreditation" means a written agreement between an EMS training program and the state board of EMS.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.15, 4765.16, 4765.17

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-7-02 Accreditation Of Training Programs.

(A) Except as provided in paragraph (B) of this rule, the board shall issue a certificate of accreditation pursuant to section 4765.17 of the Revised Code and this chapter, to any applicant who is of good reputation and who demonstrates that the EMS training program for which he seeks accreditation meets the following requirements:

(1) Has a program coordinator who assumes responsibility for the following:

(a) Administration and operation of the EMS training program;

(b) Ongoing review and evaluation of the program content, instructors, and student performance;

(d) Preparation or approval of all documents required to be submitted for accrediation;

(e) Defining the role and objectives of student preceptors;

(f) Assuring the adequacy of all program training materials.

(2) Has a program medical director who assumes responsibility for the medical components of the training program;

(3) Meets the curriculum requirements for certification as an EMT-basic, EMT-intermediate or EMT-paramedic as set forth in section 4765.16 of the Revised Code and Chapters 4765-15, 4765-16 and 4765-17 of the Administrative Code;

(4) Has established an advisory committee consisting of the program coordinator, program medical director, clinical experience and prehospital internship preceptors, instructors, and EMS providers that meets not less frequently than two times each year;

(5) Has affiliation agreements with sufficient persons to provide clinical experience and prehospital internship opportunities to all EMS students;

(6) Has a sufficient number of instructors who hold a certificate to teach in an EMS training program issued under section 4765.23 of the Revised Code or who otherwise satisfy the requirements of this chapter, to ensure that the ratio of instructors to students in all practical skills components of the program does not exceed one to ten or for a program submitting a new application submits a plan listing the number of instructors and when the instructors will be employed;

(7) Possesses, or has affiliation agreements for use of, equipment determined by the board to be sufficient to adequately train EMS personnel to meet the certification requirements of section 4765.16 of the Revised Code and Chapters 4765-15, 4765-16 and 4765-17 of the Administrative Code;

(8) Has a sufficient number of preceptors to provide appropriate supervision and evaluation of students in both the clinical experience and prehospital internship components of the training program;

(9) Has sufficient classroom and laboratory facilities to accommodate the number of students participating in the program;

(10) Issues a certificate of completion to each student who successfully completes the training program and passes the program's final written and practical examination;

(11) Has an established office area for use by program faculty and instructors;

(12) Has a library available to students and faculty that contains comprehensive, current publications relating to emergency medical services;

(13) Provides classroom environments that are conducive to learning;

(14) Has admission requirements that meet the requirements for obtaining a certificate to practice under section 4765.30 of the Revised Code and Chapter 4765-8 of the Administrative Code, except that an EMT-basic training program may admit a student who is seventeen years old provided that he is enrolled in the twelfth or final grade in a secondary school program;

(15) Requires a certificate to practice as an EMT-basic for admission to an EMT-intermediate or EMT-paramedic training program;

(16) Has a written policy prohibiting discrimination in acceptance of students on the basis of race, color, religion, sex, or national origin;

(17) Has written policies that are made available to students identifying all of the following:

(a) Methodology used in determining grades;

(b) Criteria for successful completion of each component of the curriculum;

(d) Grounds for dismissal from the program;

(e) Disciplinary and grievance procedures including mechanism for appeals;

(f) Procedures for voluntary student withdrawals from the program;

(g) Policy regarding refund of tuition payments;

(h) Range and availability of student health care services;

(i) Admission requirements;

(j) Requirements or restrictions regarding student attire;

(k) Costs associated with the training program, including tuition, materials, fees;

(l) Information regarding course schedules, content, and objectives;

(m) Universal precautions that are taught and followed in the training program;

(18) Provides regular evaluations of student performance and achievement throughout the course of the program;

(19) Has a written policy to ensure that students:

(a) Are not assigned to clinical experience or prehospital internship duties during a scheduled classroom or laboratory course;

(b) Are not used as substitutes for paid personnel in a clinical experience or prehospital internship setting;

(B) If an applicant complies with paragraphs (A)(1) to (A)(10) and (A)(13) to (A)(19) of this rule, but is not in compliance with any or all of the requirements of paragraphs (A)(11) and (A)(12) of this rule, the board shall deem that it is in substantial compliance with the requirements of section 4765.16 of the Revised Code and this chapter.

HISTORY: Eff 1-1-96; 2-22-99; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.16, 4765.17

R.C. 119.032 review dates: 01/25/2004

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4765-7-03 Provisional Accreditation Of Training Programs.

(A) The division, as directed by the board shall issue a certificate of accreditation on a provisional basis pursuant to section 4765.17 of the Revised Code, to any applicant who is of good reputation and who demonstrates substantial compliance with the requirements for accreditation as defined in this chapter.

(B) In issuing a certificate of provisional accreditation the division shall indicate to an applicant those requirements set forth in paragraphs (A)(11) and (A)(12), of rule 4765-7-02 of the Administrative Code, with which he has failed to demonstrate compliance.

(C) A certificate of accreditation issued on a provisional basis is valid for a period of one year and shall not be renewed.

(D) When an applicant demonstrates compliance with all requirements identified by the board pursuant to paragraph (B) of this rule, the division, as directed by the board shall issue a certificate of accreditation which shall be valid for three years from the date of issue.

(E) If an applicant is unable to demonstrate compliance with those requirements identified by the board pursuant to paragraph (B) of this rule within one year after being issued a certificate of accreditation on a provisional basis, he may not submit an application for the training program that was the subject of the provisional accreditation for a period of at least one year. No applicant shall be issued a second provisional accreditation.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.17

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-7-04 Application For Accreditation.

(A) An applicant for a certificate of accreditation issued pursuant to section 4765.17 of the Revised Code and this chapter shall submit the following information on forms prescribed by the board:

(1) Documentation of compliance with accreditation standards set forth in section 4765.16 of the Revised Code and this chapter;

(2) The location from which the training program is administered and the locations where classroom and laboratory components of the program are conducted;

(3) The names of the program coordinator and program medical director;

(4) A financial statement certifying that the applicant or the training program possess sufficient financial resources to ensure the continued operation of the program for the term of a certificate of accreditation;

(5) Copies of all affiliation agreements between the applicant and all persons allowing the use of equipment or providing settings for clinical experience or prehospital internships;

(6) The names, and certification numbers of instructors issued a certificate to teach pursuant to section 4765.23 of the Revised Code, who are planning to teach in the training program.

(B) An application for a certificate of accreditation issued pursuant to section 4765.17 of the Revised Code shall also be subject to site inspections.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.15

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-7-05 Offsite Locations.

(A) Pursuant to division (E) of section 4765.17 of the Revised Code, a person who has been issued a certificate of accreditation to operate a training program may offer courses at different locations from those listed in the accreditation provided that all of the following apply:

(1) The sponsoring program has held a certificate of accreditation for a minimum of one year;

(2) The sponsoring program continues to operate at the location identified in the original application for certificate of accreditation;

(3) Each offsite location where the program is offered meets the minimum standards for accreditation set forth in rule 4765-7-02 of the Administrative Code;

(4) No fewer than sixty-five per cent of the students to whom the sponsoring program has issued a certificate of completion pursuant to section 4765.24 of the Revised Code and who have taken the examination for certificate to practice pursuant to section 4765.29 of the Revised Code were successful in their first attempt to pass the examination since their last accreditation;

(5) Each offsite location satisfies all requirements for accreditation under the terms of this chapter prior to advertising that the program will be offered at such site.

(B) The advisory committee established for the sponsoring program may also serve as the advisory committee for one or more offsite locations.

(C) Files and records of students enrolled in courses offered at offsite locations may be maintained at that location while the student is a participant in the course, however after the course is completed, all student files and records must be maintained at the site of the sponsoring program.

(D) An accredited training program that wishes to offer courses at offsite locations must first request approval from the division and provide the division with sufficient information to demonstrate compliance with this chapter.

(E) The division has ninety days from receipt of a request to offer courses at an offsite location to notify the applicant that it approves or disapproves such request. If the request is disapproved by the division, as directed by the board, it must advise the program requesting approval of the reasons for which the offsite location request was denied.

(F) Approval to operate at an offsite location lapses at the time that the certificate of accreditation of the sponsoring program is suspended, revoked, or expires.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.16

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-7-06 Notification To Board.

(A) A person to whom a certificate of accreditation is issued pursuant to section 4765.17 of the Revised Code and this chapter, shall provide written notice to the division no later than ten days following any of the following changes in the program for which the certificate of accrediation was issued:

(1) Physical facilities;

(2) Faculty;

(3) Affiliation agreements.

(B) A program for which a certificate of accreditation is issued by the board pursuant to section 4765.17 of the Revised Code and this chapter, may not change the content of the curriculum or the number of hours included in the curriculum without first providing notice of the proposed changes to, and receiving written approval from, the board.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.15, 4765.16

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-7-07 Renewal Of Accreditation.

(A) No later than ninety days prior to its expiration, the division shall mail an application for renewal to each person who has been issued a certificate of accreditation under section 4765.17 of the Revised Code and this chapter.

(B) The application for renewal shall clearly indicate the date by which it must be completed and returned to the division.

(1) The application for renewal is completed and submitted to the division no later than the thirtieth day prior to expiration of the current certificate;

(2) The program remains in compliance with the requirements for accreditation as set forth in section 4765.17 of the Revised Code and this chapter;

(3) Not less than sixty-five per cent of the students to whom the program has issued a certificate of completion in the last accreditation period. And who have taken the examination for certificate to practice pursuant to section 4765.29 of the Revised Code were successful in their first attempt to pass the examination.

(D) In considering an application for renewal of a certificate of accreditation, the board may consider all information relevant to the requirements for accreditation as set forth in section 4765.16 of the Revised Code and this chapter.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.15

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-7-08 Reinstatement Of Certificate Of Accreditation.

(A) A certificate of accreditation that has expired may be reinstated by the division, as directed by the board if both of the following apply:

(1) Application for reinstatement is made no later than ninety days after the certificate of accreditation expired;

(2) The division determines that the applicant for reinstatement is in compliance with the requirements of section 4765.16 of the Revised Code and this chapter.

(B) The holder of a certificate of accreditation that has been suspended by the board pursuant to section 4765.33 of the Revised Code and this chapter, may not apply for reinstatement prior to the date at which the certificate of accreditation would otherwise have expired.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.17

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-7-09 Approval Of Continuing Education Programs.

(A) A person who has been issued a certificate of accreditation under section 4765.17 of the Revised Code and this chapter shall be permitted to offer an EMS continuing education program.

(B) The division shall issue a certificate of approval to offer an EMS continuing education program pursuant to section 4765.17 of the Revised Code as directed by the board, to any applicant who is of good reputation and who meets the following requirements:

(1) Has a program coordinator who assumes general responsibility for administering and operating the program;

(2) Has a program medical director who assumes responsibility for the medical components of the program;

(3) Instruction will be provided by instructors who hold a certificate to teach issued under section 4765.23 of the Revised Code that is appropriate to the level of programs to be taught;

(4) Has sufficient classroom and laboratory facilities to accommodate the number of participants in each program;

(5) Requires that attendees at each program complete a program evaluation form;

(6) Issues a certificate of completion to each participant who completes the program.

(C) Each applicant who is issued a certificate of approval to offer an EMS continuing education program shall maintain records for each program that document the following:

(1) Date, time, location, and topic of each program offered;

(2) Name and credentials of each instructor participating in a program;

(3) List of participants who attended the program;

(4) A summary of the assessment and evaluation forms submitted for each program.

(D) Each application for a certificate of approval shall be made on a form prescribed by the division and shall include, at a minimum, the following information:

(1) The names of the program coordinator and program medical director;

(2) The address of any sites at which it intends to conduct programs;

(3) Documentation of compliance with the requirements of this chapter.

(E) A certificate of approval issued pursuant to section 4765.17 of the Revised Code and this chapter shall be valid for three years.

(F) The division shall renew a certificate of approval if the holder submits to the division not later than ninety days prior to expiration of the current certificate of approval, documentation of continued compliance with the requirements set forth in this chapter as directed by the board.

(G) A certificate of approval that has expired may be reinstated by the division, as directed by the board if both of the following apply:

(1) Application for reinstatement is made no later than ninety days after the certificate of approval expired;

(2) The division determines that the application for reinstatement is in compliance with the requirements of section 4765.16 of the Revised Code and this chapter as directed by the board.

(H) No fee shall be charged for an application or renewal of a certificate of approval however the board may annually establish a fee for reinstatement of a certificate of approval that has expired.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.15, 4765.16

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-7-10 Validity Of Current Certificates.

All certificates of accreditation to operate emergency medical services training programs that were issued under former section 3303.11 or 3303.23 of the Revised Code shall remain valid for one year after the date on which they would otherwise expire. Any person who wishes to operate an emergency medical services training program after such date must comply with section 4765.17 of the Revised Code and this chapter.

HISTORY: Eff 1-1-96; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.32

119.032 rule review date: January 25, 1999, January 25, 2004

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4765-8-01 Qualifications For A Certificate To Practice.

(A) The division, as directed by the board, shall issue a certificate to practice as a first responder, EMT-basic, EMT-intermediate, or EMT-paramedic to any applicant who satisfies the following requirements:

(1) Possesses a certificate of completion from an EMS program accredited by the board under section 4765.17 of the Revised Code and Chapter 4765-7 of the Administrative Code, that verifies completion of an EMS training program at the level for which the certificate to practice is sought;

(2) Is at least eighteen years of age;

(3) Has not been convicted, pled guilty to, had a judicial finding of guilt for, or had a judicial finding of eligibility for treatment in lieu of conviction for, any of the following:

(a) Any felony;

(b) A misdemeanor committed in the course of practice;

(d) A violation of any federal, state, county, or municipal narcotics law;

(e) Any act committed in another state or jurisdiction that, if committed in Ohio, would constitute a violation set forth in this paragraph.

(4) Has not been adjudicated mentally incompetent by a court of law;

(5) At the time of application, is not under indictment for any felony or a misdemeanor as outlined in paragraph (A)(3) of this rule;

(6) Does not engage in the illegal use of controlled substances, alcohol, or other habit-forming drugs or chemical substances while on duty as an emergency medical provider;

(7) Has not committed fraud or material deception in applying for, or obtaining a certificate issued under Chapter 4765. of the Revised Code;

(8) Within twelve months prior to making application with the board, has passed an examination administered by the board in accordance with section 4765.29 of the Revised Code at the level for which certification is sought.

HISTORY: Eff 1-1-96; 2-22-99; 4-29-00; 1-13-02; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.30

R.C. 119.032 review dates: 01/25/2004

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4765-8-02 Application For Certificate To Practice.

(A) An applicant for a certificate to practice issued in accordance with section 4765.30 of the Revised Code and this chapter shall submit the following information on forms prescribed by the division, as directed by the board:

(1) Full legal name, home address, and home telephone number;

(2) Date of birth;

(3) Social security number;

(4) Current affiliations with emergency medical services organizations or providers, if any;

(5) Level of practice for which certification is sought;

(6) Documentation of compliance with the standards set forth in section 4765.30 of the Revised Code and this chapter.

(B) The completed application form shall be signed and dated by the applicant and program coordinator and shall include an attestation by the applicant to both of the following:

(1) The information included is true and accurate to the best of the applicant's knowledge and that the applicant understands that a person who knowingly makes a false statement on an application is guilty of falsification under section 2921.13 of the Revised Code, a misdemeanor of the first degree;

(2) The applicant satisfies the requirements for certification to practice at the level sought in the application as they are set forth in section 4765.30 of the Revised Code and this chapter.

HISTORY: Eff 1-1-96; 2-22-99; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.28

R.C. 119.032 review dates: 01/25/2004

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4765-8-03 Notification To Board.

The holder of a certificate to practice issued pursuant to section 4765.30 of the Revised Code and this chapter, shall provide written notice to the division no later than thirty days following any changes in:

(A) Name or address;

(B) EMS organizations with which the holder is employed and/or with which he is affiliated.

HISTORY: Eff 1-1-96; 2-22-99; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.30

R.C. 119.032 review dates: 01/25/2004

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4765-8-04 Renewal Of Certificate To Practice.

(A) No later than sixty days prior to its expiration, the division, as directed by the board, shall mail an application for renewal to each person who has been issued a certificate to practice under section 4765.30 of the Revised Code and this chapter.

(1) The application for renewal shall clearly indicate the date on which the current certificate expires and the fact that the application must be received by the division prior to that date in order to avoid a lapse in certification to practice.

(2) The application for renewal shall be signed, dated, and shall contain an attestation to both of the following:

(a) The applicant has no conditions that will prevent him from performing duties consistent with his certificate to practice;

(b) The applicant satisfies the requirements for certification to practice set forth in section 4765.30 of the Revised Code and this chapter at the level sought in the renewal application.

(B) Except as provided in paragraph (E) of this rule, the division, as directed by the board, shall renew a certificate to practice if all of the following apply:

(1) A completed application for renewal is received prior to the expiration date of the current certificate;

(2) The application demonstrates that the applicant meets the standards for certification to practice set forth in section 4765.16 of the Revised Code and this chapter at the level for which renewal is sought, and has not been convicted of, pled guilty to, had a judicial finding of guilt for, or had a judicial finding of eligibility for treatment and/or intervention in lieu of conviction for any of the following:

(a) Any felony;

(b) A misdemeanor committed in the course of practice;

(d) A violation of any federal, state, county, or municipal narcotics law;

(e) Any act committed in another state that, if committed in Ohio, would constitute a violation set forth in this paragraph.

(3) The application demonstrates that the applicant has not:

(a) Been adjudicated mentally incompetent by a court of law;

(b) Performed a service or services that exceeded the scope of a certificate to practice as defined in Chapter 4765. of the Revised Code and Chapters 4765-1 to 4765-19 of the Administrative Code;

(d) Been unable to practice according to acceptable and prevailing standards of care by reason of mental illness, physical illness, or habitual or excessive use or abuse of drugs, alcohol, or other substances that impair ability to practice;

(e) Violated any of the standards of conduct established pursuant to section 4765.11 of the Revised Code.

(f) Violated any of the conditions of a consent agreement or an order issued by the board.

(4) The application includes documentation of either of the following:

(a) Completion of continuing education requirements as provided under section 4765.24 of the Revised Code and this chapter;

(b) A passing score on an examination approved by the board pursuant to section 4765.10 of the Revised Code to demonstrate competence to have a certificate of practice renewed without completing an EMS continuing education program.

(C) An applicant for renewal must maintain records relating to the requirement set forth in paragraph (B)(4) of this rule for the current and previous certification cycle, which records are subject to audit by the division, as directed by the board.

(D) There shall be no fee required for an application for renewal of a certificate to practice.

(E) In addition to the requirements set forth in paragraph (B)(4) of this rule, if an applicant for renewal holds a certificate to practice as an EMT-basic or EMT-intermediate that was issued pursuant to rule 4765-8-01 of the Administrative Code, the board shall condition the first renewal of such certificate under section 4765.30 of the Revised Code on documentation of completion of the bridge course program set forth in rule 4765-15-02 of the Administrative Code.

(F) A renewed certificate to practice does not become effective until the expiration date of the current certificate.

(G) If an applicant fails to meet the requirements for renewal of a certificate to practice at the level of certification he currently holds, the board may issue a certificate to practice at a lower level for which the applicant demonstrates compliance with the requirements for certification.

HISTORY: Eff 1-1-96; 10-11-96 (Emer.); 5-19-97; 7-31-97; 2-22-99; 1-13-02; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.30

R.C. 119.032 review dates: 01/25/2004

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4765-8-15 Certification By Reciprocity.

(A) For purposes of granting reciprocity, the board may review and approve EMS license or certification requirements in other states, the district of Columbia, United States territories, and foreign countries, to identify those that are substantially similar to the curriculum and certification standards set forth in Chapter 4765. of the Revised Code and Chapters 4765-1 to 4765-19 of the Administrative Code. An applicant completing a United States department of transportation approved training program in another state and being certified by that state shall be issued a certificate to practice provided that the applicant submits appropriate documentation of a valid EMS certificate or license.

(B) An applicant for a certificate to practice issued under section 4765.30 of the Revised Code and this chapter who holds an EMS certificate or license from another state, the district of Columbia, United States territory, or foreign country identified by the board as qualifying for reciprocity under this chapter, shall be issued a certificate to practice provided that the applicant submits appropriate documentation of a valid EMS certificate or license.

(C) An applicant for a certificate to practice issued under section 4765.30 of the Revised Code and this chapter who holds an EMS certificate or license from another state, the district of Columbia, United States territory, or foreign country for which the board has not granted reciprocity under this chapter, shall submit with his application, documentation that the curriculum and certification standards are substantially similar to those set forth in Chapter 4765. of the Revised Code and Chapters 4765-1 to 4765-19 of the Administrative Code.

(1) The board shall review the information submitted to determine whether the standards under which the applicant received his license or certificate are substantially similar to justify certification by reciprocity.

(2) If the board identifies areas of deficiency in the curriculum or certification standards, it may require that the applicant correct such deficiencies prior to issuing a certificate to practice.

(D) An applicant for a certificate to practice issued under section 4765.30 of the Revised Code and this chapter who is or was a member of the United States armed services or department and who received their EMS training in the United States military, or who is a citizen of another country, may apply for certification by reciprocity if the applicant provides documentation of current certification by the national registry of emergency medical technicians.

(E) Prior to being issued a certificate to practice, all applicants seeking certification by reciprocity shall have passed an examination administered by the board in accordance with section 4765.29 of the Revised Code at the level for which certification is sought.

HISTORY: Eff 1-1-96; 2-22-99; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.30

R.C. 119.032 review dates: 01/25/2004

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4765-8-16 Fees For Certification.

Except as otherwise provided in this chapter, the board shall not charge a fee for an application for a certificate to practice or certificate to teach, or for renewal of a certificate to practice or certificate to teach.

HISTORY: Eff 1-1-95

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.28

119.032 Review Date: 9-27-02; 9-27-07

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4765-8-17 Voluntary Change In Level Of Certificate To Practice.

(A) If a holder of a certificate to practice voluntarily surrenders his certificate by submitting it to the department of public safety, division of EMS, the board will consider this action a voluntary revocation of the certificate to practice.

(B) No person shall hold a certificate to practice at more than one level.

(1) If an applicant drops back during a certification cycle, the original certificate shall become invalid upon the issuance date of the new certificate to practice. The new certificate to practice shall have the same expiration date as that of the original certificate.

(2) A request to drop back during a certification cycle must be in writing, notarized, and submitted to the department of public safety, division of EMS.

(3) If an applicant drops back at the time of renewal, the new certificate to practice shall become effective upon the expiration date of the original certificate. The new certificate to practice shall have an expiration date of three years.

(D) If an applicant who dropped back wishes to reinstate at a higher level previously held during a certification cycle, the applicant must meet the requirements set forth in rule 4765-8-18 of the Administrative Code.

(1) The applicant's certificate to practice at a lower level shall become invalid upon the issuance date of the certificate to practice at a higher level. The new certificate to practice shall have an expiration date of three years.

HISTORY: Eff 1-13-02; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.30

R.C. 119.032 review dates: 01/25/2004

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4765-8-18 Reinstatement Of Certificate To Practice.

(A) A certificate to practice will lapse on the ninetieth day after its expiration date if the applicant fails to either renew such certificate or request an extension, as provided in section 4765.31 of the Revised Code.

(B) The division, as directed by the board, may reinstate a certificate to practice that has been expired or invalid for no more than three years if all of the following apply:

(1) The applicant submits a completed application;

(2) The applicant completes the examination administered by the board in accordance with section 4765.29 of the Revised Code and obtains a passing score within three attempts;

(a) If an applicant is unable to pass the reinstatement examination within three attempts, the applicant must complete a new course of instruction and meet all criteria for a certificate to practice.

(3) The applicant meets all qualifications for a certificate to practice as outlined in rule 4765-8-01 of the Administrative Code;

(4) The applicant previously held a certificate to practice issued under section 4765.30 of the Revised Code for the level of certification sought, and such certificate was in good standing at the time the certificate holder allowed the certificate to lapse.

(5) The course of training completed by the applicant is significantly similar to the current curriculum requirements for the level of certification sought;

(a) If such training is not significantly similar to the current curriculum, the applicant must complete additional course work in the areas of deficiency through an institution accredited by the board pursuant to rule 4765-7-02 of the Administrative Code.

(C) The division, as directed by the board, may reinstate a certificate to practice that has been expired or invalid for more than three years but less than six years if the applicant, in addition to meeting all other requirements for reinstatement, completes one of the following refresher training courses:

(1) At the first responder level, must complete a first responder refresher course as outlined in rule 4765-12-03 of the Administrative Code.

(a) Such course must be taught at an institution accredited by the board pursuant to rule 4765-7-02 of the Administrative Code.

(b) Such course must include written and practical testing, administered by the accredited institution.

(2) At the EMT-basic level, must complete an EMT-basic refresher course as outlined in paragraph (B) of rule 4765-15-01 of the Administrative Code.

(a) Such course must be taught at an institution accredited by the board pursuant to rule 4765-7-02 of the Administrative Code.

(b) Such course must include written and practical testing, administered by the accredited institution.

(3) At the EMT-intermediate level, must complete an EMT-intermediate refresher course as outlined in paragraph (D) of rule 4765-16-01 of the Administrative Code.

(a) Such course must be taught at an institution accredited by the board pursuant to rule 4765-7-02 of the Administrative Code.

(b) Such course must include written and practical testing, administered by the accredited institution.

(4) At the EMT-paramedic level, must complete an EMT-paramedic refresher course as outlined in paragraph (C) of rule 4765-17-01 of the Administrative Code.

(a) Such course must be taught at an institution accredited by the board pursuant to rule 4765-7-02 of the Administrative Code.

(b) Such course must include written and practical testing, administered by the accredited institution.

(d) The applicant must also complete twelve hours of training in cardiac care and sixteen hours of training in trauma care.

(5) If an acceptable refresher course, as listed in paragraphs (C)(1), (C)(2), (C)(3), and (C)(4) of this rule, is not available, the board may approve an equivalent course of instruction to be completed by the applicant. The applicant will be required to complete written and practical testing, administered by an institution accredited by the board pursuant to rule 4765-7-02 of the Administrative Code.

(D) If a certificate to practice has been expired or invalid for more than six years, the applicant must complete a new course of instruction and meet all qualifications for a certificate to practice as provided in rule 4765-8-01 of the Administrative Code.

(E) An applicant must meet all requirements for eligibility prior to taking any examination.

(F) An applicant who qualifies for reinstatement is eligible to be reinstated at any level at or below the level previously held by such applicant.

HISTORY: Eff 1-13-02; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.30

R.C. 119.032 review dates: 01/25/2004

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4765-9-01 Ethical Standards Of Conduct.

(A) A person issued a certificate to practice shall provide professional services that conform to minimal standards of care for their certification level under similar circumstances.

(B) When providing professional services, a person issued a certificate to practice shall exhibit respect for the medical needs and personal values of EMS patients and other certificate to practice holders, medical, or health care practitioners.

(C) A person issued a certificate to practice shall not discriminate in the provision of EMS on the basis of race, color, religion, sex, or national origin.

(D) A person issued a certificate to practice shall provide medically appropriate evaluation, treatment, and disposition of each EMS patient in accordance with Chapter 4765. of the Revised Code, Chapters 4765-1 to 4765-19 of the Administrative Code, and the medical protocols of the EMS organization by which he is employed or with which he is affiliated.

(E) A person issued a certificate to practice shall not perform any services that exceed the scope of his certificate to practice shall not perform any services that exceed the and rules set forth in Chapters 4765-1 to 4765-19 of the Administrative Code.

(F) A person issued a certificate to practice shall not misrepresent his professional qualifications or credentials.

(G) A person issued a certificate to practice shall report to the medical director of an EMS organization by which he is employed or with which he is affiliated, any suspicion or knowledge of a violation of this chapter or the failure of any certificate to practice holder to conform to minimal standards of care.

(H) A person issued a certificate to practice shall consistently demonstrate a standard of knowledge and competency that meets or the minimal level required under his certificate to practice.

(I) A person issued a certificate to practice shall accurately document and at the request of the division report, all continuing education programs he completes.

(J) Except as otherwise required by law, a person issued a certificate to practice shall maintain the confidentiality of patient information.

(K) A person issued a certificate to practice shall not release or provide a medical report or any supporting documentation, or otherwise disclose the contents of a medical report to anyone other than those authorized by law to receive them.

HISTORY: Eff 1-1-96; 2-22-99; 3-23-03 Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11 Rule amplifies: RC 4765.30 R.C. 119.032 review dates: 01/25/2004

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4765-9-02 Ethical Standards Of Conduct For Holders Of Certificate To Teach.

(A) An individual issued a certificate to teach shall provide services that conform to standards of other persons issued a certificate to teach under other similar circumstances.

(B) An individual issued a certificate to teach shall not discriminate in the provision of EMS training on the basis of race, color, religion, sex, or national origin.

(C) An individual issued a certificate to teach shall provide instruction in accordance with Chapter 4765. of the Revised Code, Chapter 4765-1 to 4765-19 of the Administrative Code for the EMS training program by which he is employed or with which he is affiliated.

(D) An individual issued a certificate to teach shall not perform any services that exceed the scope of his certificate to teach as defined in Chapter 4765. of the Revised Code and rules set forth in Chapters 4765-1 to 4765-19 of the Administrative Code.

(E) An individual issued a certificate to teach shall not misrepresent his professional qualifications or credentials.

(F) An individual issued a certificate to teach shall report to the division any suspicion or knowledge of a violation of this chapter or the failure of any EMS training program to conform to Chapter 4765. of the Revised Code and rules set forth in Chapters 4765-1 to 4765-19 of the Administrative Code.

(G) An individual issued a certificate to teach shall not commit fraud in conducting of an EMS training program or in the obtaining of any certificate to practice or teach.

(H) An individual issued a certificate to teach shall consistently demonstrate a standard of knowledge and competency that meets the minimal level required under his certificate to teach.

HISTORY: Eff 2-22-99; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.23

R.C. 119.032 review dates: 01/25/2004

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4765-10-01 Complaint Procedure.

(A) Each EMS organization is encouraged to establish an internal procedure for handling complaints relating to the provision of EMS services by the organization, its employees, or other persons affiliated with the organization. The internal procedure should provide for the following:

(1) A single individual designated to receive and review complaints;

(2) If the complaint is made against an individual, adequate notice to the individual regarding the specifics of the complaint and adequate opportunity for the individual to respond;

(3) An arbitration or dispute resolution proceeding among the affected parties within thirty days following receipt of the complaint;

(4) Referral of all complaints relating to alleged violations of Chapter 4765. of the Revised Code or Chapters 4765-2 to 4765-19 of the Administrative Code directly to the division.

(B) All complaints received by the division shall be reviewed by the administrator, who shall recommend what action should be taken.

(1) If the administrator determines that further investigation is warranted it shall proceed in accordance with this chapter.

(2) After the investigation, if the board determines that a disciplinary action should be commenced against the holder of a certificate issued under Chapter 4765. of the Revised Code, it shall proceed in accordance with this chapter.

(3) If the board determines that no further action on a complaint is warranted, it shall so advise all affected parties.

HISTORY: Eff 1-1-96; 2-22-99; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.10

R.C. 119.032 review dates: 01/25/2004

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4765-10-02 Investigations By The Board.

(A) The division shall review all complaints received under this chapter as well as any evidence that appears to show that any person has violated any provision of Chapter 4765. of the Revised Code or Chapters 4765-1 to 4765-19 of the Administrative Code.

(1) Any person may report to the division in a signed writing any information that the person may have that appears to show a violation of any provision of Chapter 4765. of the Revised Code or Chapters 4765-1 to 4765-19 of the Administrative Code.

(2) The division shall record and assign a number or similar identifier to each complaint or allegation of a violation it receives.

(3) When the division receives a complaint or allegation of violation it may notify all of the following:

(a) The person who is the subject of the complaint or allegation;

(b) The medical director of any EMS organization by which the subject of the complaint or allegation is employed or with which he is affiliated;

(d) The appropriate regional medical director or regional physician advisory board.

(B) Investigations of alleged violations of Chapter 4765. of the Revised Code and Chapters 4765-1 to 4765-19 of the Administrative Code shall be supervised by administrator.

(1) No member of the board who participates in an investigation shall participate in any further adjudication of the case.

(2) The division shall conduct all investigations in such a manner as to protect patient confidentiality.

(C) Based upon the findings of an investigation conducted in accordance with this chapter, the board may initiate disciplinary proceedings in accordance with Chapter 119. of the Revised Code and this chapter.

HISTORY: Eff 1-1-96; 2-22-99; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.10

R.C. 119.032 review dates: 01/25/2004

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4765-10-03 Administrative Actions.

(A) The board, pursuant to an adjudicatory hearing under Chapter 119. of the Revised Code, and by a vote of the majority of all members, may suspend, revoke, refuse to grant, limit, or refuse to renew a certificate issued by the board, issue a written reprimand, or impose a fine not to exceed one thousand dollars if it determines that the person committed fraud in passing the examination or committed fraud, misrepresentation, or deception in applying for or securing any certificate issued by the board.

(B) The board, pursuant to an adjudicatory hearing under Chapter 119. of the Revised Code, and by a vote of the majority of all members, may suspend, revoke, refuse to grant, limit, or refuse to renew a certificate issued by the board, impose a fine not to exceed one thousand dollars, or issue a written reprimand if it finds any of the following:

(1) A violation of any provision of Chapter 4765. of the Revised Code or Chapters 4765-1 to 4765-19 of the Administrative Code;

(2) Conviction of, pled guilty to, had a judicial finding of guilt for, or had a judicial finding of eligibility for treatment and/or intervention in lieu of conviction for:

(a) Any felony;

(b) A misdemeanor committed in the course of practice;

(d) Violation of any federal, state, county, or municipal narcotics law;

(e) Any act committed in another state or jurisdiction that, if committed in Ohio, would constitute a violation set forth in this paragraph.

(3) Adjudication of mental incompetence by a court of law;

(4) Performance of a service or services that exceed the scope of a certificate to practice as defined in Chapter 4765. of the Revised Code and Chapters 4765-1 to 4765-19 of the Administrative Code;

(5) Failure to conform to minimal standards of care of EMTs under similar circumstances;

(6) Inability to practice according to acceptable and prevailing standards of care by reason of mental illness, physical illness, or habitual or excessive use or abuse of drugs, alcohol, or other substances that impair ability to practice;

(7) Any violation of the standards of conduct established pursuant to section 4765.11 of the Revised Code.

(8) Any violation of any conditions of a consent agreement or an order issued by the board.

(C) A certificate that has been suspended, limited, or revoked may be reinstated by the vote of the majority of all of the board. In voting to reinstate a certificate, the board may impose such limitations or conditions on the reinstatement as it deems necessary or appropriate.

HISTORY: Eff 1-1-96; 2-22-99; 6-29-01; 1-13-02; 3-23-03; 3-27-04

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.33

RC 119.032 review dates: 1/25/04, 12/18/03, 1/12/09

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4765-10-05 Report Of Administrative Actions.

(A) When the board takes action to discipline, suspend, revoke, limit, fail to renew, or fail to issue a certificate in accordance with this chapter, it shall so advise:

(1) The person against whom such action is taken;

(2) Any other state or public agencies for whom such notice is appropriate;

(3) The appropriate regional medical director or regional physician advisory board;

(4) The medical director of any EMS organizations by whom the person is employed, or with which he is affiliated;

(5) Any EMS organizations by whom the person is employed or with whom he is affiliated.

(B) All administrative actions that result in discipline, suspension, revocation, or limitation of certification shall be published in the division of EMS newsletter.

(C) The division shall compile on an annual basis a report on complaints received, investigations conducted, and administrative actions taken.

HISTORY: Eff 1-1-96; 2-22-99; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.33

R.C. 119.032 review dates: 01/25/2004

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4765-10-06 Medical Director.

Nothing in this chapter shall be construed as restricting or otherwise limiting the right of a physician who serves as the medical director for any EMS organization to determine those first responders or EMTs whom the medical director will allow to provide emergency medical services under the auspices of the medical director's certificate to practice medicine and surgery, or osteopathic medicine and surgery, issued under Chapter 4731. of the Revised Code. The medical director, however, shall not authorize first responders or EMTs to provide emergency medical services beyond the scope of their certificates to practice.

HISTORY: Eff 1-1-96; 4-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.11

R.C. 119.032 review dates: 2/11/2002 and 01/25/2004

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4765-11-01 Definitions.

As used in this chapter:

(A) "Executive director" means the individual appointed by the director of public safety,

pursuant to section 4765.03 of the Revised Code, to serve as the chief executive officer of the board of emergency medical services and as the executive director of the division of emergency medical services.

(B) "Assistant instructor" means an individual qualified by evidence of competency or special expertise, who assists in the instruction of students in a chartered program under the supervision of a certified instructor and with the approval of the program director.

(C) "Basic fire training" means the minimum training standards for service as a firefighter or fire safety inspector that are established in accordance with section 4765.55 of the Revised Code and this chapter.

(D) "Certification" means the process by which the executive director issues a certificate

to each person who meets the qualifications set forth in section 4765.55 of the Revised Code and this chapter for a firefighter, fire safety inspector, or certified instructor.

(E) "Certified instructor" means an individual who satisfies the standards established in

accordance with section 4765.55 of the Revised Code and this chapter, qualifying him to instruct students in chartered programs.

(F) "Chartering" means the process by which the executive director, with the advice and counsel of the committee, evaluates firefighter and fire safety inspector training programs and determines that they meet the minimum standards established pursuant to section 4765.55 of the Revised Code and this chapter.

(G) "Chartered program" means any fire service training program that has been issued a charter in accordance with section 4765.55 of the Revised Code and this chapter.

(H) "Committee" means the firefighter and fire safety inspector training committee of the state board of emergency medical services created in section 4765.55 of the Revised Code.

(I) "Fire chief" means the head of a fire department who is responsible for assuring that each firefighter who works for that department, whether on a volunteer or paid part-time or full-time basis, has completed basic fire training.

(J) "Fire safety inspector" means an individual who holds a certificate issued under section 3737.34 of the Revised Code, or who is authorized to issue citations under sections 3737.41 and 3737.42 of the Revised Code.

(K) "Full-time firefighter" means an individual who receives an appointment as a permanent, full-time firefighter under sections 505.38, 737.08, or 737.22 of the Revised Code.

(L) "NFPA" means the national fire protection association.

(M) "NFPA standard 1001" means the minimum requirements, in terms of performance objectives, of professional competence required for service as a firefighter as set forth for each level of responsibility in the NFPA 1001 Standard for Fire Fighter Professional Qualifications (2002 edition), which is available at www.nfpa.org.

(N) "NFPA standard 1031" means the minimum requirements, in terms of performance

objectives, of professional competence required for service as a fire safety inspector as set forth for each level of responsibility in the NFPA 1031 Standard for Professional Qualifications for Fire Inspector and Plan Examiner (1998 edition), which is available at www.nfpa.org.

(O) "NFPA standard 1403" means the standard for participating in live fire training evolutions as set forth in the NFPA 1403 Standard on Live Fire Training Evolutions (2002 edition), which is available at www.nfpa.org.

(P) "Program director" means the person who is generally responsible for the administration and operation of a fire service training program.

(Q) "Volunteer firefighter" means a person who provides fire fighting services on less than a full-time basis and who is not routinely scheduled to be present on-site at a fire station or other specified location for purposes of responding to a fire or other emergency, but instead responds from home, place of employment, or other unspecified location.

Effective: 09/30/2004

R.C. 119.032 review dates: 07/15/2004 and 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 6/30/75, 5/1/79, 1/1/89,

1/1/96, 9/25/00, 5/29/03

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4765-11-03 Chartering Of Training Programs.

(A) To receive a charter pursuant to section 4765.55 of the Revised Code and this chapter

as a chartered fire service training program, an applicant or a training program shall meet or exceed the following requirements:

(1) Has a program director who assumes general responsibility for the following:

(a) Administration and operation of the training program;

(b) Compliance with all rules and laws applicable to fire training;

(d) Assignment of faculty responsibilities and scheduling of program courses;

(e) Preparation or approval of all documents required to be submitted for chartering;

(f) Assuring the adequacy of the curriculum and all program training materials;

(g) Assuring the integrity and security of testing materials.

(2) Offers sufficient courses to satisfy the curriculum requirements for firefighters and fire safety inspectors as set forth in this chapter;

(3) Has established an advisory committee that meets not less than two times each year and includes among its members the program director, fire chiefs, assistant and certified instructors, and firefighters;

(4) Has written agreements allowing for the use of equipment and other apparatus that meet minimum safety standards established by the executive director, with the advice and counsel of the committee, and that are necessary to meet the performance objectives for levels one and two of NFPA standards standard 1001 as set forth in the NFPA 1001 Standard for Fire

Fighter Professional Qualifications (2002 edition), which is available at www.nfpa.org;

(5) Has a sufficient number of certified instructors and assistant instructors to assure that the ratio of students to instructors does not exceed five to one during all practical skills instruction and testing;

(6) Possesses, or has access to, equipment and supplies that are comprehensive, current, and sufficient for the number of students and instructors participating in the program;

(7) Has sufficient classroom and laboratory facilities to accommodate the number of students participating in the program;

(8) Requires each student enrolled in a firefighter training program to have course materials that meet NFPA standard 1001 as set forth in the NFPA 1001 Standard for Fire Fighter Professional Qualifications (2002 edition), which is available at www.nfpa.org;

(9) Requires each student enrolled in a fire safety inspector training program to have course materials that meet NFPA standard 1031 as set forth in the NFPA 1031 Standard for Professional Qualifications for Fire Inspector and Plan Examiner (1998 edition), which is available at

www.nfpa.org;

(10) Has a library available to students and faculty that contains comprehensive, current publications relating to fire services and that includes the minimum curriculum for firefighter and fire safety inspector programs as established under section 4765.55 of the Revised Code and this chapter;

(11) Provides classroom environments that are conducive to learning;

(12) Has an established office area for use by program instructors;

(13) Provides regular evaluations of student performance and achievement throughout the course of the program including performance objective check-off sheets;

(14) Requires that each student pass, one or more written and practical examinations that test knowledge, understanding, and ability to provide firefighter services, including passing, in not more than three attempts, a written final examination approved by the executive director and the

committee;

(15) Issues a certificate of completion to each student who successfully completes the training program, passes all examinations administered by the program, and is eighteen years of age;

(16) Admits only those individuals who satisfy the following requirements:

(a) Are at least eighteen years of age and are not attending high school, except that a fire service training program may admit a student who is seventeen years old provided that the student is enrolled in the twelfth or final grade in a secondary school program;

(b) Have not been convicted of, pled guilty to, or had a judicial finding of guilt for any of the following:

(i) Fraud or material deception in applying for, or obtaining, a certificate issued in accordance with this chapter;

(ii) A felony;

(iii) A misdemeanor involving moral turpitude;

(iv) A violation of any federal, state, county, or municipal narcotics law;

(v) Any act committed in another state, that, if committed in Ohio, would constitute a violation set forth in this paragraph;

(17) In addition to the requirements of paragraph (A)(16) of this rule, the admission requirements for a fire safety inspector training program shall include the following:

(a) The applicant is employed by one of the following:

(i) The office of the state fire marshal;

(ii) A firefighting agency as defined in division (A)(3) of section 9.60 of the Revised Code;

(iii) A private fire company as defined in division (A)(5) of section 9.60 of the Revised Code that is providing fire protection in accordance with division (B), (C), or (D) of section 9.60 of the

Revised Code;

(b) The applicant submits a letter of recommendation from an employer referenced in paragraph (A)(17)(a) of this rule;

(c) The applicant holds a current fire firefighter certificate issued under section 4765.55 or former section 3303.07 of the Revised Code.

(18) Conditions admission to programs at levels beyond basic fire training upon the applicant's satisfactory completion of all lower level prerequisite programs;

(19) Has a written policy prohibiting discrimination in acceptance of students on the basis of race, color, religion, sex, or national origin;

(20) Has written policies approved by its advisory committee that are made available to students identifying all of the following:

(a) Methodology used in determining grades;

(b) Criteria for successful completion of each component of the curriculum;

(d) Grounds for dismissal from the program;

(e) Disciplinary and grievance procedures including mechanism for appeals;

(f) Procedures for voluntary student withdrawals from the program;

(g) Policy regarding refund of tuition payments;

(h) Admission requirements;

(i) Requirements or restrictions regarding student attire;

(j) Costs associated with the training program, including tuition, materials, and fees;

(k) Information regarding course schedules, content, and objectives;

(21) Has a written policy to ensure that students are not assigned emergency response duties during scheduled classroom or practical training;

(22) Requires that all certified instructors meet minimum qualifications as set forth in rule 4765-11-08 of the Administrative Code.

(B) Any chartered program, or applicant for a charter under section 4765.55 of the Revised Code and this chapter, shall comply with the following:

(1) Allow access by the division of emergency medical services to students' fire service training records to verify successful completion of all certification requirements and all fire instructor records to verify compliance with rule 4765-11-08 of the Administrative Code;

(2) Allow the division of emergency medical services to review program materials and monitor the testing process utilized by the program;

(3) Require attendance in all fire training courses. Any absences from a scheduled class shall be made up in a manner approved by the program director;

(4) Allow site inspection by the division;

(5) The certified instructor will be responsible for keeping accurate attendance records for each course. Following the completion of each course, the certified instructor shall give such records to the program director, who then assumes responsibility for maintaining the records in a manner acceptable to the executive director.

(6) Insure that any person instructing students in a program is currently certified at a level equal to, or higher than, the level of the program he is instructing, or is otherwise qualified to instruct the program.

(C) Notwithstanding any other provisions of this chapter, the admission criteria for programs established in accordance with sections 3313.90 to 3313.99 of the Revised Code shall be those set forth by the state board of education.

(D) A charter issued under section 4765.55 of the Revised Code and this chapter shall be valid for three years and may be renewed according to guidelines established in rule 4765-11-05 of the Administrative Code.

Replaces: Part of former 4765-11-14

Effective: 09/30/2004

R.C. 119.032 review dates: 07/15/2004 and 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 5/1/75, 6/30/75, 1/1/89,

1/1/96, 7/3/97, 9/25/00,

6/19/03, 11/27/03

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4765-11-04 Application For Charter.

(A) An applicant for a charter for fire service training, issued pursuant to section 4765.55

of the Revised Code and this chapter, shall submit a completed application on a form prescribed by the executive director.

(B) There shall be no fee for an application issued under this chapter.

Replaces: Former 4765-11-04

Effective: 09/30/2004

R.C. 119.032 review dates: 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 6/27/00, 7/31/04

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4765-11-05 Renewal Of Charter.

(A) No later than one hundred eighty days prior to its expiration, the executive director

shall mail an application for renewal to each program that holds a charter under section 4765.55 of the Revised Code and this chapter.

(B) The application for renewal shall clearly indicate that it must be completed and returned to the executive director no later than ninety days prior to the expiration of the current charter.

(C) The charter shall be renewed if the executive director determines the program remains in compliance with the requirements set forth in section 4765.55 of the Revised Code and this chapter.

Replaces: Former 4765-11-05

Effective: 09/30/2004

R.C. 119.032 review dates: 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 1/1/96, 9/25/00, 5/29/03

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4765-11-06 Notification To Executive Director.

A program that has been issued a charter under section 4765.55 of the Revised Code and this chapter shall provide written notice to the executive director no later than ten days after a change in any of the following changes:

(A) Physical facilities;

(B) Program director;

(D) Agreements for use of equipment or apparatus.

Effective: 09/30/2004

R.C. 119.032 review dates: 07/15/2004 and 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 6/27/00, 7/31/04

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4765-11-07 Revocation of a Charter.

(A) The executive director, with the advice and counsel of the committee, may suspend or revoke a charter issued under section 4765.55 of the Revised Code and this chapter for any of the following:

(1) Failure to meet the minimum standards for chartering set forth in this chapter;

(2) Violation of any provision of Chapter 4765 of the Revised Code or this chapter;

(3) Furnishing false, misleading, or incomplete information to the executive director;

(4) Presentation to prospective students of misleading, false, or fraudulent information relating to any programs, employment opportunities, or opportunities for enrollment in accredited institutions of higher education after entering or completing courses offered by the program;

(5) Failure to maintain premises and equipment in a safe condition;

(6) Failure to maintain financial resources sufficient for the continued operation of the program in the manner set forth in the application for charter;

(7) Discrimination in the acceptance of students on the basis of race, color, religion, sex, or national origin .

(B) A program whose charter has been suspended may not conduct, offer, or promote its program during the period for which the charter is suspended.

(C) A program whose charter has been revoked may not apply for reinstatement prior to the date upon which the charter would otherwise have expired.

Replaces: Former 4765-11-07

Effective: 09/30/2004

R.C. 119.032 review dates: 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 6/30/75, 5/1/79, 1/1/89,

1/1/96, 9/25/00, 5/29/03

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4765-11-08 Qualifications for Instructors.

(A) A certificate as a firefighter instructor or as a fire safety inspector instructor shall be issued to any individual who satisfies the following minimum qualifications:

(1) Meets the admission requirements set forth in paragraphs (A)(16) to (A)(17) of rule 4765-11-03 of the Administrative Code;

(2) Not less than five years of work experience as a firefighter or fire safety inspector, including the three years immediately prior to submission of an application for certification as an instructor;

(3) Successful completion of an instructor training program approved by the executive director;

(4) Successful completion of a techniques examination approved or administered by the executive director and the subcommittee within three attempts.

(B) In addition to the requirements set forth in paragraph (A) of this rule, a certified instructor, a firefighter instructor, or fire safety inspector instructor shall demonstrate compliance with the following continuing education requirements every two years after completing their first year

as an instructor:

(1) Not less than six hours of instructional continuing education as approved by the executive director;

(2) Attendance at all fire or fire safety inspector instructor update meetings conducted by the chartered program or the division;

(3) Have taught in at least sixteen hours of fire instruction in a program that holds a charter issued under section 4765.55 of the Revised Code courses approved by the fire chief.

(C) Any person who serves as an assistant instructor in a firefighter or fire safety inspector training program shall meet the following minimum qualifications:

(1) Have not less than three years experience or training in a related area determined acceptable by the executive director, with the advice and counsel of the committee;

(2) Demonstrate competency or special expertise in an area of fire service training as determined by the certified instructor who has supervised or had an opportunity to assess the person's competency;

(3) Have recommendations from the program director of a fire service training program chartered under section 4765.55 of the Revised Code and this chapter and a certified instructor who has worked with the person.

(D) In addition to the requirements set forth in paragraphs (A), (B), and (C) of this rule, a

chartered program may require an instructor or assistant instructor to possess current teaching certification in the area of fire service training issued by the state board of education under section 3319.281 of the Revised Code.

(E) Certified instructors shall reinstate their instructor certificates in a manner prescribed

by the executive director.

(F) Fire instructor trainer applicants and EMS instructors seeking fire instructor status must meet entrance criteria as prescribed by the executive director.

Effective: 09/30/2004

R.C. 119.032 review dates: 07/15/2004 and 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 6/30/75, 5/1/79, 1/1/89,

1/1/96, 9/25/00, 5/29/03

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4765-11-10 Volunteer Firefighters.

(A) A program to train volunteer firefighters shall require that participants successfully

complete a fire training program of not more than thirty-six hours that meets the prerequisites to participate in live burn evolutions as listed in the NFPA 1403 Standard on Live Fire Training Evolutions (2002 edition), which is available at www.nfpa.org, and fire department orientation as listed in NFPA 1001 Standard for Fire Fighter Professional Qualifications (2002 edition), which is available at www.nfpa.org. The training shall commence and end within a consecutive twelve-month period.

(B) A program to train volunteer firefighters shall not include live burn evolutions. Participants in a program to train volunteer firefighters shall be instructed that they cannot perform the duties of a firefighter or participate in live burn evolutions prior to obtaining their state certification.

Effective: 09/30/2004

R.C. 119.032 review dates: 07/15/2004 and 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 6/30/75, 5/1/79, 1/1/89,

1/1/96, 9/25/00

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4765-11-11 Firefighter I.

(A) A program to train a firefighter I shall require that participants successfully complete a fire training program of not less than one hundred twenty hours that meets all the objectives in the current NFPA standard 1001, firefighter I, as set forth in the NFPA 1001 Standard for Fire Fighter Professional Qualifications (2002 edition), which is available at www.nfpa.org. The training shall commence and end within a consecutive twelve-month period.

(B) A program to train certified volunteer firefighters to the firefighter I level shall require that participants successfully complete a fire training program of not less than eighty-four hours that meets all objectives in the current NFPA standard 1001, firefighter I, as set forth in the NFPA 1001 Standard for Fire Fighter Professional Qualifications (2002 edition), which is available at www.nfpa.org. The training shall commence and end within a consecutive twelve-month period.

Effective: 09/30/2004

R.C. 119.032 review dates: 07/15/2004 and 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 6/30/75, 5/1/79, 1/1/89,

1/1/96, 7/3/97, 9/25/00

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4765-11-12 Firefighter II.

(A) A program to train full-time firefighters shall require that participants successfully complete a fire training program, of not less than two hundred forty hours that meets all performance objectives in the current NFPA standard 1001, firefighter I and II,as set forth in the NFPA 1001 Standard for Fire Fighter Professional Qualifications (2002 edition), which is available at www.nfpa.org. The training shall commence and end within a consecutive twelve-month period.

(B) A program to train a certified firefighter I to the firefighter II level shall require the participant to successfully complete a fire training program of not less than one hundred twenty hours that meets all objectives set forth in the current NFPA standard 1001 for firefighter II as set forth in the NFPA 1001 Standard for Fire Fighter Professional Qualifications (2002 edition), which is available at www.nfpa.org. The training shall commence and end within a consecutive twelve-month period.

Effective: 09/30/2004

R.C. 119.032 review dates: 07/15/2004 and 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 6/30/75, 5/1/79, 1/1/89,

1/1/96, 9/25/00

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4765-11-13 Fire Safety Inspectors.

(A) A program to train fire safety inspectors shall require that participants successfully complete a fire training program for fire safety inspectors of not less than seventy-two hours that meets the performance objectives set forth in the current NFPA 1031 standard for fire inspector I as set forth in the NFPA 1031 Standard for Professional Qualifications for Fire Inspector and Plan Examiner (1998 edition), which is available at www.nfpa.org. The training shall commence and end within a

consecutive twelve-month period.

(B) Any program to train fire safety inspectors shall require that all participants are certified as firefighters under section 4765.55 of the Revised Code prior to enrolling in the fire safety inspector program.

Effective: 09/30/2004

R.C. 119.032 review dates: 07/15/2004 and 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 6/30/7, 5/1/79, 1/1/89, 1/1/96,

9/25/00

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4765-11-15 Certificate in Lieu of Completion of a Chartered Training Program.

A certificate in lieu of completion of a chartered training program shall be issued to an applicant who, on a form prescribed by the executive director, submits evidence of service as a firefighter in the state of Ohio as follows:

(A) A certificate of equivalency as a volunteer firefighter or the equivalent certificate shall be issued to a person who began serving as a volunteer firefighter with a fire department of any township, fire district, city, or village prior to July 2, 1979, and has maintained active participation in the fire department for at least five years prior to submitting an application under this rule.

(B) A certificate of equivalency as a firefighter II shall be issued to a person who began serving as a permanent full-time paid firefighter with a fire department of any city, or village prior to July 2, 1970, and has maintained active participation in the fire department for at least five years prior to submitting an application under this rule.

(C) In reviewing an application in lieu of completion of a chartered fire training program, all documents submitted to establish when the applicant began serving as a firefighter shall be considered. The documents may include, but shall not be limited to the following: certified copies of personnel records, certified copies of historical records, or any other affidavits as required by the administrator to verify employment dates by the applicant.

Effective: 09/30/2004

R.C. 119.032 review dates: 07/15/2004 and 09/29/2009

CERTIFIED ELECTRONICALLY

Certification

09/20/2004

Date

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 7/3/97, 9/25/00

4765-11-15 2

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4765-11-16 Certificate of equivalency.

(A) A certificate of equivalency shall be issued to an applicant who meets the following

requirements:

(1) The applicant submits a completed application on a form prescribed by the executive director.

(2) The applicant completed a firefighter training in another state or branch of the U.S. military that has training program standards substantially the same as those in this chapter.

(3) The applicant meets all the requirements for admission under paragraph (A)(16) of rule 4765-11-03 of the Administrative Code.

(4) Within twelve months after the application is approved and a letter of authorization is issued, the applicant passes an examination approved by the executive director at the level for which certification is sought:

(a) An applicant who possesses a certificate from either the international fire service accreditation congress or national board on professional qualifications is not required to take the examination listed in this rule.

(B) The executive director shall maintain a listing of all firefighter training programs

determined as having standards substantially the same to the standards set out in these rules. A training program shall be determined to have substantially the same standards if, at a minimum, it meets all of the following:

(1) The training program requires classroom and practical skill training in substantially the same subject areas for approximately the same number of course hours required by this chapter;

(2) Successful completion of the training program requires the student to pass one or more written and practical examinations that test knowledge, understanding, and ability to provide firefighter services.;

(3) The admission requirements for students are comparable to those in paragraph

(A)(16) of rule 4765-11-03 of the Administrative Code. 4765-11-16 2

Effective: 12/09/2004

R.C. 119.032 review dates: 07/15/2004 and 09/29/2009

Certification date 1/29/2004

Promulgated Under: 119.03

Statutory Authority: 4765.11, 4765.55

Rule Amplifies: 4765.55

Prior Effective Dates: 5/1/75, 6/30/75, 1/1/89, 7/3/97, 9/25/00

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4765-12-02 General Provisions.

(A) A training program for certification as a first responder shall meet any knowledge of skill objectives established by the board.

(B) The current national standard curriculum (NSC) as adopted by the United States department of transportation shall be used as a guideline for development of all first responder training curriculum.

(C) Pursuant to section 4765.16 of the Revised Code, all first responder training programs shall be accredited or approved by the division as directed by the board and first responder training courses shall be taught by a person who holds a certificate to teach at the level appropriate for the course.

(D) The requirement of division (A)(1)(a) of section 4765.30 of the Revised Code shall be waived if the applicant submits to the training program a statement that he or she is not a permanent full-time firefighter. The statement shall be in writing and shall be signed by the applicant. The training program may provide for the statement on its admission application or require the applicant to submit a statement in the student's record.

(E) The board may waive the requirement of division (A)(1)(a) of section 4765.30 of the Revised Code for an applicant who is affiliated with a "full time" fire department if the applicant establishes the extraordinary need for first responders by his or her residential community. The documentation, which shall include at a minimum the applicant's signed request for a waiver and a letter from an appropriate source explaining the extraordinary need, shall be filed with the board.

HISTORY: Eff 4-4-98; 2-22-99

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.30

119.032 Review Date: 9-27-02; 9-27-07

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4765-12-03 First Responder.

(A) In accordance with division (B) of section 4765.16 of the Revised Code, a training program leading to certification as a first responder shall be forty hours allocated as follows:

(1) Six hours devoted to preparatory;

(2) Eight hours devoted to airway management including oxygen therapy, and bag valve mask ventilation;

(3) Five hours devoted to patient assessment;

(4) Eight hours devoted to cardiac management including cardiopulmonary resuscitation and automated defibrillation;

(5) Eight hours devoted to illness and injury management including patient assisted epinephrine administration;

(6) Four hours devoted to children and childbirth; and

(7) One hour devoted to program completion written examination.

(B) "A first responder refresher training program" shall consist of fifteen hours, including, but not limited to, one hour devoted to each of the following topics:

(1) Patient assessment;

(2) Cardiopulmonary resuscitation;

(3) Airway management including oxygen therapy;

(4) Automated defibrillation;

(5) Illness and injury management including patient assisted epinephrine administration;

(6) Children and childbirth.

HISTORY: Eff 4-4-98

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.16

119.032 Review Date: 9-27-02; 9-27-07

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4765-12-04 First Responder Instructor Curriculum.

(A) A first responder instructor training program shall consist of a minimum of forty-six hours allocated among the following areas:

(1) Six hours in the review and update of the first responder curriculum knowledge and skill objectives;

(2) Except as provided in paragraph (B) of this rule, thirty-six hours in instruction of adult students and basic teaching techniques; and

(3) Except as provided in paragraph (E) of this rule, four hours of supervised teaching in the presence of a person who holds a current certificate to teach at the first responder level.

(B) A person seeking certification under section 4765.23 of the Revised Code as a first responder instructor who holds at least a baccalaureate degree in adult education from an accredited institution deemed acceptable by the board, need only complete that portion of an first responder instructor program set forth in paragraph (A)(1) of this rule.

(C) A first responder instructor training program for current EMT instructors and current fire service instructors who hold a EMS certificate to practice shall consist of six hours in the review and update of the first responder curriculum knowledge and skill objectives.

HISTORY: Eff 4-4-98

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.23

119.032 Review Date: 9-27-02; 9-27-07

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4765-12-05 Accreditation Of Training Programs.

(A) Except as provided in paragraph (B) of this rule, the board shall issue a certificate of accreditation pursuant to section 4765.17 of the Revised Code and this chapter, to any applicant who is of good reputation and who demonstrates that the first responder training program for which he seeks accreditation meets the following requirements:

(1) Has a program coordinator who assumes general responsibility for the following:

(a) Administration and operation of the first responder training program;

(b) Ongoing review and evaluation of the program content, instructors, and student performance;

(d) Preparation or approval of all documents required to be submitted for accreditation;

(e) Assuring the adequacy of all program training materials.

(2) Has a program medical director who assumes responsibility for the medical components of the training program;

(3) Offers sufficient courses to satisfy the curriculum requirements for certification as a first responder as set forth in section 4765.16 of the Revised Code and Chapter 4765-12 of the Administrative Code;

(4) Has established an advisory committee consisting of the program coordinator, program medical director and EMS providers that meets not less frequently than two times each year;

(5) Has a sufficient number of instructors who hold a certificate to teach in a first responder training program issued under section 4765.23 of the Revised Code or who otherwise satisfy the requirements of this chapter, to ensure that the ratio of instructors to students in all practical skills components of the program does not exceed one to ten;

(6) Possesses, or has affiliation agreements for use of, equipment determined by the board to be sufficient to adequately train EMS personnel to meet the certification requirements of section 4765.16 of the Revised Code and Chapter 4765-12-03 of the Administrative Code;

(7) Has sufficient classroom and laboratory facilities to accommodate the number of students participating in the program;

(8) Requires that each student pass a written and practical examination that tests his knowledge, understanding, and ability to provide services in the subject areas required by section 4765.16 of the Revised Code and Chapter 4765-12 of the Administrative Code for certification as a first responder;

(9) Issues a certificate of completion to each student who successfully completes the training program and passes the program's final written and practical examination.

(10) Has an established office area for use by program faculty and instructors;

(11) Has a library available to students and faculty that contains comprehensive, current publications relating to emergency medical services;

(12) Provides classroom environments that are conducive to learning;

(13) Has admission requirements that meet or exceed the requirements for obtaining a certificate to practice under section 4765.30 of the Revised Code and Chapter 4765-12 of the Administrative Code, except that a first responder training program may admit a student who is seventeen years old provided that he is enrolled in the twelfth or final grade in a secondary school program;

(14) Has a written policy prohibiting discrimination in acceptance of students on the basis of race, color, religion, sex, or national origin;

(15) Has written policies that are made available to students identifying all of the following:

(a) Methodology used in determining grades;

(b) Criteria for successful completion of each component of the curriculum;

(d) Grounds for dismissal from the program;

(e) Disciplinary and grievance procedures including mechanism for appeals;

(f) Procedures for voluntary student withdrawals from the program;

(g) Policy regarding refund of tuition payments;

(h) Range and availability of student health care services;

(i) Admission requirements;

(j) Requirements or restrictions regarding student attire;

(k) Costs associated with the training program, including tuition, materials, fees;

(l) Information regarding course schedules, content, and objectives;

(m) Universal precautions that are taught and followed in the training program;

(16) Provides regular evaluations of student performance and achievement throughout the course of the program.

(B) A certificate of accreditation issued under paragraph (A) of this rule shall be valid for three years.

HISTORY: Eff 4-4-98; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.17

R.C. 119.032 review dates: 09/27/2007

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4765-12-06 Provisional Accreditation Of Training Programs.

(A) The board may issue a certificate of accreditation on a provisional basis pursuant to section 4765.17 of the Revised Code, to any applicant who is of good reputation and who demonstrates substantial compliance with the requirements for accreditation as defined in this chapter.

(B) In issuing a certificate of accreditation on a provisional basis, the board shall indicate to an applicant those requirements set forth in paragraphs (A)(1) to (A)(16) of rule 4765-12-05 of the Administrative Code, with which he has failed to demonstrate compliance.

(C) A certificate of accreditation issued on a provisional basis is valid for a period of one year and shall not be renewed.

(D) When an applicant demonstrates compliance with all requirements identified by the board pursuant to paragraph (B) of this rule, the board shall issue a certificate of accreditation.

HISTORY: Eff 4-4-98; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.17

R.C. 119.032 review dates: 09/27/2007

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4765-12-07 Certificate To Practice.

(A) The board shall issue a certificate to practice as a first responder to any applicant who satisfies the following requirements:

(1) Possesses a certificate of completion from a first responder training program accredited by the board under section 4765.17 of the Revised Code and Chapter 4765-12 of the Administrative Code, that verifies completion of a first responder training program at the level for which the certificate to practice is sought;

(2) Is at least eighteen years of age;

(3) Has not been convicted of, pled guilty to, had a judicial finding of guilt, or had a judicial finding of eligibility for treatment in lieu of conviction for, any of the following:

(a) Fraud or material deception in applying for, or obtaining, a certificate to practice under section 4735.30 of the Revised Code;

(b) Any of the following felonies:

(i) Murder;

(ii) Aggravated murder;

(iii) Voluntary manslaughter;

(iv) Felonious assault;

(v) Kidnapping;

(vi) Rape;

(vii) Sexual battery;

(viii) Gross sexual imposition;

(ix) Aggravated arson;

(x) Aggravated robbery;

(xi) Aggravated burglary;

(d) A misdemeanor involving moral turpitude;

(e) A violation of any federal, state, county, or municipal narcotics law;

(f) Any act committed in another state that if committed in Ohio, would constitute a violation set forth in this paragraph;

(4) Has not been adjudicated mentally incompetent by a court of law;

(5) At the time of application, is not under indictment for a felony set forth paragraph (A)(3)(b) of this rule, or a misdemeanor involving moral turpitude;

(6) Does not currently engage in the illegal use of controlled substances, alcohol, or other habit-forming drugs or chemical substances;

(7) Has passed an examination administered by the board in accordance with section 4765.29 of the Revised Code at the level for which certification is sought.

(B) Not withstanding paragraph (A) of this rule, the board may issue a certificate as a first responder to any person who, on the effective date of this chapter holds a valid completion certificate from a federal, state, or nationally recognized first responder training program and has received training in the taking and monitoring of vital signs, airway management, oxygen therapy and the proper use of an automated defibrillator within five years of the effective date of this rule.

HISTORY: Eff 4-4-98

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.30

119.032 Review Date: 9-27-02; 9-27-07

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4765-12-08 Continuing Education For First Responder.

(A) A First Responder shall complete not fewer than fifteen hours of continuing education every three years, including but not limited to one hour each of the following topics:

(1) Patient assessment;

(2) Cardiopulmonary resuscitation;

(3) Airway management and oxygen administration;

(4) Automated defibrillation;

(5) Illness and injury management;

(6) Children and childbirth;

(7) Anaphylaxis and patient assisted epinephrine administration.

(B) The fifteen hours of continuing education required for renewal of a certificate to practice as a first responder set forth in this chapter may be obtained through completion of a first responder refresher course approved by the board.

(C) Current registration with the national registry of emergency medical technicians at the first responder or equivalent level.

HISTORY: Eff 4-4-98

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.31

119.032 Review Date: 9-27-02; 9-27-07

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4765-12-09 Certificate To Teach.

(A) The board shall issue a certificate to teach as a First responder instructor to any applicant who meets the following requirements;

(1) Possesses a current certificate to practice as a first responder, EMT-Basic, EMT-Intermediate, or EMT-Paramedic issued under section 4765.30 of the Revised Code or rule 4765-8-01 or 4765-12-07 of the Administrative Code;

(2) In the preceding seven years, has not less than five years of experience as a first responder, EMT-basic, EMT-intermediate, or EMT-paramedic as determined by the board based on educational preparation in areas related to emergency medical services or experience in the direct provision of emergency medical services;

(3) Has completed a board approved adult education program, or a first responder instructor course that satisfies the curriculum requirements set forth in rule 4765-12-05 of the Administrative Code and that requires as a condition for admission that an applicant pass a written and practical test demonstrating a first responder level of knowledge in emergency medical services;

(4) Submits documentation sufficient for the board that demonstrates knowledge of current standards in the delivery of first responder emergency medical services; and

(5) Possesses current certification as a basic life support instructor.

HISTORY: Eff 4-4-98

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.23

119.032 Review Date: 9-27-02; 9-27-07

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4765-12-10 Ethical Standards Of Conduct.

(A) A first responder shall provide professional services that conform to minimal standards of care for their certification level under similar circumstances.

(B) When providing professional services, a first responder shall exhibit respect for the medical needs and personal values of EMS patients and other certificate to practice holders, medical, or health care practitioners.

(C) A first responder shall not discriminate in the provision of EMS on the basis of race, color, religion, sex, or national origin.

(D) A first responder shall provide medically appropriate evaluation, treatment, and disposition of each EMS patient in accordance with Chapter 4765. of the Revised Code, Chapters 4765-1 to 4765-19 of the Administrative Code, and the medical protocols of the EMS organization by which he is employed or with which he is affiliated.

(E) A first responder shall not perform any services that exceed the scope of his certificate to practice as defined in Chapter 4765. of the Revised Code and rules set forth in Chapters 4765-1 to 4765-19 of the Administrative Code.

(F) A first responder shall not misrepresent his professional qualifications or credentials.

(G) A first responder shall report to the medical director of an EMS organization by which he is employed or with which he is affiliated, any suspicion or knowledge of a violation of this chapter or the failure of any certificate to practice holder to conform to minimal standards of care.

(H) A first responder shall consistently demonstrate a standard of knowledge and competency that meets the level required under his certificate to practice.

(I) A first responder shall accurately document and report, all continuing education programs he completes.

(J) Except as otherwise required by law, first responder shall maintain the confidentiality of patient information.

(K) A first responder shall not release or provide a medical report or any supporting documentation, or otherwise disclose the contents of a medical report to anyone other than those authorized by law to receive them.

HISTORY: Eff 4-4-98; 3-23-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.30

R.C. 119.032 review dates: 09/27/2007

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4765-12-11 Medical Director.

Nothing in this rule shall be construed as restricting or otherwise limiting the right of a physician who serves as the medical director for any EMS organization to determine those first responders he will allow to provide emergency medical services under the auspices of his certificate to practice medicine and surgery or osteopathic medicine and surgery issued under Chapter 4731. of the Revised Code.

HISTORY: Eff 4-4-98

Rule promulgated under: RC Chapter 119.

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.33

119.032 Review Date: 9-27-02; 9-27-07

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4765-13-01 Definitions.

As used in this chapter:

(A) "EMS incident" means any ground or air response to a call for emergency medical services by a public or private emergency medical service organization.

(B) "Response to a call for emergency medical service" or "response" means any of the following:

(1) Assessment of or treatment provided to a patient by a person who holds an EMS certificate to practice regardless of whether such patient was transported, transport of a patient from a call for EMS to an emergency care facility, or a canceled call

(2) Transport between emergency care facilities provided by an emergency medical service organization.

(3) Transports of a patient from a medical care facility or emergency care facility to a residence, or non-emergency transports of a patient from a residence to a medical care facility, are not included within this definition.

(C) "Medical care facility" means a doctor's office, hospital (excluding emergency department, operating room, and labor and delivery department), outpatient care center, rehabilitation center, nursing home, extended care facility, assisted living facility, hospice facility or industrial clinic.

(D) "Emergency care facility" means a hospital emergency department, hospital operating room, hospital labor and delivery department, urgent care facility, or psychiatric urgent care facility.

(E) "Emergency medical services incident reporting system" or "EMS incident reporting system" means the system established by the state board of emergency medical services pursuant to section 4765.06 of the Revised Code for the collection of information regarding the delivery of emergency medical services in Ohio and the frequency at which the services are provided.

HISTORY: Eff 6-29-01; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 06/29/2006

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4765-13-02 Purpose.

(A) The purpose of this chapter is to establish comprehensive reporting standards for the EMS incident reporting system by the board. These procedures are adopted to ensure the confidentiality of information as provided in section 4765.06 of the Revised Code.

(B) The board shall use the EMS incident reporting system to collect and analyze data that is necessary to evaluate the delivery of emergency medical services within Ohio. The data collected by the EMS incident reporting system shall be of such a nature as to allow the board to identify and evaluate the following:

(1) Frequency, nature, and duration of responses;

(2) Geographic patterns of responses, including but not limited to areas or regions of the state where improvements are needed in the delivery of emergency medical service;

(3) Needs assessment for the equitable disbursement of funds provided by the EMS grant program established under section 4765.07 of the Revised Code;

(4) Methods by which the delivery of emergency medical services can be maintained and improved, including but not limited to public education on illness and injury prevention, and access to emergency medical services.

HISTORY: Eff 6-29-01; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

Replaces: Former 4765-13-02

R.C. 119.032 review dates: 06/29/2006

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4765-13-03 Required Reporting.

(A) Pursuant to section 4765.06 of the Revised Code, each emergency medical service organization shall report all EMS incidents to the emergency medical services incident reporting system.

(B) Each EMS organization shall submit data and information as specified in the EMS incident reporting system procedure manual located at http://www.state.oh.us/odps/division/ems/ems local/DataCollection/finlmanl.pdf. Such data and information shall include, at a minimum, the following:

(1) Identification of the EMS organization;

(2) Time and date of incident;

(3) Location of incident;

(4) Certification level of EMS personnel involved;

(5) Patient demographics;

(6) Information regarding provider assessment;

(7) Information regarding treatment provided;

(8) Transport information.

HISTORY: Eff 6-29-01; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 06/29/2006

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4765-13-04 Format.

(A) EMS incident data shall be sent in a format directed by the board.

(B) Data and information submitted to and maintained by the EMS incident reporting system shall be in such a format that:

(1) Protects the identity of specific patients to whom emergency medical care has been rendered;

(2) Identifies specific EMS organizations by a code or similar designation other than name;

(3) Avoids or minimizes duplication of entry.

HISTORY: Eff 6-29-01; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

Replaces: Former 4765-13-04

R.C. 119.032 review dates: 06/29/2006

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4765-13-05 Reporting Deadlines.

EMS incident reports shall be submitted according to the following schedule:

(A) If an EMS organization's annual response volume is less than ten thousand, it shall submit quarterly reports as follows:

(1) January first through March thirty-first ... report by April thirtieth

(2) April first through June thirtieth ... report by July thirtieth

(3) July first through September thirtieth ... report by October thirtieth

(4) October first through December thirty-first ... report by January thirtieth

(B) If an EMS organization's annual response volume is ten thousand or greater, it shall submit monthly reports with the reporting date being the last day of the following month.

HISTORY: Eff 6-29-01; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 06/29/2006

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4765-13-06 Reports.

(A) The information collected in accordance with this chapter shall be distributed in an annual report aggregated at statewide and regional levels. County level aggregated data shall also be reported where the confidentiality of the information is in compliance with paragraph (B) of this rule and rule 4765-13-10 of the Administrative Code.

(B) The information required to be provided to the EMS incident reporting system under section 4765.06 of the Revised Code and this chapter shall be provided and maintained in such a way as to protect against revealing the identity of the patient and the EMS organization. Each person handling information received for the EMS incident reporting system has a fiduciary duty to maintain the confidentiality of such information and shall sign and adhere to a contract with the department of public safety, division of EMS, regarding the confidentiality of such information. If such person violates this fiduciary duty or violates any terms of the contract, the department of public safety, division of EMS, may terminate such person and employ any other remedies, legal or equitable, available to it.

HISTORY: Eff 6-29-01; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

Replaces: Former 4765-13-06

R.C. 119.032 review dates: 06/29/2006

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4765-13-07 Notifications.

(A) An emergency medical service organization that fails to report as required in this chapter shall be notified in writing. The notification shall advise the organization of:

(1) The requirement to report EMS incidents pursuant to section 4765.06 of the Revised Code and Chapter 4765-13 of the Administrative Code:

(2) The consequences of failing to report EMS incidents as provided in rule 4765-13-08 of the Administrative Code.

(B) A copy of the notification shall be delivered to both of the following individuals:

(1) The chief executive officer of the political subdivision for which the EMS organization provides emergency medical services, or the private organization under which the EMS organization is established:

(2) The chairperson of the appropriate regional physician advisory board.

HISTORY: Eff 6-29-01; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

Replaces: Former 4765-13-07

R.C. 119.032 review dates: 06/29/2006

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4765-13-08 Failure To Report.

An EMS organization's failure to report as required under this chapter and section 4765.06 of the Revised Code may result in ineligibility status for purposes of the emergency medical services grants program as established under section 4765.07 of the Revised Code and as provided in Chapter 4765-5 of the Administrative Code.

HISTORY: Eff 6-29-01; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 06/29/2006

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4765-13-09 Advisory Committee.

An EMS incident reporting system advisory committee, consisting of nine members appointed by the board, shall advise the board in all matters regarding EMS incident reporting. Membership of the committee shall include the following:

(A) Two fire chiefs selected from a list of names submitted by the Ohio fire chief's association. One position shall be filled by a chief, affiliated with a volunteer fire department, and the second position shall be filled by a chief, affiliated with a paid full time fire department.

(B) One representative from a private emergency medical service organization, selected from a list of names submitted by the Ohio ambulance and medical transport association.

(C) One member from a public emergency medical service organization, selected from a list of names submitted by the Ohio association of emergency medical services

(D) One physician, licensed under Chapter 4731. of the Revised Code, who services as a medical director for an EMS organization, selected from a list of names submitted by the American college of emergency physicians

(E) One member of the state board of emergency medical services selected by the board.

(F) One hospital administrator, selected from a list of names provided by the Ohio hospital association.

(G) One air medical organization member, selected from a list of names provided by the Ohio association of air medical services.

(H) One at large position, selected from a list of names provided by the board chairperson.

HISTORY: Eff 6-29-01; 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 06/29/2006

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4765-13-10 Protected Information Within The EMS Incident Reporting System.

(A) Information that identifies or would tend to identify a specific recipient of emergency medical services shall include, but not be limited to, the recipient's social security number, driver's license number, date of birth, and name.

(2) No records provided in response to a public records request shall contain any information that identifies or would tend to identify a specific recipient of emergency medical services.

(B) Information that identifies or would tend to identify a specific provider of emergency medical services shall include, but not be limited to, the EMS organization's agency code, incident number, and location of incident.

(3) After risk adjustment standards and procedures are implemented, such records may be made public, but only on a risk adjusted basis.

HISTORY: Eff 5-29-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.06

R.C. 119.032 review dates: 06/29/2006

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4765-14-01 Definitions.

(A) As used in this chapter and section 4765.01 of the Revised Code, "trauma" or "traumatic injury" means severe damage to or destruction of tissue that satisfies both of the following conditions:

(1) It creates a significant risk of any of the following:

(a) Loss of life;

(b) Loss of a limb;

(d) Significant, permanent disability; and

(2) It is caused by any of the following:

(a) Blunt or penetrating injury;

(b) Exposure to electromagnetic, chemical, or radioactive energy;

(d) A deficit or excess of heat.

(B) "Evidence of poor perfusion" means physiologic indicators of hemorrhage or decreased cardiovascular function, which may include any of the following symptoms:

(1) Weak, distal pulse;

(2) Pallor;

(3) Cyanosis;

(4) Delayed capillary refill;

(5) Tachycardia.

(C) "Evidence of respiratory distress or failure" means physiologic indicators of decreased ventilatory function, which may include any of the following symptoms:

(1) Stridor;

(2) Grunting;

(3) Retractions;

(4) Cyanosis;

(5) Hoarseness;

(6) Difficulty speaking.

(D) "Evidence of hemorrhagic shock" means physiologic indicators of blood loss that may include any of the following symptoms:

(1) Delayed capillary refill;

(2) Cool, pale, diaphoretic skin;

(3) Decreased systolic blood pressure with narrowing pulse pressure;

(4) Altered level of consciousness.

(E) "Seatbelt sign" means abdominal or thoracic contusions and abrasions resulting from the use of a seatbelt during a motor vehicle collision.

(F) "Signs or symptoms of spinal cord injury" means physiologic indicators that the spinal cord is damaged, including, but not limited to, paralysis, weakness, numbness, or tingling of one or more extremities.

(G) "Evidence of neurovascular compromise" means physiologic indicators of injury to blood vessels or nerves including, but not limited to, pallor, loss of palpable pulses, paralysis, paraesthesia, or severe pain.

HISTORY: Eff 10-28-02

Rule promulgated under: RC 119.03

Rule authorized by: RC 4765.11

Rule amplifies: RC 4765.40

R.C. 119.032 review dates: 10/28/2005

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4765-14-02 Determination Of A Trauma Victim.

Emergency medical service personnel shall use the criteria in this rule, consistent with their certification, to evaluate whether an injured person qualifies as an adult trauma victim or pediatric trauma victim, in conjunction with the definition of trauma in section 4765.01 of the Revised Code and this chapter.

(A) An adult trauma victim is a person sixteen years of age or older exhibiting one or more of the following physiologic or anatomic conditions:

(1) Physiologic conditions

(a) Glasgow coma scale less than or equal to thirteen:

(b) Loss of consciousness greater than five minutes;

(d) Failure to localize to pain;

(e) Respiratory rate less than ten or greater than twenty-nine;

(f) Requires endotracheal intubation;

(g) Requires relief of tension pneumothorax;

(h) Pulse greater than one hundred twenty in combination with evidence of hemorrhagic shock;

(i) Systolic blood pressure less than ninety, or absent radial pulse with carotid pulse present;

(2) Anatomic conditions

(a) Penetrating trauma to the head, neck, or torso;

(b) Significant, penetrating trauma to extremities proximal to the knee or elbow with evidence of neurovascular compromise;

(i) Visible crush injury;