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Ohio Department of Public Safety Division of Emergency Medical Services

Ohio Department of Public Safety Division of Emergency Medical Services

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Ohio Department of Public Safety Division of Emergency Medical Services

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  1. Ohio Department of Public SafetyDivision of Emergency Medical Services

  2. Ohio Department of Public SafetyDivision of Emergency Medical Services • EMS Instructor Orientation • Rules • Roles • Resources To be included as part of the Ohio EMS Instructor Curriculum. Visit www.ems.ohio.gov for updated information.

  3. State Board of Emergency Medical Services Division of EMS Overview Ohio Revised & Administrative Code Certificates to Teach Instructor Responsibilities Distance Education Options Renewal, CE Requirements & Audits Resources EMS Instructor OrientationOutline

  4. EMS Instructor OrientationState Board of EMS • 20 Member Board • 19 members appointed by the Governor from nominations by EMS, Fire and Medical Organizations • 1 member appointed by the Director of the Department of Public Safety Names & affiliations of State EMS Board Members at www.ems.ohio.gov

  5. EMS Instructor OrientationState Board of EMS MISSION STATEMENT • “To promote quality and professionalism in the hiring, training, education, and delivery of Fire and Emergency Medical Services with equal consideration given to all diverse populations and constituents.”

  6. EMS Instructor OrientationState Board of EMS • Administer & enforce provisions of ORC and OAC • Govern EMS, Fire & Fire Inspector training & certification • Govern standards & procedures for EMSIRS • Administer the State Trauma Registry • Serve as statewide clearinghouse for discussion, inquiry & complaints concerning EMS

  7. EMS Instructor OrientationState Board of EMS • The State Board of EMS does NOT regulate EMS Organizations or Fire Departments

  8. EMS Instructor OrientationState Board of EMS Meetings • 3rd Wednesday of every month • Department of Public Safety 1970 West Broad Street, Columbus • Open to public and public comment Visit www.ems.ohio.gov Agenda, exact time and location of meeting

  9. Initial Training EMS/accreditation Fire/ charter Continuing Education EMS/accreditation EMS/approved Fire/charter Fire/department EMS Grant Program EMS-C (Children) Program Trauma System Registry EMS Incident Run Reporting Regional Physician Advisory Board (RPAB) Regulatory Investigative Issues EMS Instructor OrientationDivision of EMS

  10. Office of the Executive Director EMS Board Liaison Special Programs Grants EMS for Children Safe Kids Ohio Regional Physicians Advisory Board Weapons of Mass Destruction Coordination Investigative Services EMS Operations Certification Fire Services Testing Services EMS Education EMS Audits Office of Trauma, Research & Analysis EMSIRS Data & Reporting Trauma Registry EMS Instructor OrientationDivision of EMS Contact the Division of EMS at 1-800-233-0785 http://www.ems.ohio.gov/general/contactems.htm

  11. EMS Instructor OrientationOhio Revised and Administrative Code • Ohio Revised Code (ORC 4565) • Law created by General Assembly • Signed by the Governor • Ohio Administrative Code(OAC 4765) • Rule created & changed by the EMS Board • Amplifies law & details implementation • Needs legislative approval through the Joint Committee on Agency Rule Revision approval

  12. EMS Instructor OrientationOhio Revised Code • §4765.11 EMS Board rule making authority • §4765.16 Course development, teaching & standards • §4765.23 Renewal, suspension, or revocation of certificate to teach • §4765.24 Certificates of completion • §4765.49 Civil immunity PLEASE SEE SPECIFIC LAW FOR COMPLETE LANGUAGE

  13. EMS Instructor OrientationOhio Administrative Code • OAC 4765-1-01 Definitions • OAC 4765-7 Education rules • OAC 4765-8-01 Certificate to practice • OAC 4765-9-02 Instructor Ethics • OAC 4765-18 EMS Instructor rules • OAC 4765-19-01 CE Requirements PLEASE SEE SPECIFIC RULE FOR COMPLETE LANGUAGE

  14. EMS Instructor OrientationOhio Revised and Administrative Code § 4765.11EMS Board Rule Making Authority • The EMS Board shall establish: • Standards for certificates of accreditation and approval • Procedures for issuance and renewal of certificates of accreditation and approval

  15. EMS Instructor OrientationOhio Revised and Administrative Code • OAC 4765-7-02 Accreditation of training programs • OAC 4765-7-09 Approval of CE training programs • OAC 4765-7-11 Criteria for CE courses through accredited & CE programs • OAC 4765-7-12 Standards for accredited institutions offering distance education

  16. EMS Instructor OrientationOhio EMS Training Programs OAC 4765-7-02 Accredited Training Program • May offer • Initial training • Upgrade/transition courses • CE courses at any EMT level • Ohio EMS Refresher courses

  17. EMS Instructor OrientationOhio EMS Training Programs OAC 4765-7-09 Approved CE Program • CE Training Program May Offer • CE courses at any EMS level • Ohio Refresher courses • Instructional continuing education

  18. EMS Instructor OrientationOhio EMS Training Programs • CE Training Program May Not Offer • Courses for initial certification • Courses designed for upgrade (transition) • Courses for individuals seeking Ohio certification through reciprocity

  19. EMS Instructor OrientationOhio Revised and Administrative Code • OAC 4765-7-11 CE Requirements for Programs • Specifies requirements for accredited and approved institutions when providing CE course credit • Specifies criteria & acceptable formats for delivery of CE courses • Didactic portion of Ohio Refresher courses may be conducted through distance education formats • Must document skills practicum evaluations

  20. EMS Instructor OrientationOhio Revised and Administrative Code • OAC 4765-7-11 CE Requirements for Programs • Records must contain documentation of: • Method of course delivery • Written objectives • Written course content • Specifies: • 1 contact hour equal to 50-60 minutes • ½ contact hour equal to 25-30 minutes PLEASE SEE RULE FOR COMPLETE LANGUAGE

  21. EMS Instructor OrientationOhio Revised and Administrative Code • OAC 4765-7-12 Distance Education Requirements for Accredited Training Programs • Requires the accredited institution make a written request of the Board to provide EMS initial training through distance education formats • Specifies the requirements necessary to receive Board approval to provide EMS training through online or distance learning delivery systems • Requires an accredited institution to develop and maintain technology infrastructure, security measures and risk management plan

  22. EMS Instructor OrientationOhio Revised and Administrative Code § 4765.16.Course Development, Teaching & Standards • A training program shall meet the standards established in rules adopted by the Board • The program shall include courses in specific topic areas for at least the number of hours established by the Board's rules

  23. EMS Instructor OrientationOhio Revised and Administrative Code • Curriculum & Refresher Rules • 4765-12-02 First Responder • 4765-15-01 EMT-Basic • 4765-16-01 EMT-Intermediate • 4765-17-01 EMT-Paramedic • Ohio approved curriculum on EMS websitehttp://www.ems.ohio.gov/INITIAL%20PROGRAMS.htm

  24. EMS Instructor OrientationOhio Revised and Administrative Code • Continuing Education Rules • OAC 4765-12-03 - First Responder • OAC 4765-15-03 - EMT-Basic • OAC 4765-16-03 - EMT-Intermediate • OAC 4765-17-02 - EMT-Paramedic

  25. EMS Instructor OrientationOhio Revised and Administrative Code § 4765.16.Course Development, Teaching & Standards • All courses shall be developed under the direction of a physician who specializes in emergency medicine • Each course that deals with trauma care shall be developed in consultation with a physician who specializes in trauma surgery

  26. EMS Instructor OrientationOhio Revised and Administrative Code • An EMS accredited training program and an EMS continuing education program both must have a medical director that assists in the development of the medical components of the training program and determines the appropriateness of the course offering

  27. EMS Instructor OrientationOhio Revised and Administrative Code § 4765.11EMS Board Rule Making Authority • The EMS Board shall establish: • Qualifications for certificates to teach • Procedures for suspension or revocation of certificates to teach

  28. EMS Instructor OrientationEMS Certificates to Teach • EMS Instructor • OAC 4765-18-05 • Asst. EMS Instructor • OAC 4765-18-18 • CE Instructor • OAC 4765-18-15 • Physician as Instructor • OAC 4765-18-09

  29. EMS Instructor OrientationEMS Certificates to Teach EMS Instructor • Passes instructor knowledge & practical exam to level of certification & completes 70 hr instructor course • Certified/licensed to practice as FR, EMT, RN or Physician Asst.; • Certified/licensed to practice as FR, EMT, RN or Physician Asst. 5 of last 7 years • May teach any EMS subject area to the level of his/her certificate to practice • Provides at least 24 hrs of EMS instruction & completes 6 hrs of instructional CE or passes the instructional methods exam in preceding 3 yrs

  30. EMS Instructor OrientationEMS Certificates to Teach Assistant EMS Instructor • Passes instructor knowledge exam & practical exam to level of certification • Completes 8 hr EMS module & 10 hrs supervised teaching • Certified/licensed to practice as FR, EMT, RN or Physician Asst. • Certified/licensed to practice as FR, EMT, RN or Physician Asst. 5 of last 7 years • May teach any EMS subject area to the level of his/her certificate to practice • Provides at least 16 hrs of EMS instruction & completes 6 hrs of instructional CE or passes the instructional methods exam in preceding 3 yrs

  31. EMS Instructor OrientationEMS Certificates to Teach EMS Continuing Education Instructor • Certified/licensed to practice 5 of past 7 yrs as FR, EMT, RN or Physician Asst. • Submits qualifications for certificate to teach to program director for signature • May teach continuing education courses in any EMS subject area to the level of his/her certificate to practice • Provides at least 6 hrs of EMS instruction & completes 2 hrs of instructional CE or passes the instructional methods exam in preceding 3 yrs

  32. EMS Instructor OrientationEMS Certificates to Teach EMS Instructor Trainer • Accredited institution must ensure instructor trainer meets criteria • Held a certificate to teach as EMS or Fire Instructor at least 3 years • Completed instructor orientation found at www.ems.ohio.gov

  33. EMS Instructor OrientationEMS Certificates to Teach Physician as Instructor • Active Medical Director recommended by an EMS agency, program coordinator at an approved or accredited program or local RPAB • Submit application to EMS Certification • Renewal every three years, but is not subject to CE requirements

  34. EMS Instructor OrientationEMS Certificates to Teach • A guest lecturer must have an EMS Instructor, Asst. EMS Instructor, EMS Continuing Education Instructor present and monitoring the lecture. • A guest lecturer may assist with lab and practical skills.

  35. EMS Instructor OrientationOhio Revised and Administrative Code § 4765.16.Course Development, Teaching & Standards • Except as specified by the Board, all courses shall be taught by a person who holds the appropriate certificate to teach • A training program shall meet the standards established in rule. • The program shall include courses in specific topic areas for at least the number of hours established by the Board.

  36. EMS Instructor OrientationEMSI Roles & Responsibilities Instructor should: • Ensure students demonstrate satisfactory completion of didactic, laboratory, practical & clinical competencies prior to receiving a certificate of completion. • Document regular evaluations of student performance and achievement through written and practical testing prior to issuance of certificate of completion.

  37. EMS Instructor OrientationEMSI Roles & Responsibilities • EMS Instructor should: • Provide a safe and sanitary classroom & equipment • Follow the Ohio approved curriculum • Create an environment conducive to the learning • Provide written information regarding schedules, curriculum objectives & criteria for successful completion to students • Ensure that students’ are under direct supervision & in the immediate presence of an EMT, RN or physician when performing clinical skills

  38. EMS Instructor OrientationEMSI Roles & Responsibilities • Instructor should: • Conduct in-course and final practical examinations based on the Ohio approved curriculum • Ohio First Responder, EMT-B and EMT-I approved curriculums include additional practical and clinical requirements than those found in textbooks • Do not rely solely on publisher textbooks

  39. EMS Instructor OrientationEMSI Roles & Responsibilities • CE Instructor should: • Create an environment conducive to the learning • Follow course objectives approved by the program director and medical director • Ensure students demonstrate satisfactory completion of objectives prior to receiving a certificate of completion • Document CE course evaluation by participants through evaluation summary • Document evaluation of student performance was achievement through written and practical testing if applicable

  40. Characteristics of a distance educator Learner-centered Mentor & facilitator of knowledge Maintains high level of interactivity Experienced Content knowledge At ease with the technology Organized Materials must be ready in advance Activities must conform to technology being used EMS Instructor OrientationEMSI Roles & Responsibilities

  41. EMS Instructor OrientationOhio Revised and Administrative CodeOAC 4765-19-01 CE Requirements for FR & EMTs • Each EMS CE course shall be provided in one of the following formats: • Traditional classroom environment or a seminar setting • Online education • As defined in OAC 4765-1-01 • Shall include a testing process • Distance learning • As defined in OAC 4765-1-01 • Shall include a testing process

  42. EMS Instructor OrientationOhio Revised and Administrative Code • Additional formats accepted by the Board: • Journals, publications or electronic media • Shall include a testing process • Skills practicum • Shall include a skills evaluation Independent study my only be conducted through an Ohio EMS accredited institution or approved Ohio CE training site

  43. EMS Instructor OrientationOhio Revised and Administrative Code OAC 4765-19-01 CE Requirements for FR & EMTs • Each course shall be related to EMS operations or patient care • Written documentation of successful completion • A single session of continuing education shall be at least 1/2 contact hour PLEASE SEE RULE FOR COMPLETE LANGUAGE

  44. EMS Instructor OrientationOhio Revised and Administrative Code OAC 4765-19-01 CE Requirements for FR & EMTs • An EMS continuing education course shall be provided and approved by one of the following entities: • An EMS accredited institution or EMS approved institution • An EMS licensing agency in another state • A branch of the United States military • A medical or nursing board of this state or another state • CECBEMS-approved courses • Federal, national or state entities

  45. EMS Instructor OrientationOhio Revised and Administrative Code OAC 4765-19-01 CE Requirements for FR & EMTs • Portions of an initial certification or licensing course may be counted towards CE credit when: • It meets the requirements of CE rule; and • The sponsoring entity issues written documentation PLEASE SEE RULE FOR COMPLETE LANGUAGE

  46. EMS Instructor OrientationOhio Revised and Administrative Code OAC 4765-19-01 CE Requirements for FR & EMTs • CE hrs may be earned when teaching: • Must have prior approval from the program director • CE hrs may only be earned for the portion of the course presented • Presentation for CE hrs may count only once during a 12-month period • No CE hrs may be earned for time spent in the development of a course PLEASE SEE RULE FOR COMPLETE LANGUAGE

  47. EMS Instructor OrientationOhio Revised and Administrative Code4765-12-03 First Responder • Minimum 15 CE hrs within 3-year certification cycle • Must include at least 1 hour in the following topics: Patient Assessment; CPR; Airway & Oxygen Administration; AED; Illness & Injury Management; Trauma Issues; Anaphylaxis & Patient Assisted Epinephrine Administration OR • First Responder Refresher Course OR • Current registration with NREMT at the First Responder or equivalent level OR • 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 Responder's current certification period

  48. EMS Instructor OrientationOhio Revised and Administrative Code4765-15-03 EMT-Basic • Minimum 40 CE hrs within 3-year certification cycle • 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 • Completion of a 30-hr EMT-B refresher course OR • 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 • 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-Basic's current certification period

  49. EMS Instructor OrientationOhio Revised and Administrative Code4765-16-03 EMT-Intermediate • Minimum 60 CE hrs within 3-year certification cycle • Must include at least8 hrs pediatric, 4 hrs geriatric and 8 hrs of trauma issues to include triage and transportation protocols approved by the board OR • EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR • 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 • 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-Intermediate's current certification period

  50. EMS Instructor OrientationOhio Revised and Administrative Code4765-17-02 EMT-Paramedic • Minimum 86 CE hrs within 3-year certification cycle • Must include at least12 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 boardOR • Completion of an EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR • 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 • 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-Paramedic's current certification period