EMS CE Update Session for Emergency Medical and Fire Services Professionals Tuesday, April 27, 2010 – 1:00 p.m. to 3:00 p.m.
EMS CE Update Sessionfor
Emergency Medical and Fire Services Professionals
Tuesday April 27 2010 ndash 100 pm to 300 pm
Offered by the
Ohio Division of Emergency Medical Services
Our thanks to hellip
The Ohio Department of Transportation and the Ohio Department of Public Safety
for hosting this update session
Ohio Department of Public Safety Ohio Division of Emergency Medical
Services
Executive Director Richard N Rucker
wwwemsohiogov
Division of Emergency Medical Services
Oversight of EMS in Ohio
bull Role of the EMS Board bull Role of the Division of EMSbull Role of State Medical Director
Role of the EMS Board The EMS Board is regulatory and advocacy Board thatbull administers and enforces the provisions of the Ohio Revised Code
(ORC 4765) bull makes recommendations to the General Assembly on legislation to
improve the delivery of EMS bull establishes standards for the performance of EMS providers
including certification and trainingbull establishes qualifications amp standards of performance for EMS
providers instructors accredited institutions and CE approved institutions
bull establishes and maintains a state trauma registrybull administers a grant program for training research amp equipment
purchasebull maintains an EMS incidence reporting systembull maintains a statewide EMS plan andbull serves as a statewide clearinghouse for discussion inquiry and
complaints concerning emergency medical services
EMS Board Meeting Dates
The EMS Board meetings are held the third Wednesday of every even month at
Ohio Department of Public SafetyRoom 134
1970 West Broad StreetColumbus Ohio
Dates andor locations may change check the EMS website for the latest information
CommitteesEducation ndash Monthly First Thursday 900 am
EMS-C - Odd months Tues before EMS Board 1215 PM
Fire - Second Tues of every month 1000 AM
Homeland Security - Monthly Tues before EMS Board 100 PM
IRSAC - Even months Tues before EMS Board 1000 AM
Medical Oversight - Odd months Tues before EMS Board 1000 AM
Recruitment amp Retention ndash Monthly 900 AM day of EMS Board Meeting
Research - Even months Tues before EMS Board 1000 AM
Rules - Monthly Tues before EMS Board 900 AM
Trauma - Odd months 2nd Wed 1000 AM
Trauma Registry - Even months Tues before EMS Board 130 PM
Dates andor locations may change check
the EMS website for the latest information
Division of Emergency Medical Services
FFSI CommitteeDivision of EMS Overview
bull FFSI Committee Membersbull Role of the FFSI Committee bull Division of EMS Staffbull Role of the Division of EMS
Role of the FFSI Committee
Advises amp counsels the EMS Executive Director on
bull establishment and maintenance of fire service training programs for positions of any fire training certification level
bull classification and chartering of fire service training programs and
bull training curriculum certification examinations training schedules minimum hours of instruction attendance requirements required equipment and facilities basic physical requirements and methods of training for all persons in positions of any fire training certification level
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Offered by the
Ohio Division of Emergency Medical Services
Our thanks to hellip
The Ohio Department of Transportation and the Ohio Department of Public Safety
for hosting this update session
Ohio Department of Public Safety Ohio Division of Emergency Medical
Services
Executive Director Richard N Rucker
wwwemsohiogov
Division of Emergency Medical Services
Oversight of EMS in Ohio
bull Role of the EMS Board bull Role of the Division of EMSbull Role of State Medical Director
Role of the EMS Board The EMS Board is regulatory and advocacy Board thatbull administers and enforces the provisions of the Ohio Revised Code
(ORC 4765) bull makes recommendations to the General Assembly on legislation to
improve the delivery of EMS bull establishes standards for the performance of EMS providers
including certification and trainingbull establishes qualifications amp standards of performance for EMS
providers instructors accredited institutions and CE approved institutions
bull establishes and maintains a state trauma registrybull administers a grant program for training research amp equipment
purchasebull maintains an EMS incidence reporting systembull maintains a statewide EMS plan andbull serves as a statewide clearinghouse for discussion inquiry and
complaints concerning emergency medical services
EMS Board Meeting Dates
The EMS Board meetings are held the third Wednesday of every even month at
Ohio Department of Public SafetyRoom 134
1970 West Broad StreetColumbus Ohio
Dates andor locations may change check the EMS website for the latest information
CommitteesEducation ndash Monthly First Thursday 900 am
EMS-C - Odd months Tues before EMS Board 1215 PM
Fire - Second Tues of every month 1000 AM
Homeland Security - Monthly Tues before EMS Board 100 PM
IRSAC - Even months Tues before EMS Board 1000 AM
Medical Oversight - Odd months Tues before EMS Board 1000 AM
Recruitment amp Retention ndash Monthly 900 AM day of EMS Board Meeting
Research - Even months Tues before EMS Board 1000 AM
Rules - Monthly Tues before EMS Board 900 AM
Trauma - Odd months 2nd Wed 1000 AM
Trauma Registry - Even months Tues before EMS Board 130 PM
Dates andor locations may change check
the EMS website for the latest information
Division of Emergency Medical Services
FFSI CommitteeDivision of EMS Overview
bull FFSI Committee Membersbull Role of the FFSI Committee bull Division of EMS Staffbull Role of the Division of EMS
Role of the FFSI Committee
Advises amp counsels the EMS Executive Director on
bull establishment and maintenance of fire service training programs for positions of any fire training certification level
bull classification and chartering of fire service training programs and
bull training curriculum certification examinations training schedules minimum hours of instruction attendance requirements required equipment and facilities basic physical requirements and methods of training for all persons in positions of any fire training certification level
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Ohio Department of Public Safety Ohio Division of Emergency Medical
Services
Executive Director Richard N Rucker
wwwemsohiogov
Division of Emergency Medical Services
Oversight of EMS in Ohio
bull Role of the EMS Board bull Role of the Division of EMSbull Role of State Medical Director
Role of the EMS Board The EMS Board is regulatory and advocacy Board thatbull administers and enforces the provisions of the Ohio Revised Code
(ORC 4765) bull makes recommendations to the General Assembly on legislation to
improve the delivery of EMS bull establishes standards for the performance of EMS providers
including certification and trainingbull establishes qualifications amp standards of performance for EMS
providers instructors accredited institutions and CE approved institutions
bull establishes and maintains a state trauma registrybull administers a grant program for training research amp equipment
purchasebull maintains an EMS incidence reporting systembull maintains a statewide EMS plan andbull serves as a statewide clearinghouse for discussion inquiry and
complaints concerning emergency medical services
EMS Board Meeting Dates
The EMS Board meetings are held the third Wednesday of every even month at
Ohio Department of Public SafetyRoom 134
1970 West Broad StreetColumbus Ohio
Dates andor locations may change check the EMS website for the latest information
CommitteesEducation ndash Monthly First Thursday 900 am
EMS-C - Odd months Tues before EMS Board 1215 PM
Fire - Second Tues of every month 1000 AM
Homeland Security - Monthly Tues before EMS Board 100 PM
IRSAC - Even months Tues before EMS Board 1000 AM
Medical Oversight - Odd months Tues before EMS Board 1000 AM
Recruitment amp Retention ndash Monthly 900 AM day of EMS Board Meeting
Research - Even months Tues before EMS Board 1000 AM
Rules - Monthly Tues before EMS Board 900 AM
Trauma - Odd months 2nd Wed 1000 AM
Trauma Registry - Even months Tues before EMS Board 130 PM
Dates andor locations may change check
the EMS website for the latest information
Division of Emergency Medical Services
FFSI CommitteeDivision of EMS Overview
bull FFSI Committee Membersbull Role of the FFSI Committee bull Division of EMS Staffbull Role of the Division of EMS
Role of the FFSI Committee
Advises amp counsels the EMS Executive Director on
bull establishment and maintenance of fire service training programs for positions of any fire training certification level
bull classification and chartering of fire service training programs and
bull training curriculum certification examinations training schedules minimum hours of instruction attendance requirements required equipment and facilities basic physical requirements and methods of training for all persons in positions of any fire training certification level
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
wwwemsohiogov
Division of Emergency Medical Services
Oversight of EMS in Ohio
bull Role of the EMS Board bull Role of the Division of EMSbull Role of State Medical Director
Role of the EMS Board The EMS Board is regulatory and advocacy Board thatbull administers and enforces the provisions of the Ohio Revised Code
(ORC 4765) bull makes recommendations to the General Assembly on legislation to
improve the delivery of EMS bull establishes standards for the performance of EMS providers
including certification and trainingbull establishes qualifications amp standards of performance for EMS
providers instructors accredited institutions and CE approved institutions
bull establishes and maintains a state trauma registrybull administers a grant program for training research amp equipment
purchasebull maintains an EMS incidence reporting systembull maintains a statewide EMS plan andbull serves as a statewide clearinghouse for discussion inquiry and
complaints concerning emergency medical services
EMS Board Meeting Dates
The EMS Board meetings are held the third Wednesday of every even month at
Ohio Department of Public SafetyRoom 134
1970 West Broad StreetColumbus Ohio
Dates andor locations may change check the EMS website for the latest information
CommitteesEducation ndash Monthly First Thursday 900 am
EMS-C - Odd months Tues before EMS Board 1215 PM
Fire - Second Tues of every month 1000 AM
Homeland Security - Monthly Tues before EMS Board 100 PM
IRSAC - Even months Tues before EMS Board 1000 AM
Medical Oversight - Odd months Tues before EMS Board 1000 AM
Recruitment amp Retention ndash Monthly 900 AM day of EMS Board Meeting
Research - Even months Tues before EMS Board 1000 AM
Rules - Monthly Tues before EMS Board 900 AM
Trauma - Odd months 2nd Wed 1000 AM
Trauma Registry - Even months Tues before EMS Board 130 PM
Dates andor locations may change check
the EMS website for the latest information
Division of Emergency Medical Services
FFSI CommitteeDivision of EMS Overview
bull FFSI Committee Membersbull Role of the FFSI Committee bull Division of EMS Staffbull Role of the Division of EMS
Role of the FFSI Committee
Advises amp counsels the EMS Executive Director on
bull establishment and maintenance of fire service training programs for positions of any fire training certification level
bull classification and chartering of fire service training programs and
bull training curriculum certification examinations training schedules minimum hours of instruction attendance requirements required equipment and facilities basic physical requirements and methods of training for all persons in positions of any fire training certification level
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of Emergency Medical Services
Oversight of EMS in Ohio
bull Role of the EMS Board bull Role of the Division of EMSbull Role of State Medical Director
Role of the EMS Board The EMS Board is regulatory and advocacy Board thatbull administers and enforces the provisions of the Ohio Revised Code
(ORC 4765) bull makes recommendations to the General Assembly on legislation to
improve the delivery of EMS bull establishes standards for the performance of EMS providers
including certification and trainingbull establishes qualifications amp standards of performance for EMS
providers instructors accredited institutions and CE approved institutions
bull establishes and maintains a state trauma registrybull administers a grant program for training research amp equipment
purchasebull maintains an EMS incidence reporting systembull maintains a statewide EMS plan andbull serves as a statewide clearinghouse for discussion inquiry and
complaints concerning emergency medical services
EMS Board Meeting Dates
The EMS Board meetings are held the third Wednesday of every even month at
Ohio Department of Public SafetyRoom 134
1970 West Broad StreetColumbus Ohio
Dates andor locations may change check the EMS website for the latest information
CommitteesEducation ndash Monthly First Thursday 900 am
EMS-C - Odd months Tues before EMS Board 1215 PM
Fire - Second Tues of every month 1000 AM
Homeland Security - Monthly Tues before EMS Board 100 PM
IRSAC - Even months Tues before EMS Board 1000 AM
Medical Oversight - Odd months Tues before EMS Board 1000 AM
Recruitment amp Retention ndash Monthly 900 AM day of EMS Board Meeting
Research - Even months Tues before EMS Board 1000 AM
Rules - Monthly Tues before EMS Board 900 AM
Trauma - Odd months 2nd Wed 1000 AM
Trauma Registry - Even months Tues before EMS Board 130 PM
Dates andor locations may change check
the EMS website for the latest information
Division of Emergency Medical Services
FFSI CommitteeDivision of EMS Overview
bull FFSI Committee Membersbull Role of the FFSI Committee bull Division of EMS Staffbull Role of the Division of EMS
Role of the FFSI Committee
Advises amp counsels the EMS Executive Director on
bull establishment and maintenance of fire service training programs for positions of any fire training certification level
bull classification and chartering of fire service training programs and
bull training curriculum certification examinations training schedules minimum hours of instruction attendance requirements required equipment and facilities basic physical requirements and methods of training for all persons in positions of any fire training certification level
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Role of the EMS Board The EMS Board is regulatory and advocacy Board thatbull administers and enforces the provisions of the Ohio Revised Code
(ORC 4765) bull makes recommendations to the General Assembly on legislation to
improve the delivery of EMS bull establishes standards for the performance of EMS providers
including certification and trainingbull establishes qualifications amp standards of performance for EMS
providers instructors accredited institutions and CE approved institutions
bull establishes and maintains a state trauma registrybull administers a grant program for training research amp equipment
purchasebull maintains an EMS incidence reporting systembull maintains a statewide EMS plan andbull serves as a statewide clearinghouse for discussion inquiry and
complaints concerning emergency medical services
EMS Board Meeting Dates
The EMS Board meetings are held the third Wednesday of every even month at
Ohio Department of Public SafetyRoom 134
1970 West Broad StreetColumbus Ohio
Dates andor locations may change check the EMS website for the latest information
CommitteesEducation ndash Monthly First Thursday 900 am
EMS-C - Odd months Tues before EMS Board 1215 PM
Fire - Second Tues of every month 1000 AM
Homeland Security - Monthly Tues before EMS Board 100 PM
IRSAC - Even months Tues before EMS Board 1000 AM
Medical Oversight - Odd months Tues before EMS Board 1000 AM
Recruitment amp Retention ndash Monthly 900 AM day of EMS Board Meeting
Research - Even months Tues before EMS Board 1000 AM
Rules - Monthly Tues before EMS Board 900 AM
Trauma - Odd months 2nd Wed 1000 AM
Trauma Registry - Even months Tues before EMS Board 130 PM
Dates andor locations may change check
the EMS website for the latest information
Division of Emergency Medical Services
FFSI CommitteeDivision of EMS Overview
bull FFSI Committee Membersbull Role of the FFSI Committee bull Division of EMS Staffbull Role of the Division of EMS
Role of the FFSI Committee
Advises amp counsels the EMS Executive Director on
bull establishment and maintenance of fire service training programs for positions of any fire training certification level
bull classification and chartering of fire service training programs and
bull training curriculum certification examinations training schedules minimum hours of instruction attendance requirements required equipment and facilities basic physical requirements and methods of training for all persons in positions of any fire training certification level
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS Board Meeting Dates
The EMS Board meetings are held the third Wednesday of every even month at
Ohio Department of Public SafetyRoom 134
1970 West Broad StreetColumbus Ohio
Dates andor locations may change check the EMS website for the latest information
CommitteesEducation ndash Monthly First Thursday 900 am
EMS-C - Odd months Tues before EMS Board 1215 PM
Fire - Second Tues of every month 1000 AM
Homeland Security - Monthly Tues before EMS Board 100 PM
IRSAC - Even months Tues before EMS Board 1000 AM
Medical Oversight - Odd months Tues before EMS Board 1000 AM
Recruitment amp Retention ndash Monthly 900 AM day of EMS Board Meeting
Research - Even months Tues before EMS Board 1000 AM
Rules - Monthly Tues before EMS Board 900 AM
Trauma - Odd months 2nd Wed 1000 AM
Trauma Registry - Even months Tues before EMS Board 130 PM
Dates andor locations may change check
the EMS website for the latest information
Division of Emergency Medical Services
FFSI CommitteeDivision of EMS Overview
bull FFSI Committee Membersbull Role of the FFSI Committee bull Division of EMS Staffbull Role of the Division of EMS
Role of the FFSI Committee
Advises amp counsels the EMS Executive Director on
bull establishment and maintenance of fire service training programs for positions of any fire training certification level
bull classification and chartering of fire service training programs and
bull training curriculum certification examinations training schedules minimum hours of instruction attendance requirements required equipment and facilities basic physical requirements and methods of training for all persons in positions of any fire training certification level
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CommitteesEducation ndash Monthly First Thursday 900 am
EMS-C - Odd months Tues before EMS Board 1215 PM
Fire - Second Tues of every month 1000 AM
Homeland Security - Monthly Tues before EMS Board 100 PM
IRSAC - Even months Tues before EMS Board 1000 AM
Medical Oversight - Odd months Tues before EMS Board 1000 AM
Recruitment amp Retention ndash Monthly 900 AM day of EMS Board Meeting
Research - Even months Tues before EMS Board 1000 AM
Rules - Monthly Tues before EMS Board 900 AM
Trauma - Odd months 2nd Wed 1000 AM
Trauma Registry - Even months Tues before EMS Board 130 PM
Dates andor locations may change check
the EMS website for the latest information
Division of Emergency Medical Services
FFSI CommitteeDivision of EMS Overview
bull FFSI Committee Membersbull Role of the FFSI Committee bull Division of EMS Staffbull Role of the Division of EMS
Role of the FFSI Committee
Advises amp counsels the EMS Executive Director on
bull establishment and maintenance of fire service training programs for positions of any fire training certification level
bull classification and chartering of fire service training programs and
bull training curriculum certification examinations training schedules minimum hours of instruction attendance requirements required equipment and facilities basic physical requirements and methods of training for all persons in positions of any fire training certification level
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of Emergency Medical Services
FFSI CommitteeDivision of EMS Overview
bull FFSI Committee Membersbull Role of the FFSI Committee bull Division of EMS Staffbull Role of the Division of EMS
Role of the FFSI Committee
Advises amp counsels the EMS Executive Director on
bull establishment and maintenance of fire service training programs for positions of any fire training certification level
bull classification and chartering of fire service training programs and
bull training curriculum certification examinations training schedules minimum hours of instruction attendance requirements required equipment and facilities basic physical requirements and methods of training for all persons in positions of any fire training certification level
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Role of the FFSI Committee
Advises amp counsels the EMS Executive Director on
bull establishment and maintenance of fire service training programs for positions of any fire training certification level
bull classification and chartering of fire service training programs and
bull training curriculum certification examinations training schedules minimum hours of instruction attendance requirements required equipment and facilities basic physical requirements and methods of training for all persons in positions of any fire training certification level
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Firefighter and Fire SafetyInspector Training Committee
Members
Phil McLean Chair
Brent Gates
Richard Sacco
Terry Gill
Mark Mankins
Jim Steele
Bob Babb
Mark Lundy
Appointed by
Mark Resanovich OSFA
Mark Burgess OFCA
William Quinn OAPFF
Jim Holcomb OSFA
Joyce Fisher OSFA
Daryl McNutt OFCA
Jim Davis OAPFF
William Mallory Jr OAPFF
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Fire and Fire Safety Inspector Training Committee Meetings
bull The Committee meets the second Tuesday of each month at 1000 AM at the Ohio Department of Public Safety in Columbus
bull Meetings are open to the public
bull Everyone is welcome to participate in discussions
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Role of the State Medical Director
The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Ohio State Board of Emergency Medical Services
State Medical Director
Carol A Cunningham MD FACEP FAAEM
1970 West Broad Street
Columbus Ohio 43223
Phone (800) 233-0785
Office Phone (614) 466-7076
FAX (614) 466-9461
cacunninghamdpsstateohus
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Role of the Division of EMS(EMS)
bull Administrative arm of the State EMS Board
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services
bull The Division develops and enhances a statewide comprehensive systematic response to injury illness and fire primarily through education and training certification and strategic planning
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Role of the Division of EMSFIRE SECTION
bull Administrative support for the FFSI
bull The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of Emergency Medical Services
EMS amp FIRE - Educationbull EMS amp Fire Certification Renewalbull EMS amp Fire CE Requirements bull EMS amp Fire Instructor Levelsbull EMS amp Fire Instructor CEbull EMS Trauma Triage Requirementbull EMS amp Fire Auditsbull EMS Approved EMS CE Trainingbull One Card ndash One Expiration Datebull Certification ndash Recertification On-linebull National Accreditation EMS Awards
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Role of the Division of EMS
FIRE RECERTIFICATION REQUIREMENTS
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CE Requirements - FIREFIGHTERS
bull CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 18 hours required
bull For expiring in 2011 ndash 36 hours required
bull For expiring in 2012 ndash 54 hours required
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CE Requirements ndash FIRE Safety Inspector (FSI)
bull CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director
bull For expiring in 2010 ndash 10 hours required
bull For expiring in 2011 ndash 20 hours required
bull Must be related to FSI objectives
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CE Requirements ndash FIRE For Full 3-year Cycle
bull FF ndash 54 hours total 18 hours annual
bull CFSI ndash 30 hours total 10 hours annual
bull Fire Instructor ndash 6 hours methodology total 2 hours per year 24 hours per certification cycle teaching
bull Assistant Fire Instructor ndash 6 hours methodology total 2 hours per year 8 hours per certification cycle teaching
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Types of EMS amp Fire Instructors
bull EMS Instructorbull Assistant EMS Instructorbull Continuing Education Instructor
bull Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STIrsquos)
bull Fire Instructorbull Assistant Fire Instructor
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Fire Instructor - CE Required
bull Fire Instructor
ndash 2010 8 hours teaching 2 hours How to teach
ndash 2011 16 hours teaching 4 hours how to teach
bull Assistant Fire Instructor
ndash 2010 265 hours teaching 2 hours how to teach
ndash 2011 53 hours teaching 4 hours how to teach
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Role of the Division of EMS
EMS RECERTIFICATION REQUIREMENTS
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CE Requirements ndash First ResponderOAC 4765-12-03
bull Minimum 15 CE hrs within 3-year certification cyclendash Must include at least 1 hour in the following topics
Patient Assessment CPR Airway amp Oxygen Administration AED Illness amp Injury Management Trauma Issues Anaphylaxis amp Patient Assisted Epinephrine Administration OR
bull Ohio First Responder Refresher Course ORbull Current registration with NREMT at the First Responder or
equivalent level ORbull Passing score within three attempts on an exam approved
by the board This exam may only be taken during the last six months of a First Responders current certification period
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CE Requirements ndash EMT-BasicOAC 4765-15-03
bull Minimum 40 CE hrs within 3-year certification cyclendash Must include at least 6 hrs pediatric 2 hrs geriatric
and 8 hrs of trauma issues including triage and transportation protocols approved by the board OR
bull Completion of a 30-hr Ohio EMT-B refresher ORbull Current registration with the NREMT at the EMT-B or
equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Basics current certification period
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CE Requirements - EMT-IntermediateOAC 4765-16-03
bull Minimum 60 CE hrs within 3-year certification cycle ndash Must include at least 8 hrs pediatric 4 hrs geriatric and 8
hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-I or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Intermediates current certification period
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CE Requirements - EMT - Paramedic OAC 4765-17-02
bull Minimum 86 CE hrs within 3-year certification cyclendash Must include at least 12 hrs pediatrics 4 hrs geriatric 6 hrs of
emergency cardiac care (may be satisfied by completion of AHA or ASHI ACLS course) and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR
bull Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR
bull Current registration with the NREMT at the EMT-P or equivalent level and completion of trauma triage and transportation protocols approved by the board OR
bull Passing score within three attempts on an exam approved by the board This exam may only be taken during the last six months of an EMT-Paramedics current certification period
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- EMS InstructorOAC 4765-18-06
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
bull During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 6 hrs of instructional CE as approved by the Board
CE Requirements- Asst EMS InstructorOAC 4765-18-19
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
bull During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program
AND
bull Complete 2 hrs of instructional CE as approved by the Board
CE Requirements- CE InstructorOAC 4765-18-16
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS Instructor OAC 4765-18-05
bull Certificate to teach as an EMS instructorndash May teach any topic up to and within the individualrsquos
certificate to practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 5 of last 7 yearsndash Meets entrance requirements to EMSI training programndash Completes 50 hr adult education methods course8 hr
EMS module and 10 hrs supervised teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Assistant EMS Instructor OAC 4765-18-18
bull Certificate to teach as an assistant EMS instructorndash May prepare and instruct courses in any topic under the
mentorship of an EMS instructor ndash May teach up to and within the individualrsquos certificate to
practice in accredited or CE programndash Possesses current and valid certificate or license to
practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Meets entrance requirements to EMSI training programndash Completes 8 hr EMS module and 10 hrs supervised
teachingndash Provide at least 16 hrs of EMS instruction and completed
6 hrs of instructional CE during preceding 2 years
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS Continuing Education Instructor OAC 4765-18-15
bull Certificate to teach as a continuing education instructorndash May teach any EMS continuing education course
approved by the program Medical Director up to and within the individualrsquos certificate to practice
ndash Possesses current and valid certificate or license to practice as a first responder EMT registered nurse or physician assistant
ndash Has been certified or licensed at least 3 of last 5 yearsndash Provides written documentation of qualifications to
accredited or approved institutionndash Provide at least 4 hrs of EMS CE instruction and
completed 2 hrs of instructional CE during preceding 2 years
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS Certificates to Teach
Effective 312010
Apply for Certificate to teach as a Continuing Education InstructorOAC 4765-18-15
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PAProgram coordinatorrsquos signature verifying applicantrsquos written documentation of qualifications to teach CECertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renewal of Certificate to teach as a Continuing Education InstructorOAC 4765-18-16
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE Instructor shyCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PA shyAttended any mandatory instructor meetings held by the boardProvided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for Certificate to teach as an Assistant EMS InstructorOAC 4765-18-18
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 3 of last 5 yrsPasses written and practical skills exams at certification level within last 3 yrsCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Renew a certificate to teach as an Assistant EMS InstructorOAC 4765-18-19
Submits a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as a CE InstructorCurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two yearsCompliance with OAC 4765-8-01 (A)(6) to (A)(12)
Apply for a certificate to teach as an EMS InstructorOAC 4765-18-05
Apply for Assistant EMS Instructor to EMS InstructorOAC 4765-18-21
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACertifiedlicensed as a FR EMT RN or PA at least 5 of last 7 yrsPasses written amp practical skills exams at certification level within last 3 yrsCompletes 50 hr EMS Instructor training courseCompletes 8 hrs of instruction specific to the field of EMSCompletes 10 hrs of supervised teaching under auspices of an accredited institution Passes Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Submits a completed application Currently certifiedlicensed as a FR EMT RN or PACurrently certified as an Assistant EMS InstructorCompliant with OAC 4765-18-03 knowledge and practical exams training program requirements Satisfies one of the following Completes 50 hr EMS Instructor training courseCompletes EMS Instructor Mentor ProgramPasses the Instructional Methods exam within 1 yr of course completion Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Renew a certificate to teach as an EMS InstructorOAC 4765-18-06
Submit a completed renewal application on or before the expiration date of the current certificate Meets all standards for a certificate to teach as an EMS Instructor CurrentlyshycertifiedlicensedshyasshyashyFRshyEMT RN or PAAttended any mandatory instructor meetings held by the boardProvided not less than 16 hrs of EMS instructionSatisfies one of the following Completed 6 hrs of instructional CE during the preceding two years orSuccessfully completes the instructional methods examination Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Physician as EMS InstructorOAC 4765-18-09
Submits a completed applicationMeets one of the following criteriaActive medical director with an EMS agency orRecommended by local RPAB orRecommended by program director of an accredited or approved training institution orRecommended by medical director of an accredited or approved training institutionMeets one of the following criteriaLicense to practice medicine and surgery in good standing orLicense to practice osteopathic medicine and surgery in good standing Compliance with OAC 4765-8-01 (A)(6) to (A)(12)
Renew Physician as EMS InstructorOAC 4765-18-09(B)
Submits a completed application which demonstrates continued compliance with OAC 4765-18-09Not required to complete renewal requirements in OAC 4765-18-06
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
OAC 4765-19-01CE For First Responders and EMTs
bull Requires that a single session be at least one-half contact hour
bull Must be EMS operations or patient care related
bull Specifies the acceptable formats in which CE courses may be delivered amp sets requirements for each
acceptable format
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
OAC 4765-19-01CE For First Responders and EMTs
bull Accepted CE Resources includendash Ohio accredited or approved training programndash EMS licensing agency in another state ndash Branch of the US military ndash Medical or Nursing licensing board ndash federal national or state entities (EMA FEMA HLS ARC AHA ASHI CECBEMS amp others approved by the Board)
1048713
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when
bull Course work is related to EMS operations or patient care and
bull CE credit is issued by the sponsoring entity
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CE 4765-19-01CE For First Responders and EMTs
bull EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when
bull Prior approval received from program director and medical director
bull CE credit for lesson is earned once within a 12 month period
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CE Certificate of Completionbull Must be issued by a provider listed in OAC 4765-19-01(A)(4)
bull Include total CE hours awarded and
ndash Specific breakdown for pediatric geriatric trauma and cardiology hours
bull Class dates must be within certification cycle
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS and Fire Audits
bull 10 of providers that renew are audited the following month by computerized random selection
bull EMS audit occurs the month AFTER the new card takes effect
bull May conduct audit at anytime if complaint is received
bull Audits are for the previous three year cycle
bull Certificate of completion needed from an accredited institution approved CE site or meets OAC 4765-19-01 for EMS
bull Chief or Fire Charter approval for Fire
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS and Fire Audits
bull Do not wait until 3rd year of certification to start getting CE in-line
bull If audited ndash Respond
bull Call or e-mail with questions or with concerns or information that might affect your certification card
bull This should be ldquono worriesrdquo if CE was completed as required
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS and Fire Audits
bull Keep E-Mail and Address Current with the Division ndash Highly Important If we canrsquot notify you you canrsquot respond
bull Be honest If you didnrsquot complete say so donrsquot forge or misrepresent anything
bull The EMS Board will work with you to successfully complete an audit
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS and Fire Audits
bull Fire audits just started with the February 2010 renewals
bull The Executive Director will monitor the Fire audits for 2010 and make a determination on those that donrsquot meet or do not respond
bull With the 1 card 1 expiration the audit process will be amended in January 2011
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Trauma Triage Transportation ProtocolORC 476540
bull The law requires the board to adopt rules for education regarding state trauma triage protocols
bull All EMS providers are required to obtain 8 hours of trauma CE in each 3 year certification cycle that includes documented training of Ohio trauma triage protocol
bull DOES NOT increase the total number of CE hours
bull CE may include state trauma triage protocol OR approved regional trauma triage protocol
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Trauma Triage Transportation Protocol
bull The online Trauma Triage course is posted on the EMS website all Ohio EMT-Bs EMT-Is amp EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle
wwwohioemstrainingcom
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Sign in
Sign in name ____________
Password __________________
(I forgot my password)
Next time automatically sign me in
Sign in raquo
Not a member yetClick here to Join
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
On-Line Ohio EMS CE Courses bull You must complete the entire course - ALL slides the evaluation the test and click ldquodonerdquo on the final screen in order to receive credit for the course and be able to generate the certificate of completion
bullFor the certificate go back to Welcome (Home) page upper right click ldquoEdit Profilerdquo then click third tab in ldquoCertificatesrdquo the transcript should pop up and show you the classes you have completed click on class and certificate desired
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
On-Line Ohio EMS CE Courses
bull The certificate of completion selected will pop-up on the screen it will look off center and letters donrsquot line up and that is okay
bull Print only from the printer icon on the upper right just above the certificate of completion
bull Once you have completed the session make sure you log out of this program
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
On-Line Ohio EMS CE Courses
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CHEMPACKbull Ohio one of the first states to develop
Statewide Activation protocols
bull EMS amp Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident
bull Anyone that may be in IC role dispatchers amp line officers need to have training in how to request receive use and demobilize CHEMPACK if needed
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMS
Certificate of Approval Training Programs
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS Certificate of Approval
bull Accredited vs Approval sitesndash Initial training upgrade training Ohio Refresher
Courses and CE - Accreditedndash CE and Ohio Refresher Courses - Approved
bull 95 Accredited Sitesbull 538 Approved Sitesbull Approved site inspections started in 2004bull 100 visited each visited every three yearsbull Approximately 170 sites visited each year
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS Certificate of Approval
bull EMS Board extended the expiration date for some Approval sites in December 2009 for administrative purposes ndash 70 sites moved to 2011 and 2012 expiration dates from 2010 expiration dates previously held
bull Normal Approval cycle is 3 years from Board
approval to expiration
bull Approval renew process ndash notified 5 months 90-days and certified mail at 30-days before CE site expiration date
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS Certificate of Approval
bull Renewing a CE sitendash Application process use most recent
application that is Board approvedndash Ohio EMS Education Coordinator will schedule
site visit with Program Directorndash Site visit is not to try to find something wrong
it is to reviewbull training files and records for past 3 years bull review instructor certifications amp Filebull review medical director and program director
approval of all CE classes presented bull review training rooms and equipment
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS Certificate of Approval
bull Renewal application must be received 30 days prior to established expiration date
bull For renewal applications make sure the applications are completely and accurately filled-out
bull Let us know during the cycle if anything changes Program Director Medical Director addresses authorizing official e-mail addresses
bull Program Director does not have to be EMT certified good administrator who oversees the program
bull Authorizing official is typically Program Directorrsquos supervisor and has responsibility to maintain program and appoint EMS Program Director
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS Certificate of Approval
bull Required documentation to for CE Training Program to comply with ORCOAC 4765-7-09 amp 4765-7-11
ndash Program Director and Medical Director course approval sign-off
ndash Clear course objectives documented (some sites place these on above form)
ndash Sign-in sheet with date time topic location instructor of record and guest lecturer if applicable
ndash Participant evaluation ndash Summary evaluation ndash Certificate of Completion
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS Certificate of Approval
bull Each Continuing Education FileThe following should be a part of each CE file which you give CE credit
ndash Outline or syllabus of what was taught with clearly spelled out objectives
ndash Summary sheet of participant evaluationsndash Roster or attendance sheet with date time topic
location instructor of record and guest lecturer if applicable
ndash Program Director and Medical Director approval of class and medical content
ndash Ohio refreshers document written and practical testing
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Continuing Education Approval Form
Name of CE __________________________________________
Instructor preparing CE _______________________________
I have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ________ hours of continuing education_________________________ ______________ Medical Director Date
This CE class is on trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for __________ hours of Trauma Continuing Education_________________________ ______________ Trauma Surgeon Date
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Medical Director Approval FormFor
Continuing Education CourseTitle __________________________________Instructor ____________________________________Category __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other ______________________________________________Objectives___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Data Approved ________________________________________Signature _____________________________________________Comments ____________________________________________
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS Continuing EducationEmergency Service Institute
Class Topic ___________________________ Date ________
Please feel free to complete the following form pertaining to the presentation this evening In the above portion please circle the number that best reflects how you felt about the presentation in regards to the evaluation point indicated
Question 1 Do you feel the material presented was usefulapplicable to your needs as an EMS provider Very little 1 2 3 4 5 6 7 8 9 10 Very much
Question 2 Did you find the presenter had a grasp of the topic and was able to convey the material to you in an easy to follow and understandable formatNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very well done
Question 3 Was the visual aidsmedia presented visually stimulatingexciting and go well with the speakerrsquos topicNo Not at All 1 2 3 4 5 6 7 8 9 10 Yes very much so
In the area below please add any ideas you would like to see presented in future sessions Also list any compliments or complaints about any aspect of the presentation or the classroom itself
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Evaluation FormCourse Name ______________ Date ___________Instructor __________________
What were your objectives in taking this training
Were your objectives met YesNo
What ideas were most useful to you
Please suggest any changes you feel might improve this training
Was the time allotted for this training adequate YesNo
Please rate your instructor and the items listed by circling the number that best represents your assessment Poor=1 Fair=2 Good=3 Very good=4 Excellent=5
1 Did your instructor present a well organized training session 1 2 3 4 5
2 How well did your instructor know the subject matter 1 2 3 4 5
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Evaluation Form (cont)
3 How Practical and useful was the material presented 1 2 3 4 5 4 Were the sessions kept fun interesting and active 1 2 3 4 5
5 Evaluation of the instructional techniques used AV etc 1 2 3 4 5
6 What is your overall rating of your instructor 1 2 3 4 5 7 What is your overall rating of the course 1 2 3 4 5
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Evaluation Form (cont)
Name of CE _________________________________________________Instructor preparing CE ______________________________________
have reviewed the objectives andor outline of the above-mentioned CE course and approve it for ___________ hours of Continuing Education_____________________ __________________
Medical Director Date
This CE class is on Trauma As a Trauma Surgeon I have reviewed the class objectives andor outline and approve it for ___________ hours of Trauma Continuing Education_______________________ __________________Trauma Surgeon Date
CE Certificate of Approval Number
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS Certificate of Approval
bull Have files and records in order prior to site visit
bull Should be maintained throughout the year
bull Donrsquot get behind on records and files
bull Files and Records are your protection and can greatly help the EMT in civil suits
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMSEMS Certificate of Approval
bull If you use a computer generated training report in place of a certificate of completion it must
ndash Be used for your department personnel only outside individuals need to be issued a certificate of completion
ndash Bear the pertinent information needed in an audit situation date of courses taken time allotted for course title or topic of course and list any pediatric geriatric cardiology or trauma hours for each course
ndash Attested to by original signature of the Program Director of an Accredited or Approved Training Program
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of EMS
ONE CARD ONE EXPIRATION DATE
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of Emergency Medical Services
One Card One Expirationbull Currently working on draft rules to be able to move
everyonersquos certification date to birthdaybull Target date for switch is January 1 2011bull If you have an established Fire Expiration date any
other certifications will move to that datebull There will be shortened CE requirements during the
merge cycle periodsbull Currently EMS and Fire certifications expire in the
same year fire is on the birthday now and EMS cards will move to that date either forward or backwards
bull If no fire card EMS card will move to the birthday in the year the EMS card is currently set to expire
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of Emergency Medical Services
One Card One Expirationbull New certifications obtained after the merge
of cards will move to the already established date of the existing card
bull If new certification and no established expiration date it will go to the birthday in the third year of the certification
bull The only time a fire expiration date would be affected will be if the person has an established EMS card and obtains a new fire certification fire expiration date would go to established date and the merge certification cycle will be used for the Fire CE needed
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of Emergency Medical Services
One Card One Expirationbull Merged cycle CE will be 0-1 year no CE
required bull 1 to 2 years 30 of required CE for both Fire
and EMSbull 2 to 3 years 60 of required CE for both Fire
and EMSbull A chart for Fire and EMS CE will be placed in
both Fire and EMS rules so the hours are specifically spelled out for the providers
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of Emergency Medical Services
One Card One Expiration
bull EMS instructor Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date
bull Fire Instructors already at three year expiration date and already a common date with their fire certification
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS CERTIFICATE TO PRACTICE
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
First Responder 304 hours No specialty hours need
609 hours No specialty hours need
10015 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMT-Basic 3012 hours to include 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6024 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10040 hours to include 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMT-Intermediate 3018 hours to include 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course
6036 hours to include 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course
10060 hours to include 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMT-Paramedic 3026 hours to include 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course
6051 hours to include 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course
10086 hours to include 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care
MERGEDSHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS CERTIFICATE TO TEACH MERGEDSHORTENED CERTIFICATION CYCLES CEINSTRUCTION REQUIREMENTS - 30 (12 months but less than 24 months) 60 (24 months but less than 36 months) 100 (36 months or more)
EMS Instructor Assistant EMS Instructor 30 302 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60 603 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100 1006 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction
Continuing Education (CE) Instructor 301 hour methodology 1 hour instruction 601 hour methodology 1003 hours instruction 2 hours methodology
6 hours instruction
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education
30More than 12 mths up to 24 mths 18 hours of continuing education 6024 months up to 36 months 36 hours of continuing education 10036 months or more 54 hours of continuing education
CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours
30More than 12 mths up to 24 mths 10 hours of continuing education 6024 months up to 36 months 20 hours of continuing education 10036 months or more 30 hours of continuing education
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required
30More than 12 mths up to 24 mths 2 hours of continuing education
8 hours of instruction in fire 6024 months up to 36 months 4 hours of continuing education
16 hours of instruction in fire 10036 months or more 6 hours of continuing education
24 hours of instruction in fire
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
CONTINUING EDUCATIONINSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGEDSHORTENED CERTIFICATION CYCLE
Time Frame Amount of Fire Continuing Education
12 months or less No continuing education required
More than 12 mths up to 24 mths 2 hours of continuing education 2 hours of instruction in fire
24 months up to 36 months 3 hours of continuing education 4 hours of instruction in fire
36 months or more 6 hours of continuing education 24 hours of instruction in fire
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of Emergency Medical Services
Certification
bull On-line certification process
ndash Renewal - 99 renewing on-line
ndash Verification - Now displays entire record
ndash 42000 EMTrsquos 53000 Firefighters
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Log In Error
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Registration Screen
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Registration Submitted
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Password Email
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Application Received
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Processed Email
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Homeland Security
What Should You Do
Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at
1- 877- OHS ndash INTE
1- 877- 647- 4683
SEE SOMETHING SAY SOMETHING
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Homeland Securitybull Be informed
ndash Register for Contact and Information Management System (CIMS)
bull httpwwwdpsstateohusCIMS
bull You can help prevent terrorist attacks by being aware of suspicious activities which includendash Surveillancendash Suspicious Activityndash Tests of Securityndash Acquiring Suppliesndash Suspicious Personsndash Dry Runs ndash Deploying Assets
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Homeland Security
bull Ohio EMS HLS Web page has
ndash Pandemic Influenza sectionndash WMDBioterrorism
bull State of Ohio WMD Protocol bull Required NIMS Training for all Ohio EMS Provi
ders and firefighters
bull State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of Emergency Medical Services
Office of Investigative Services
bull Jurisdiction
bull EMS amp Fire Complaint Forms
bull Violations
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Jurisdiction
EMS
bull Applicants
bull EMTs
bull Instructors
bull Accredited training sites
bull Continuing education sites
Fire
bull Applicants
bull Firefighters
(all levels)
bull Fire Instructors
bull Fire Safety Inspectors
bull Chartered training sites
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS Complaint FormhttpwwwemsohiogovForms_05asp
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Fire Complaint Form
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Violations
bull Conviction (including treatment in lieu) of any felony offense a misdemeanor committed in the course of practice or involving moral turpitude
bull Misrepresentation of credentials
bull Violation of any narcotics or controlled substances law
bull Professional standard of conduct
bull Patient care cases including scope of practice
bull Continuing education cases
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Declaration of Criminal HistoryhttpwwwemsohiogovForms_05asp
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Biggest Issue in Investigationshellip
Individuals NOT
responding to the
Division
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Scope of Practice
bull Rules pertaining to scope of practice updated May 2008ndash OAC 4765-12-04 First Responderndash OAC 4765-15-04 EMT-Basicndash OAC 4765-16-04 EMT-Intermediatendash OAC 4765-17-03 EMT-Paramedic
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Scope of Practice Matrix
bull The Scope of Practice Matrixndash serves as a quick view of the
scope of practice and ndash can be found on the EMS web page
bull The EMS Board may add skills to the scope and post on the matrix with the rule updated annually to reflect additions
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Division of Emergency Medical ServicesGrants
bull Grant Process
bull Eligibility Issues
bull First Priority
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Grant Application
bull Applications must be sent electronically postmarked or hand delivered to the Division of EMS office by 500 PM April 1st of each award year
bull Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at wwwemsohiogov
bull Award letters will be mailed after July 1st of the award year
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Grantsbull Funding for all grant priorities is
determined by the amount of seat belt fines collected annually approximately $4000000 is available each year
bull The Board-appointed Grants Committee oversees the administration of the Ohio EMS Grants Program to ensure that all grant funds are distributed fairly in a timely manner and in accordance with the directions provided by the Ohio EMS Board
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Grant Eligibility
Eligible grantees are limited to
EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests andor calls from the public for emergency medical service response
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Grant Eligibility
EMS organizations must also meet one of the following
bull 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
ORbull 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
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Grants ndash First Priority
bull Given to EMS organizations for personnel training for equipment and vehicles purchases and to improve the availability accessibility and quality of emergency medical services
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Useful Information and Resources
bull Ambulance Staffing ndash State Lawbull ListServs ndash Immediate Notificationsbull CE Tracking System - Voluntarybull Suggestion Box ndash Ideas and
Improvementsbull New EMS Projects
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
476543 ORC
bull Signed by Governor on December 30 2008ndash Due to emergency clause in bill became effective
same date
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that does not substantially utilize any volunteer emergency medical service providers the ambulance must be staffed by at least two emergency medical technicians-basic (EMTs-basic) emergency medical technicians-intermediate (EMTs-I) or emergency medical technicians-paramedics (paramedics)
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
476543 ORC
bull Provides that during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizes volunteer emergency medical service providers the ambulance must be staffed by at least one first responder and one EMT-basic EMT-I or paramedic
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS Board Position Paper
bull SB 129 (Ambulance Staffing ORC 476543)
ndash Supports the limited use that is described in SB 129 if there is no other alternative
ndash Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport
ndash Approved by EMS Board March 2009
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
476543 ORC
bull Provides that if circumstances so require an ambulance that is staffed by only one first responder and one EMT-basic EMT-I or paramedic may be driven by the first responder
bull Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Definition of ldquosubstantially utilizesrdquo
bull An organization substantially utilizes volunteer emergency medical service providers if on any given date for the six-month period immediately prior to that date the organizations daily average number of hours during which the organization used only volunteer first responders volunteer EMTs-basic volunteer EMTs-I or volunteer paramedics or a combination of such volunteers was fifty per cent or more of the daily average number of hours that the organization made emergency medical services available to the public
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Definition of ldquoVolunteerrdquo
bull 476501 (K) ldquoVolunteerrdquo 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
bull The EMS Board has developed a position paper in regards to staffing requirements All agencies are encouraged to continue staffing with a minimum of 2 EMTs when possible
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
E-mail Listserv
bull Broadcast announcement e-mail lists created to improve outbound communication
bull EMS General Announcement List bull Fire Training and CE Announcement List bull EMS Incident Reporting System bull Fire Chiefs bull The Siren newsletter bull Trauma System bull EMS Instructors bull EMS for Children
bull LISTSERV link at emsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
Fire amp EMS Information on the Web
Online CE Tracking System ndash Allows individuals fire amp EMS departments and training institutions
to enter and track their continuing education
Example reports you can create for your department include
Department Personnel CE
Department Personnel Certification Levels WExpiration Dates
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
New CE Tracking System
bull Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education
bull If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code
THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS Suggestion Box
bull Electronic ldquosuggestion boxrdquo created to improve inbound communication
ndash You have insight into our operations ndash You can help us improve our servicesndash Use EMS Suggestion Box to give us feedback
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
EMS Suggestion Box
bull It is NOT a Complaint Boxndash All entries must come with suggestions on how
to improve
bull All valid suggestions will be consideredndash Valid suggestions are acknowledged when
received
bull No guarantee of acceptance and implementation
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
New EMS Projects
bull Siren Newsletter now all electronic quarterly large monthly updates
bull Awards program for EMS currently on-line and will continue annually during EMS week
bull National accreditation of Ohio paramedic training programs slated for 112018
bull Ohio curriculums are being revised to reflect National EMS Education Standards
wwwemsohiogov
wwwemsohiogov