April 2010 CE Sessions

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  • 1. Thank everyone for coming 2. Introduce staff for tonight’s presentation 3. Please jot down questions for question and answer period at the end of tonight’s session
  • Thank Program Director/Chief and school for hosting tonight’s CE update session 2. Registered with Allie at door 3. Certificate of completion if you pre-registered and if not we will send it to you / Some slides have been provided for information and we may just briefly hit on a few of those
  • 1. On behalf of the Executive Director of Ohio EMS Richard Rucker, and the Ohio EMS Board we thank you for taking time out of your schedules to attend and hope you are able to take something away from tonights sessions
  • We encourage frequent visits!!!! Many valuable links and documents available from this web page especially for Accredited and Approved Training Programs, and your certifications
  • Quick overview of the Ohio EMS Board, Division and the State Medical Director, again info provided for you to take away from tonights session if you are looking for information
  • I will let you glance at what the role of the board is as shown on the this slide. There are 20 members of the Board and they represent various professional organizations across the State. 19 of those members are appointed by the Governor and 1 by the Director of Public Safety. Bill Vedra is the Public Safety appointee, Bill is also the Director of Homeland Security for the State of Ohio. The Board members are given travel expenses only and they donate an enormous amount of time to the state and their communities. Board members and Bio’s are posted on the web page
  • Extra Board Meeting added for May of 2010 due to EMS week
  • The majority of the work takes place at the Committee level. All Board and Committee meetings are open to the public and you are encouraged to participate or provide input to help shape the future of EMS in Ohio. The Committees and meeting times are being reviewed by the EMS Board and staff currently, and are subject to change Make sure you check our web site before driving to Columbus for a committee meeting in case of a change in a scheduled it will be posted there.
  • Fire Section of Ohio EMS - Fire Committee makes recommendation to the Executive Director of Ohio EMS on fire related issues
  • The Fire committee plays a very important role in the Fire community and have been the catalyst for some of the most important changes ever made for Fire in Ohio.  HB 401 has catapulted Ohio Fire head and shoulders above most states in the nation requiring continuing education and renewal of certifications. No longer a lifetime certification! Had 90,000 certified FF’s in Ohio, some were dead, retired, moved out of State, with new cards Ohio now stands at 53,000 certified FF
  • Members listed and what EMS Board member/organization they were appointed by
  • FFSI Committee meetings
  • Dr. Cunningham is very active throughout the Nation and State and provides presentations on many topics on a local, State and National level
  • Information provided to contact Dr. Cunningham
  • We have 26 employees for the Division and they do an incredible amount of work. We have a very efficient system that helps serve 43,000 + EMT’s and 54,000 + Firefighters. We serve the EMS community in the areas of Certification, Testing, Fire, Grants, Education Accreditation, Data and Research, Investigations and EMSC
  • The Division develops and enhances a statewide, comprehensive, systematic response to injury, illness and fire, primarily through education and training, certification and strategic planning.
  • Provide information & references that: Should make your job easier Enable compliance with the Ohio Revised & Administrative Codes Answer questions Clarify concerns IN MANY DIFFERENT TOPIC AREAS of EMS and FIRE EDUCATION
  • 4 levels of EMS Certifications covered and
  • Shortened cycles, CE from 1/24/2008 to current expiration date on fire certs counts for CE - NIMS acceptable, as is FEMA, National Fire Academy
  • All listed in the Ohio Administrative Code and on our web page, in process of placing on web page under Fire easy to understand renewal requirements for Fire certifications of all types
  • All listed in the Ohio Administrative Code and on our web page
  • STI’s are all expired now – March 1, 2010 was the deadline to convert from an STI to another type of Instructor, anyone submitting now would have to meet the initial entry requirement for the level of Instructor requested
  • STI’s are all expired now – March 1, 2010 was the deadline to convert from an STI to another type of Instructor, anyone submitting now would have to meet the initial entry requirement for the level of Instructor requested
  • 4 levels of EMS Certifications covered and
  • EMS CE – starting with 1 st responder No matter the level of cert all levels have 4 options to renew CE Refresher and CE, NREMT + Ohio Trauma Triage Protocol, Test in lieu of
  • 4 ways! Ohio EMT-Basic – remember NREMT is a separate card, 2-year cert cycle, with separate renewal requirements check www.nremt.org for their requirements
  • Ohio EMT-I requirements – 4 ways to renew
  • Trauma triage transportation requirement for Ohio Basic, Intermediate and Paramedic is now documentation of that training and it is either on-line from our web page or the classroom version
  • The total number of CE hours have not changed. What is changing is that all Instructors will be moving to a three year card. 6 hrs methodology is how to teach / Accredited or Approved Training Program can provide this CE for Instructors
  • EMS Instructors and Assistant EMS Instructors can teach the initial training programs at the level of their certificate to practice / CE Instructors can only be the stand alone instructor for CE or Ohio refreshers from Accredited or Approved training institutions CE Instructors cannot teach initial training at Accredited Institutions as a stand alone instructor
  • Teaching at approved or accredited training institution and receiving methodology instructional training are now required of the CE Instructor, can’t just carry a certification as the Old STI’s used to be able to do
  • Needed to become a full EMS Instructor
  • Needed to become as Assistant EMS Instructor
  • Needed to become a CE Instructor
  • Bullet point for Instructors initial and renewal
  • Renewal Asst. EMS Instructor / Initial Asst and EMS Instructor
  • Renewal EMS Instructor / Physician as EMS Instructor initial and renewal
  • CE from acceptable sources must fall under 4765-19-01 OAC
  • Note the entities listed
  • ● Portions of an initial certification or licensing course may be counted towards CE credit when: The initial training meets the requirements set forth paragraph (B) of this rule and The sponsoring entity issues written documentation ●
  • ● Continuing education credit for first responders and EMTs may be obtained from teaching EMS continuing education through an EMS accredited or EMS approved institution when the following applies: All courses shall have prior approval from the program director; (2) A first responder or EMT may count a presentation for continuing education hours only once during a twelve month period; (3) The number of contact hours awarded to the EMS instructor, Asst EMS Instructors, CE instructors, or guest lecturer for a presentation shall be equal to the number of contact hours established for the course. (a) Contact hours can only be awarded for that portion of the course presented by the EMS instructor, Asst. EMS instructor, CE Instructor, or guest lecturer. (b) Continuing education contact hours may be awarded for additional portions of the activity the EMS instructor, Assistant EMS instructor, CE Instructor or guest lecturer attends (c) Contact hours shall not be awarded for time spent in the development or preparation of a course or presentation.
  • A certificate of completion should be obtained whenever you complete CE for credit towards your recertification. Certificate of completion should contain total hours for class and specialty hours for class. Explain geriatric trauma total class hours are 3 and you get credit for 3 from geriatric and 3 from trauma (after making total) do not get 6 hours towards total only 3 hours towards total
  • Tell them not to throw away their certificates of completion when they receive their new cards! Will need certificates of completion on the EMS side to show proof of compliance Problem Area - - Audit Form states that courses like PALS , Heartsaver CPR and ACLS Provider must have both the number of hours for the course and the course outline attached to the copy of the card. We continue to receive only the card which delays the audit process 3. We have had many state that they received their new card in the mail and threw away the certificates of completion for the past three year period – Keep your certs for 3 years past and 3 years present as a minimum, may need your certs for proof for employment throughout your career
  • Audits automatically generated from renewal database by the touch of a button, strictly random!
  • If we can’t find you, you will not be notified you are expiring / e-mails , put in secondary in case primary fails, maybe use department e-mail for secondary e-mail address I know many chiefs say the card belongs to the individual and they are not tracking or watching that card, and that is correct the certification is the responsibility of the individual to make sure they stay certified but I strongly suggest that all departments track their personnel monthly or yearly to make sure you have certified personnel on the street on both the fire and EMS side of the house
  • Fire started auditing with 10% of February 2010 renewals / New process for fire and those that don’t meet or don’t respond could face disciplinary action by the Committee and Executive Director All certification levels will expire on same date starting in January 2011 and the Executive Director will decide how many levels will be audited and process of determining which levels will be audited
  • I know talking about LAWS (ORC) and RULES (OAC) stresses everyone and then you fall asleep!!! Know that 4765 of both the ORC / OAC are pertinent to your job as an EMT in Ohio How many people have ever looked at both sections of 4765 (ORC/OAC?????) / For Trauma Triage either the on-line course from our web page or the classroom version from accredited or approved training program during each three year certification cycle
  • Now documented training, no longer mandatory 2 hours / OhioEMSTraining.com or web page link
  • Different system than the on-line Ohio EMS certification renewal / Once there need to go to bottom of sign-in box and register / Enter all the information requested / Remember your password and users name, additional classes will go up here and each time you go into this system it maintains history for you
  • Once you have logged in this is the welcome screen, click on Course catalog, the next screen will show a small box and Emergency Medical Services next to it, click on the small box and two programs will list EMS CHEMPACK and the Ohio Trauma Triage Program, click on the program wanted
  • Note Minimum Computer Requirements to view programs on Ohio’s EMS On-line Training Center / turn off all pop-up blockers / Make sure to write down and remember your user name and password, this system will record each time you are in and each time you complete a course. Currently just the two courses up on this site, this is an off-site server and not located at the ODPS
  • Make sure you go through every slide, evaluation and test and finish the slides “DONE” button to get course to register
  • The certificate of completion must be printer from the upper right printer icon just above the certificate (SEE NEXT SCREEN) / This is a continuous running program and if you don’t log out you will remain active in the system and shown as logged in until you do.
  • 2 course posted on-line EMS CHEMPACK and Ohio Trauma Triage
  • Chuck Milam will cover Certificate of Approval Programs
  • Information pertinent to Approved CE training sites / Accredited can be accredited at 5 different levels (includes instructor training accreditation) Approved sites EMS related CE and Ohio Refreshers only (patient care and EMS Operations)
  • We want you to stay current as a Board Approved Training program if you want to be, every effort will be made to notify you of your pending expiration date 3 years is normal certification cycle for CE sites Renewal application due back at Ohio EMS 30-days before you expire
  • Pertinent info for renewing, after we receive application at EMS, we review it and contact program director for visit Initial or renewal application has to be the one approved by the Ohio EMS Board Site visit by Education Coordinator is designed to help you and your program succeed, not to find fault We will review training files and records /Instructor file and credentials/ medical director involvement and approval /training rooms and equipment
  • By rule approval application must be received 30-days prior to expiration date / Program belongs to the department or the organization not the Program Director / We have had program directors leave and take all files and records with them. The files and records belong to the organization or department and must remain at the CE site Department policy states 120 days from application received it will be before the EMS Board for approval or denial Fill out applications completely Let us know of changes as you go, Program Director, Medical Director, Authorizing Official, addresses, e-mails, telephone numbers, anything that changes with your Approved CE Training Program We get this question a lot – Program Director does not have to be certified to be Program Director Authorizing official show be who has ultimate authority for organization
  • Each course is required to have these files either electronic or written Make sure you keep copies of any skills sheets utilized and remember that all Ohio refresher courses required documented written and practical testing Also a description of what is being taught or course syllabus with clear objectives should be with file or electronically available
  • Again, either electronic or written EACH CLASS THAT YOU GIVE CE CREDIT FOR MUST HAVE A RECORD/FILE
  • EXAMPLES OF COURSE APPROVAL FORM FOR MEDICAL DIRECTOR AND/OR TRAUMA SURGEON
  • Another EXAMPLE OF COURSE APPROVAL FORM FOR MEDICAL DIRECTOR
  • EXAMPLES OF COURSE EVALUATION FORM
  • ANOTHER EXAMPLE OF COURSE EVALUATION FORM (next 2 pages also for one form)
  • Evals should cover at a minimum, the course, the instructor, the facilities and suggestions/comments area
  • Trouble comes in when a CE site gets behind or fails to keep proper files and records while teaching courses If an EMT or agency is named in a lawsuit, training records/Program Directors are going to be subpoenaed into court
  • If someone leaves the department a certificate of completion should be generated for them if requested Computer generated training records must show date, topic any specialty hours, and signed/attested to by the Program Director for EMS
  • John Sands will cover upcoming process to move everyone’s expiration dates and certification levels to one card/one date
  • All certifications will be on the same card and with one common expiration date – your birthday Rules drafted and going through approval process January 1, 2011 target date Established fire date already – EMS card or other cert levels going to that date – Dual certs are already expiring in the same year Shortened CE requirements for those with a merged certification cycle If no fire card, EMS card will move to birthday in year it is set to expire currently
  • New certs with an already merged date, go to that date No certs, move to birthday in third year Fire cert added to Already existing EMS Cert after the merge, will move to the EMS date
  • All certifications will be on the same card and with one common expiration date. Merged CE cycles will have adjusted CE for specific levels affected 0-1 year NO CE 1 to 2 yrs 30% of CE 2 to 3 yrs 60% of CE 3 yrs. and over full CE required Hours required chart for all levels will be in Rules for each specific level for renewal
  • Instructors on EMS side all moving to three year certification cycle cards, currently two year Fire Instructors already at 3 year expiration dates lined up with their firefighter certification cards
  • Merge Cycle CE EMS – The following slides are proposed drafts until Rules have been adopted and approved Explain slide!
  • Merge Cycle CE EMS -The following slides are proposed drafts until Rules have been adopted and approved Explain slide!
  • Merge Cycle CE EMS-The following slides are proposed drafts until Rules have been adopted and approved Explain Slide!
  • Merge Cycle CE EMS-The following slides are proposed drafts until Rules have been adopted and approved Explain Slide!
  • Merge Cycle CE EMS Instructor, Assistant EMS Instructor, CE Instructor-The following slides are proposed drafts until Rules have been adopted and approved EXPLAIN SLIDE!
  • Merge Cycle CE Firefighter and FSI-The following slides are proposed drafts until Rules have been adopted and approved EXPLAIN SLIDE!
  • Merge Cycle CE Fire Instructor-The following slides are proposed drafts until Rules have been adopted and approved EXPLAIN SLIDE!
  • Merge Cycle CE Asst. Fire Instructor-The following slides are proposed drafts until Rules have been adopted and approved
  • From our web page, simple, quick and easy to renew on line along with DMA form Explain slides
  • Log In Screen
  • Once logged in – notice no certifications for renewal – 90 days within expiration date
  • Log in Error example
  • Registration screen example
  • Already registered – Press reset Password
  • New password e-mailed
  • E-mail confirmation example
  • Log In Screen where you can get new password, e-mail changes, initial application
  • Keep a copy of this!!!!!
  • And keep this as well!
  • Certification Verification Log In
  • Certification Verification page display
  • Tom Macklin is the HLS coordinator for the Division of EMS/ works with HLS, ODH grants and the SAIC
  • CIMS – organization / department should be registered with CIMS / SAIC – Ohio EMS provides personnel to man the SAIC routinely
  • Tom Macklin is the HLS coordinator for the Division of EMS / Web also has information on communications and links to pertinent partners for HLS/WMD
  • Briefly cover some information on Investigations Section and their responsibilities
  • Can not take action on: Individual departments Departmental policy and procedures
  • Available on web page
  • Available on our web page, Fire Complaints must be in writing and no anonymous fire complaints
  • Pursuant to an adjudicatory hearing under Chapter 119. of the Revised Code, may suspend, revoke, restrict, refuse to issue, or refuse to renew a fire service training certificate or certificate to teach fire service training issued by the executive director, or impose a fine not to exceed one thousand dollars, if the executive director finds the certificate holder has done any of the following: (1) Conviction of: (a) Any felony offense; (b) A misdemeanor committed in the course of practice; (c) A misdemeanor involving moral turpitude; (2) Failed to satisfy continuing education, training, or certification requirements of Chapter 4765-20 of the Administrative Code; (3) Violated any condition of a consent agreement or an order issued by the executive director.
  • If criminal history, must fill out with applications
  • Many investigative cases that result in EMS Board or Fire Committee action could be avoided. Many do not respond to Audits, do not supply info with the app pertaining to convictions (DCH), Check yes inadvertently and never respond so the app is deemed “Incomplete” and not supply documentation pertaining to Consents/board Orders. If app rec’d have to “act” on the app Many hearings are for these violations and could easily be rectified!
  • Board does a review and updates the Scope of Practice rules at each level – First Responder through Paramedic - before doing anything within the Scope, must have had training and have a local medical director to approve protocol Local Medical Director can limit the scope of practice for a given level but cannot exceed the scope of practice.
  • Where do you look for scope of practice? -most commonly used source and generally most current is the Scope of Practice Matrix found on the EMS web page - most current because the law states the EMS Board can add skills to the scope of practice through rule making process - to allow for rapid additions when medically prudent, the Board established a rule (4765-6-01) stating additions to rules will be added to the matrix and will list the additions in rules on an annual basis -Scope matrix allows you to easily compare the scope of practice of all levels simultaneously
  • Briefly cover information on our Grants Section, Alan Boster Grants Administrator for Ohio EMS
  • Applications available on our web site and information on the grants
  • Many recent news articles of departments and organizations issued grants by Ohio EMS but failing to use the money for a variety of reasons, this is a reimbursed grant
  • Any questions on eligibility contact Diane Walton or Alan Boster of our Division
  • The purpose of the Ohio EMS grant program is to improve and enhance EMS patient care in the State of Ohio by providing grant funds to eligible applicants. There are four types of grants available from the Ohio Division of EMS
  • There is a 2 nd , 3 rd and 4 th priority as well
  • There is a 2 nd , 3 rd and 4 th priority as well
  • AMBULANCE STAFFING!! - In other words this slide means that there is no difference than what it has always been, 2 EMT’s to transport if not a volunteer department. Old law said transport this one says during an emergency run!
  • 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
  • S.B. 129 was passed in the 127 th General Assembly. Law effective D4ecember 30,2008. EMS Board’s position paper March 2009
  • If so staffed, Basic in the back with patient!
  • In the law, and for local legal counsel to determine if you meet the State Law for “substantially utilizes”
  • The Board recognizes the challenges faced by the volunteer agencies in regards to recruitment and retention of EMS providers, but encourages those services, whenever possible, to continue staffing with a minimum of 2 EMT-Basics.
  • Immediate contact with groups listed above, if something happens or something changes we have the capability for immediate access to anyone signed up on the various or multiple lists
  • Site Available from home Ohio EMS web page, “CE TRACKING SYSTEM” Instruction on the page once you get there Initially designed to help departments without a database to be able to have a place to track their personnel’s CE
  • This can be used by you, department, training programs, to maintain CE Tracking If audited, still at this time must produce documentation to complete audit process
  • 1. On our web page – “ Suggestion Box” 2. Just as it states, “Suggestions” don’t send anonymously, won’t be answered, all suggestions that have return information will be answered
  • We still have Ask EMS but this is an avenue for constructive changes or suggestions
  • 1. Board approved National Accreditation for Ohio Paramedic Training programs in February 2010. Ohio Paramedic Training programs have until 2018 to become Nationally Accredited by Committee on Accreditation for the EMS Professions (CoAEMSP) 2. New curriculums being developed by sub-committees working with the EMS Board’s Education Committee, the EMS Board has already approved the new National Standard Curriculum as a minimum for Ohio levels 3. Awards are to be presented at May Board meeting EMS Organization, 4 levels and EMS Medical Director 4. Electronic Siren newsletter sign up, no more paper copies, post at stations, circulate around departments and training facilities 5. List Servs – SIGN –UP!
  • Don’t forget!!!!!! Visit the Ohio EMS web site often! We encourage you to Surf and Explore the web page! Top articles are upcoming events or recent releases
  • April 2010 CE Sessions

    1. 1. EMS CE Update Session for Emergency Medical and Fire Services Professionals Tuesday, April 27, 2010 – 1:00 p.m. to 3:00 p.m.
    2. 2. Offered by the: Ohio Division of Emergency Medical Services Our thanks to … The Ohio Department of Transportation and the Ohio Department of Public Safety, for hosting this update session.
    3. 3. Ohio Department of Public Safety Ohio Division of Emergency Medical Services Executive Director Richard N. Rucker
    4. 4. www.ems.ohio.gov
    5. 5. Division of Emergency Medical Services Oversight of EMS in Ohio <ul><li>Role of the EMS Board </li></ul><ul><li>Role of the Division of EMS </li></ul><ul><li>Role of State Medical Director </li></ul>
    6. 6. Role of the EMS Board <ul><li>The EMS Board is regulatory and advocacy Board that: </li></ul><ul><li>administers and enforces the provisions of the Ohio Revised Code (ORC 4765); </li></ul><ul><li>makes recommendations to the General Assembly on legislation to improve the delivery of EMS; </li></ul><ul><li>establishes standards for the performance of EMS providers including certification and training; </li></ul><ul><li>establishes qualifications & standards of performance for EMS providers, instructors, accredited institutions and CE approved institutions; </li></ul><ul><li>establishes and maintains a state trauma registry; </li></ul><ul><li>administers a grant program for training, research & equipment purchase; </li></ul><ul><li>maintains an EMS incidence reporting system; </li></ul><ul><li>maintains a statewide EMS plan; and </li></ul><ul><li>serves as a statewide clearinghouse for discussion, inquiry, and complaints concerning emergency medical services. </li></ul>
    7. 7. EMS Board Meeting Dates The EMS Board meetings are held the third Wednesday of every even month at: Ohio Department of Public Safety Room 134 * 1970 West Broad Street Columbus, Ohio * Dates and/or locations may change; check the EMS website for the latest information.
    8. 8. *Committees <ul><li>Education – Monthly, First Thursday, @ 9:00 a.m. </li></ul><ul><li>EMS-C - Odd months, Tues. before EMS Board @ 12:15 PM </li></ul><ul><li>Fire - Second Tues. of every month @ 10:00 AM </li></ul><ul><li>Homeland Security - Monthly, Tues. before EMS Board @ 1:00 PM </li></ul><ul><li>IRSAC - Even months, Tues. before EMS Board @ 10:00 AM </li></ul><ul><li>Medical Oversight - Odd months, Tues. before EMS Board @ 10:00 AM </li></ul><ul><li>Recruitment & Retention – Monthly, 9:00 AM day of EMS Board Meeting </li></ul><ul><li>Research - Even months, Tues. before EMS Board @ 10:00 AM </li></ul><ul><li>Rules - Monthly, Tues. before EMS Board @ 9:00 AM </li></ul><ul><li>Trauma - Odd months, 2nd Wed. @ 10:00 AM </li></ul><ul><li>Trauma Registry - Even months, Tues. before EMS Board @ 1:30 PM </li></ul><ul><li>*Dates and/or locations may change; check </li></ul><ul><li>the EMS website for the latest information. </li></ul>
    9. 9. Division of Emergency Medical Services FFSI Committee/Division of EMS Overview <ul><li>FFSI Committee Members </li></ul><ul><li>Role of the FFSI Committee </li></ul><ul><li>Division of EMS Staff </li></ul><ul><li>Role of the Division of EMS </li></ul>
    10. 10. Role of the FFSI Committee <ul><li>Advises & counsels the EMS Executive Director on: </li></ul><ul><li>establishment and maintenance of fire service training programs for positions of any fire training certification level; </li></ul><ul><li>classification and chartering of fire service training programs; and </li></ul><ul><li>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. </li></ul>
    11. 11. Firefighter and Fire Safety Inspector Training Committee <ul><li>Members </li></ul><ul><li>Phil McLean, Chair </li></ul><ul><li>Brent Gates </li></ul><ul><li>Richard Sacco </li></ul><ul><li>Terry Gill </li></ul><ul><li>Mark Mankins </li></ul><ul><li>Jim Steele </li></ul><ul><li>Bob Babb </li></ul><ul><li>Mark Lundy </li></ul><ul><li>Appointed by </li></ul><ul><li>Mark Resanovich, OSFA </li></ul><ul><li>Mark Burgess, OFCA </li></ul><ul><li>William Quinn, OAPFF </li></ul><ul><li>Jim Holcomb, OSFA </li></ul><ul><li>Joyce Fisher, OSFA </li></ul><ul><li>Daryl McNutt, OFCA </li></ul><ul><li>Jim Davis, OAPFF </li></ul><ul><li>William Mallory, Jr., OAPFF </li></ul>
    12. 12. Fire and Fire Safety Inspector Training Committee Meetings <ul><li>The Committee meets the second Tuesday of each month at 10:00 AM at the Ohio Department of Public Safety in Columbus. </li></ul><ul><li>Meetings are open to the public. </li></ul><ul><li>Everyone is welcome to participate </li></ul><ul><li>in discussions. </li></ul>
    13. 13. Role of the State Medical Director <ul><li>The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues. </li></ul>
    14. 14. Ohio State Board of Emergency Medical Services <ul><li>State Medical Director </li></ul><ul><li>Carol A. Cunningham, </li></ul><ul><li>M.D., FACEP, FAAEM </li></ul><ul><li>1970 West Broad Street </li></ul><ul><li>Columbus, Ohio 43223 </li></ul><ul><li>Phone: (800) 233-0785 </li></ul><ul><li>Office Phone: (614) 466-7076 </li></ul><ul><li>FAX: (614) 466-9461 </li></ul><ul><li>[email_address] </li></ul>
    15. 15. Role of the Division of EMS (EMS) <ul><li>Administrative arm of the State EMS Board </li></ul><ul><li>The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services. </li></ul><ul><li>The Division develops and enhances a statewide, comprehensive, systematic response to injury, illness and fire, primarily through education and training, certification and strategic planning. </li></ul>
    16. 16. Role of the Division of EMS FIRE SECTION <ul><li>Administrative support for the FFSI </li></ul><ul><li>The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services. </li></ul>
    17. 17. Division of Emergency Medical Services EMS & FIRE - Education <ul><li>EMS & Fire Certification Renewal </li></ul><ul><li>EMS & Fire CE Requirements </li></ul><ul><li>EMS & Fire Instructor Levels </li></ul><ul><li>EMS & Fire Instructor CE </li></ul><ul><li>EMS Trauma Triage Requirement </li></ul><ul><li>EMS & Fire Audits </li></ul><ul><li>EMS Approved EMS CE Training </li></ul><ul><li>One Card – One Expiration Date </li></ul><ul><li>Certification – Recertification On-line </li></ul><ul><li>National Accreditation / EMS Awards </li></ul>
    18. 18. Role of the Division of EMS <ul><li>FIRE RECERTIFICATION REQUIREMENTS </li></ul>
    19. 19. CE Requirements - FIREFIGHTERS <ul><li>CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director </li></ul><ul><li>For expiring in 2010 – 18 hours required </li></ul><ul><li>For expiring in 2011 – 36 hours required </li></ul><ul><li>For expiring in 2012 – 54 hours required </li></ul>
    20. 20. CE Requirements – FIRE Safety Inspector (FSI) <ul><li>CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director </li></ul><ul><li>For expiring in 2010 – 10 hours required </li></ul><ul><li>For expiring in 2011 – 20 hours required </li></ul><ul><li>Must be related to FSI objectives </li></ul>
    21. 21. CE Requirements – FIRE For Full 3-year Cycle <ul><li>FF – 54 hours total, 18 hours annual </li></ul><ul><li>CFSI – 30 hours total, 10 hours annual </li></ul><ul><li>Fire Instructor – 6 hours methodology total, 2 hours per year, 24 hours per certification cycle teaching </li></ul><ul><li>Assistant Fire Instructor – 6 hours methodology total, 2 hours per year, 8 hours per certification cycle teaching </li></ul>
    22. 22. Types of EMS & Fire Instructors <ul><li>EMS Instructor </li></ul><ul><li>Assistant EMS Instructor </li></ul><ul><li>Continuing Education Instructor </li></ul><ul><li>Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STI’s) </li></ul><ul><li>Fire Instructor </li></ul><ul><li>Assistant Fire Instructor </li></ul>
    23. 23. Fire Instructor - CE Required <ul><li>Fire Instructor </li></ul><ul><ul><li>2010 8 hours teaching 2 hours How to teach </li></ul></ul><ul><ul><li>2011 16 hours teaching 4 hours how to teach </li></ul></ul><ul><li>Assistant Fire Instructor </li></ul><ul><ul><li>2010 2.65 hours teaching 2 hours how to teach </li></ul></ul><ul><ul><li>2011 5.3 hours teaching 4 hours how to teach </li></ul></ul>
    24. 24. Role of the Division of EMS <ul><li>EMS RECERTIFICATION REQUIREMENTS </li></ul>
    25. 25. CE Requirements – First Responder OAC 4765-12-03 <ul><li>Minimum 15 CE hrs within 3-year certification cycle </li></ul><ul><ul><li>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 </li></ul></ul><ul><li>Ohio First Responder Refresher Course OR </li></ul><ul><li>Current registration with NREMT at the First Responder or equivalent level OR </li></ul><ul><li>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 </li></ul>
    26. 26. CE Requirements – EMT-Basic OAC 4765-15-03 <ul><li>Minimum 40 CE hrs within 3-year certification cycle </li></ul><ul><ul><li>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 </li></ul></ul><ul><li>Completion of a 30-hr Ohio EMT-B refresher OR </li></ul><ul><li>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 </li></ul><ul><li>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 </li></ul>
    27. 27. CE Requirements - EMT-Intermediate OAC 4765-16-03 <ul><li>Minimum 60 CE hrs within 3-year certification cycle </li></ul><ul><ul><li>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 </li></ul></ul><ul><li>Ohio EMT-I refresher program which satisfies 40 hrs of CE plus 20 hrs of additional CE OR </li></ul><ul><li>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 </li></ul><ul><li>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 </li></ul>
    28. 28. CE Requirements - EMT - Paramedic OAC 4765-17-02 <ul><li>Minimum 86 CE hrs within 3-year certification cycle </li></ul><ul><ul><li>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 </li></ul></ul><ul><li>Completion of an Ohio EMT-P refresher course which will satisfy 48 hrs of the required CE plus 38 hrs of additional CE OR </li></ul><ul><li>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 </li></ul><ul><li>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 </li></ul>
    29. 29. <ul><li>During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program </li></ul><ul><li>AND </li></ul><ul><li>Complete 6 hrs of instructional CE as approved by the Board </li></ul>CE Requirements- EMS Instructor OAC 4765-18-06
    30. 30. <ul><li>During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program </li></ul><ul><li>AND </li></ul><ul><li>Complete 6 hrs of instructional CE as approved by the Board </li></ul>CE Requirements- Asst. EMS Instructor OAC 4765-18-19
    31. 31. <ul><li>During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program </li></ul><ul><li>AND </li></ul><ul><li>Complete 2 hrs of instructional CE as approved by the Board </li></ul>CE Requirements- CE Instructor OAC 4765-18-16
    32. 32. EMS Instructor OAC 4765-18-05 <ul><li>Certificate to teach as an EMS instructor </li></ul><ul><ul><li>May teach any topic up to and within the individual’s certificate to practice in accredited or CE program </li></ul></ul><ul><ul><li>Possesses current and valid certificate or license to practice as a first responder, EMT, registered nurse or physician assistant </li></ul></ul><ul><ul><li>Has been certified or licensed at least 5 of last 7 years </li></ul></ul><ul><ul><li>Meets entrance requirements to EMSI training program </li></ul></ul><ul><ul><li>Completes 50 hr adult education methods course,8 hr EMS module and 10 hrs supervised teaching </li></ul></ul><ul><ul><li>Provide at least 16 hrs of EMS instruction and completed 6 hrs of instructional CE during preceding 2 years </li></ul></ul>
    33. 33. Assistant EMS Instructor OAC 4765-18-18 <ul><li>Certificate to teach as an assistant EMS instructor </li></ul><ul><ul><li>May prepare and instruct courses in any topic under the mentorship of an EMS instructor. </li></ul></ul><ul><ul><li>May teach up to and within the individual’s certificate to practice in accredited or CE program </li></ul></ul><ul><ul><li>Possesses current and valid certificate or license to practice as a first responder, EMT, registered nurse or physician assistant </li></ul></ul><ul><ul><li>Has been certified or licensed at least 3 of last 5 years </li></ul></ul><ul><ul><li>Meets entrance requirements to EMSI training program </li></ul></ul><ul><ul><li>Completes 8 hr EMS module and 10 hrs supervised teaching </li></ul></ul><ul><ul><li>Provide at least 16 hrs of EMS instruction and completed 6 hrs of instructional CE during preceding 2 years </li></ul></ul>
    34. 34. EMS Continuing Education Instructor OAC 4765-18-15 <ul><li>Certificate to teach as a continuing education instructor </li></ul><ul><ul><li>May teach any EMS continuing education course, approved by the program Medical Director, up to and within the individual’s certificate to practice </li></ul></ul><ul><ul><li>Possesses current and valid certificate or license to practice as a first responder, EMT, registered nurse or physician assistant </li></ul></ul><ul><ul><li>Has been certified or licensed at least 3 of last 5 years </li></ul></ul><ul><ul><li>Provides written documentation of qualifications to accredited or approved institution </li></ul></ul><ul><ul><li>Provide at least 4 hrs of EMS CE instruction and completed 2 hrs of instructional CE during preceding 2 years </li></ul></ul>
    35. 35. EMS Certificates to Teach Effective 3/1/2010 <ul><li>Submits a completed application; </li></ul><ul><li>Currently certified/licensed as a FR, EMT, RN or PA; </li></ul><ul><li>Certified/licensed as a FR, EMT, RN or PA at least 3 of last 5 yrs; </li></ul><ul><li>Passes written and practical skills exams at certification level within last 3 yrs, </li></ul><ul><li>Completes 8 hrs of instruction specific to the field of EMS; </li></ul><ul><li>Completes 10 hrs of supervised teaching under auspices of an accredited institution; </li></ul><ul><li>Compliance with OAC 4765-8-01 (A)(6) to (A)(12). </li></ul>Apply for Certificate to teach as an Assistant EMS Instructor OAC 4765-18-18 <ul><li>Submits a completed renewal application on or before the expiration date of the current certificate; ­ </li></ul><ul><li>Meets all standards for a certificate to teach as a CE Instructor; </li></ul><ul><li>­ ­Currently certified/licensed as a FR, EMT, RN or PA; </li></ul><ul><li>­ ­ Attended any mandatory instructor meetings held by the board; </li></ul><ul><li>Provided not less than 4 hrs of EMS instruction and completed 2 hrs of instructional CE during the preceding two years; </li></ul><ul><li>­Compliance with OAC 4765-8-01 (A)(6) to (A)(12). ­ </li></ul>Renewal of Certificate to teach as a Continuing Education Instructor OAC 4765-18-16 <ul><li>Submits a completed application; </li></ul><ul><li>Currently certified/licensed as a FR, EMT, RN or PA; </li></ul><ul><li>Program coordinator’s signature verifying applicant’s written documentation of qualifications to teach CE; </li></ul><ul><li>Certified/licensed as a FR, EMT, RN or PA at least 3 of last 5 yrs; </li></ul><ul><li>Compliance with OAC 4765-8-01 (A)(6) to (A)(12). </li></ul>Apply for Certificate to teach as a Continuing Education Instructor OAC 4765-18-15
    36. 36. <ul><li>Submits a completed renewal application on or before the expiration date of the current certificate; ­ </li></ul><ul><li>Meets all standards for a certificate to teach as a CE Instructor; </li></ul><ul><li>Currently certified/licensed as a FR, EMT, RN or PA; </li></ul><ul><li>Attended any mandatory instructor meetings held by the board; </li></ul><ul><li>Provided not less than 16 hrs of EMS instruction and completed 6 hrs of instructional CE during the preceding two years; </li></ul><ul><li>Compliance with OAC 4765-8-01 (A)(6) to (A)(12). ­ </li></ul>Renew a certificate to teach as an Assistant EMS Instructor OAC 4765-18-19 <ul><li>Submits a completed application; </li></ul><ul><li>Currently certified/licensed as a FR, EMT, RN or PA; </li></ul><ul><li>Currently certified as an Assistant EMS Instructor; </li></ul><ul><li>Compliant with OAC 4765-18-03 knowledge and practical exams training program requirements; </li></ul><ul><li>Satisfies one of the following: ­ </li></ul><ul><li>Completes 50 hr EMS Instructor training course; </li></ul><ul><li>Completes EMS Instructor Mentor Program; </li></ul><ul><li>Passes the Instructional Methods exam within 1 yr of course completion; </li></ul><ul><li>Compliance with OAC 4765-8-01 (A)(6) to (A)(12). </li></ul><ul><li>Submits a completed application; </li></ul><ul><li>Currently certified/licensed as a FR, EMT, RN or PA; </li></ul><ul><li>Certified/licensed as a FR, EMT, RN or PA at least 5 of last 7 yrs; </li></ul><ul><li>Passes written & practical skills exams at certification level within last 3 yrs; </li></ul><ul><li>Completes 50 hr EMS Instructor training course; </li></ul><ul><li>Completes 8 hrs of instruction specific to the field of EMS; </li></ul><ul><li>Completes 10 hrs of supervised teaching under auspices of an accredited institution; </li></ul><ul><li>Passes Instructional Methods exam within 1 yr of course completion; </li></ul><ul><li>Compliance with OAC 4765-8-01 (A)(6) to (A)(12). </li></ul>Apply for Assistant EMS Instructor to EMS Instructor OAC 4765-18-21 Apply for a certificate to teach as an EMS Instructor OAC 4765-18-05
    37. 37. <ul><li>Submits a completed application which demonstrates continued compliance with OAC 4765-18-09. </li></ul><ul><li>Not required to complete renewal requirements in OAC 4765-18-06. </li></ul>Renew Physician as EMS Instructor OAC 4765-18-09(B) <ul><li>Submits a completed application; </li></ul><ul><li>Meets one of the following criteria: </li></ul><ul><li>Active medical director with an EMS agency; or </li></ul><ul><li>Recommended by local RPAB; or </li></ul><ul><li>Recommended by program director of an accredited or approved training institution; or </li></ul><ul><li>Recommended by medical director of an accredited or approved training institution </li></ul><ul><li>Meets one of the following criteria: </li></ul><ul><li>License to practice medicine and surgery in good standing; or </li></ul><ul><li>License to practice osteopathic medicine and surgery in good standing; </li></ul><ul><li>Compliance with OAC 4765-8-01 (A)(6) to (A)(12). ­ </li></ul>Physician as EMS Instructor OAC 4765-18-09 <ul><li>Submit a completed renewal application on or before the expiration date of the current certificate; ­ </li></ul><ul><li>Meets all standards for a certificate to teach as an EMS Instructor ; </li></ul><ul><li>Currently certified/licensed as a FR, EMT, RN or PA; </li></ul><ul><li>Attended any mandatory instructor meetings held by the board; </li></ul><ul><li>Provided not less than 16 hrs of EMS instruction;; </li></ul><ul><li>Satisfies one of the following: ­ </li></ul><ul><li>Completed 6 hrs of instructional CE during the preceding two years or </li></ul><ul><li>Successfully completes the instructional methods examination.; ­ </li></ul><ul><li>Compliance with OAC 4765-8-01 (A)(6) to (A)(12). ­ </li></ul>Renew a certificate to teach as an EMS Instructor OAC 4765-18-06
    38. 38. OAC 4765-19-01 CE For First Responders and EMTs <ul><li>Requires that a single session be at least one-half contact hour </li></ul><ul><li>Must be EMS operations or patient care related </li></ul><ul><li>Specifies the acceptable formats in which CE courses may be delivered & sets requirements for each acceptable format </li></ul>
    39. 39. OAC 4765-19-01 CE For First Responders and EMTs <ul><li>Accepted CE Resources include: </li></ul><ul><ul><li>Ohio accredited or approved training </li></ul></ul><ul><ul><li>program; </li></ul></ul><ul><ul><li>EMS licensing agency in another state; </li></ul></ul><ul><ul><li>Branch of the U.S. military; </li></ul></ul><ul><ul><li>Medical or Nursing licensing board; </li></ul></ul><ul><ul><li>federal, national, or state entities (EMA, FEMA, HLS, ARC, AHA, ASHI, CECBEMS & others approved by the Board) </li></ul></ul><ul><li>􀂉 </li></ul>
    40. 40. CE 4765-19-01 CE For First Responders and EMTs <ul><li>EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when: </li></ul><ul><ul><li>Course work is related to EMS operations or patient care and </li></ul></ul><ul><ul><li>CE credit is issued by the sponsoring entity. </li></ul></ul>
    41. 41. CE 4765-19-01 CE For First Responders and EMTs <ul><li>EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when: </li></ul><ul><ul><li>Prior approval received from program director and medical director </li></ul></ul><ul><ul><li>CE credit for lesson is earned once within a 12 month period. </li></ul></ul>
    42. 42. CE Certificate of Completion <ul><li>Must be issued by a provider listed in OAC 4765-19-01(A)(4) </li></ul><ul><li>Include total CE hours awarded and </li></ul><ul><ul><li>Specific breakdown for pediatric, geriatric, trauma and cardiology hours </li></ul></ul><ul><li>Class dates must be within certification cycle </li></ul>
    43. 43. Division of EMS EMS and Fire Audits <ul><li>10% of providers that renew are audited the following month by computerized random selection </li></ul><ul><li>EMS audit occurs the month AFTER the new card takes effect </li></ul><ul><li>May conduct audit at anytime if complaint is received </li></ul><ul><li>Audits are for the previous three year cycle </li></ul><ul><li>Certificate of completion needed from an accredited institution, approved CE site or meets OAC 4765-19-01 for EMS </li></ul><ul><li>Chief or Fire Charter approval for Fire </li></ul>
    44. 44. Division of EMS EMS and Fire Audits <ul><li>Do not wait until 3 rd year of certification to start getting CE in-line </li></ul><ul><li>If audited – Respond! </li></ul><ul><li>Call or e-mail with questions or with concerns, or information that might affect your certification card </li></ul><ul><li>This should be “no worries” if CE was completed as required </li></ul>
    45. 45. Division of EMS EMS and Fire Audits <ul><li>Keep E-Mail and Address Current with the Division – Highly Important!!! If we can’t notify you, you can’t respond! </li></ul><ul><li>Be honest! If you didn’t complete, say so, don’t forge, or misrepresent anything </li></ul><ul><li>The EMS Board will work with you to successfully complete an audit </li></ul>
    46. 46. Division of EMS EMS and Fire Audits <ul><li>Fire audits just started with the February 2010 renewals </li></ul><ul><li>The Executive Director will monitor the Fire audits for 2010 and make a determination on those that don’t meet or do not respond. </li></ul><ul><li>With the 1 card 1 expiration, the audit process will be amended in January 2011. </li></ul>
    47. 47. Trauma Triage Transportation Protocol ORC 4765.40 <ul><li>The law requires the board to adopt rules for education regarding state trauma triage protocols </li></ul><ul><li>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. </li></ul><ul><li>DOES NOT increase the total number of CE hours </li></ul><ul><li>CE may include state trauma triage protocol, OR approved regional trauma triage protocol </li></ul>
    48. 48. Trauma Triage Transportation Protocol <ul><li>The online Trauma Triage course is posted on the EMS website, all Ohio EMT-Bs, EMT-Is & EMT-Ps must complete either a traditional classroom or online course within their three year certification cycle. </li></ul><ul><li>www.ohioemstraining.com </li></ul>
    49. 49. Sign in Not a member yet? Click here to Join Sign in » Next time automatically sign me in __________________ ( I forgot my password ) Password ____________ Sign in name
    50. 52. On-Line Ohio EMS CE Courses <ul><li>You must complete the entire course - ALL slides, the evaluation, the test and click “done” on the final screen in order to receive credit for the course and be able to generate the certificate of completion. </li></ul><ul><li>For the certificate, go back to Welcome (Home) page, upper right click “Edit Profile” then click third tab in “Certificates”, the transcript should pop up and show you the classes you have completed, click on class and certificate desired </li></ul>
    51. 53. On-Line Ohio EMS CE Courses <ul><li>The certificate of completion selected will pop-up on the screen, it will look off center and letters don’t line up and that is okay </li></ul><ul><li>Print only from the printer icon on the upper right just above the certificate of completion </li></ul><ul><li>Once you have completed the session, make sure you log out of this program </li></ul>
    52. 54. On-Line Ohio EMS CE Courses
    53. 55. CHEMPACK <ul><li>Ohio one of the first states to develop Statewide Activation protocols </li></ul><ul><li>EMS & Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident </li></ul><ul><li>Anyone that may be in I/C role, dispatchers, & line officers need to have training in how to request, receive, use, and demobilize CHEMPACK if needed </li></ul>
    54. 56. Division of EMS <ul><li>Certificate of Approval Training Programs </li></ul>
    55. 57. Division of EMS EMS Certificate of Approval <ul><li>Accredited vs. Approval sites </li></ul><ul><ul><li>Initial training, upgrade training, Ohio Refresher Courses and CE - Accredited </li></ul></ul><ul><ul><li>CE and Ohio Refresher Courses - Approved </li></ul></ul><ul><li>95 Accredited Sites </li></ul><ul><li>538 Approved Sites </li></ul><ul><li>Approved site inspections started in 2004 </li></ul><ul><li>100% visited, each visited every three years </li></ul><ul><li>Approximately 170 sites visited each year </li></ul>
    56. 58. Division of EMS EMS Certificate of Approval <ul><li>EMS Board extended the expiration date for some Approval sites in December 2009, for administrative purposes – 70 sites moved to 2011 and 2012 expiration dates, from 2010 expiration dates previously held </li></ul><ul><li>Normal Approval cycle is 3 years from Board approval to expiration </li></ul><ul><li>Approval renew process – notified 5 months, 90-days and certified mail at 30-days before CE site expiration date </li></ul>
    57. 59. Division of EMS EMS Certificate of Approval <ul><li>Renewing a CE site </li></ul><ul><ul><li>Application process, use most recent application that is Board approved </li></ul></ul><ul><ul><li>Ohio EMS Education Coordinator will schedule site visit with Program Director </li></ul></ul><ul><ul><li>Site visit is not to try to find something wrong, it is to review: </li></ul></ul><ul><ul><ul><li>training files and records for past 3 years </li></ul></ul></ul><ul><ul><ul><li>review instructor certifications & File </li></ul></ul></ul><ul><ul><ul><li>review medical director and program director approval of all CE classes presented </li></ul></ul></ul><ul><ul><ul><li>review training rooms and equipment </li></ul></ul></ul>
    58. 60. Division of EMS EMS Certificate of Approval <ul><li>Renewal application must be received 30 days prior to established expiration date </li></ul><ul><li>For renewal applications make sure the applications are completely and accurately filled-out </li></ul><ul><li>Let us know during the cycle if anything changes, Program Director, Medical Director, addresses, authorizing official, e-mail addresses </li></ul><ul><li>Program Director does not have to be EMT certified, good administrator who oversees the program </li></ul><ul><li>Authorizing official is typically Program Director’s supervisor and has responsibility to maintain program and appoint EMS Program Director </li></ul>
    59. 61. Division of EMS EMS Certificate of Approval <ul><li>Required documentation to for CE Training Program to comply with ORC/OAC 4765-7-09 & 4765-7-11 </li></ul><ul><ul><li>Program Director and Medical Director course approval sign-off </li></ul></ul><ul><ul><li>Clear course objectives documented (some sites place these on above form) </li></ul></ul><ul><ul><li>Sign-in sheet with date, time, topic, location, instructor of record and guest lecturer if applicable </li></ul></ul><ul><ul><li>Participant evaluation </li></ul></ul><ul><ul><li>Summary evaluation </li></ul></ul><ul><ul><li>Certificate of Completion </li></ul></ul>
    60. 62. Division of EMS EMS Certificate of Approval <ul><li>Each Continuing Education File: </li></ul><ul><li>The following should be a part of each CE file which you give CE credit: </li></ul><ul><ul><li>Outline or syllabus of what was taught with clearly spelled out objectives </li></ul></ul><ul><ul><li>Summary sheet of participant evaluations </li></ul></ul><ul><ul><li>Roster or attendance sheet with date, time, topic, location, instructor of record and guest lecturer, if applicable </li></ul></ul><ul><ul><li>Program Director and Medical Director approval of class and medical content </li></ul></ul><ul><ul><li>Ohio refreshers document written and practical testing </li></ul></ul>
    61. 63. Continuing Education Approval Form Name of CE: __________________________________________ Instructor preparing CE: _______________________________ I have reviewed the objectives and/or 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 and/or outline and approve it for __________ hours of Trauma Continuing Education. _________________________ ______________ Trauma Surgeon Date
    62. 64. Medical Director Approval Form For Continuing Education Course Title: __________________________________ Instructor: ____________________________________ Category: __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other: ______________________________________________ Objectives: _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ Data Approved: ________________________________________ Signature: _____________________________________________ Comments: ____________________________________________
    63. 65. EMS Continuing Education Emergency 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 useful/applicable 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 format? No. Not at All 1 2 3 4 5 6 7 8 9 10 Yes, very well done Question 3: Was the visual aids/media presented visually stimulating/exciting and go well with the speaker’s topic? No. 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.
    64. 66. Evaluation Form Course Name ______________ Date ___/___/_____ Instructor __________________ What were your objectives in taking this training? Were your objectives met? Yes/No 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? Yes/No 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
    65. 67. 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, A/V, 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
    66. 68. Evaluation Form (cont.) Name of CE: _________________________________________________ Instructor preparing CE: ______________________________________ have reviewed the objectives and/or 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 and/or outline and approve it for ___________ hours of Trauma Continuing Education. _______________________ __________________ Trauma Surgeon Date CE Certificate of Approval Number
    67. 69. Division of EMS EMS Certificate of Approval <ul><li>Have files and records in order prior to site visit </li></ul><ul><li>Should be maintained throughout the year </li></ul><ul><li>Don’t get behind on records and files </li></ul><ul><li>Files and Records are your protection and can greatly help the EMT in civil suits </li></ul>
    68. 70. Division of EMS EMS Certificate of Approval <ul><li>If you use a computer generated training report in place of a certificate of completion it must: </li></ul><ul><ul><li>Be used for your department personnel only, outside individuals need to be issued a certificate of completion </li></ul></ul><ul><ul><li>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 </li></ul></ul><ul><ul><li>Attested to by original signature of the Program Director of an Accredited or Approved Training Program </li></ul></ul>
    69. 71. Division of EMS <ul><li>ONE CARD/ ONE EXPIRATION DATE </li></ul>
    70. 72. Division of Emergency Medical Services One Card / One Expiration <ul><li>Currently working on draft rules to be able to move everyone’s certification date to birthday </li></ul><ul><li>Target date for switch is January 1, 2011 </li></ul><ul><li>If you have an established Fire Expiration date, any other certifications will move to that date </li></ul><ul><li>There will be shortened CE requirements during the merge cycle periods </li></ul><ul><li>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 </li></ul><ul><li>If no fire card, EMS card will move to the birthday in the year the EMS card is currently set to expire. </li></ul>
    71. 73. Division of Emergency Medical Services One Card / One Expiration <ul><li>New certifications obtained after the merge of cards, will move to the already established date of the existing card </li></ul><ul><li>If new certification and no established expiration date, it will go to the birthday in the third year of the certification </li></ul><ul><li>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 </li></ul>
    72. 74. Division of Emergency Medical Services One Card / One Expiration <ul><li>Merged cycle CE will be 0-1 year no CE required </li></ul><ul><li>1 to 2 years 30% of required CE for both Fire and EMS </li></ul><ul><li>2 to 3 years 60% of required CE for both Fire and EMS </li></ul><ul><li>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 </li></ul>
    73. 75. Division of Emergency Medical Services One Card / One Expiration <ul><li>EMS instructor, Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date </li></ul><ul><li>Fire Instructors already at three year expiration date and already a common date with their fire certification </li></ul>
    74. 76. EMS CERTIFICATE TO PRACTICE MERGED/SHORTENED CERTIFICATION 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 30% 4 hours No specialty hours need 60% 9 hours No specialty hours need 100% 15 hours Patient assessment CPR Airway management and oxygen administration Automated defibrillation Illness and injury management Trauma issues Anaphylaxis and patient-assisted epinephrine
    75. 77. EMT-Basic 30% 12 hours to include: 1 hour pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course 60% 24 hours to include: 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course 100% 40 hours to include: 6 hours pediatric 2 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course MERGED/SHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30% (12 months but less than 24 months) 60% (24 months but less than 36 months) 100% (36 months or more)
    76. 78. EMT-Intermediate 30% 18 hours to include: 2 hours pediatric 1 hour geriatric 2 hours trauma or the Ohio trauma Triage Course 60% 36 hours to include: 3 hours pediatric 1 hour geriatric 5 hours trauma to include the Ohio trauma Triage Course 100% 60 hours to include: 8 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course MERGED/SHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30% (12 months but less than 24 months) 60% (24 months but less than 36 months) 100% (36 months or more)
    77. 79. EMT-Paramedic 30% 26 hours to include: 4 hours pediatric 1 hour geriatric 2 hours cardiac 2 hours trauma or the Ohio trauma Triage Course 60% 51 hours to include: 7 hours pediatric 1 hour geriatric 4 hours cardiac 5 hours trauma to include the Ohio trauma Triage Course 100% 86 hours to include: 12 hours pediatric 4 hours geriatric 8 hours trauma to include the Ohio trauma Triage Course 6 hours cardiac care MERGED/SHORTENED CERTIFICATION CYCLES CE REQUIREMENTS 30% (12 months but less than 24 months) 60% (24 months but less than 36 months) 100% (36 months or more)
    78. 80. EMS CERTIFICATE TO TEACH MERGED/SHORTENED CERTIFICATION CYCLES CE/INSTRUCTION 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% 30% 2 hours methodology 2 hours methodology 7 hours instruction 4 hours instruction 60% 60% 3 hours methodology 3 hours methodology 14 hours instruction 9 hours instruction 100% 100% 6 hours methodology 6 hours methodology 24 hours instruction 16 hours instruction Continuing Education (CE) Instructor 30% 1 hour methodology 1 hour instruction 60% 1 hour methodology 100% 3 hours instruction 2 hours methodology 6 hours instruction
    79. 81. CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGED/SHORTENED CERTIFICATION CYCLE Time Frame Amount of Fire Continuing Education 12 months or less No continuing education 30% More than 12 mths up to 24 mths 18 hours of continuing education 60% 24 months up to 36 months 36 hours of continuing education 100% 36 months or more 54 hours of continuing education CONTINUING EDUCATION REQUIREMENTS FOR FIRE SAFETY INSPECTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE Time Frame Amount of Fire Continuing Education 12 months or less No continuing education hours 30% More than 12 mths up to 24 mths 10 hours of continuing education 60% 24 months up to 36 months 20 hours of continuing education 100% 36 months or more 30 hours of continuing education
    80. 82. CONTINUING EDUCATION/INSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE Time Frame Amount of Fire Continuing Education 12 months or less No continuing education required 30% More than 12 mths up to 24 mths 2 hours of continuing education 8 hours of instruction in fire 60% 24 months up to 36 months 4 hours of continuing education 16 hours of instruction in fire 100% 36 months or more 6 hours of continuing education 24 hours of instruction in fire
    81. 83. CONTINUING EDUCATION/INSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGED/SHORTENED 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
    82. 84. Division of Emergency Medical Services Certification <ul><li>On-line certification process </li></ul><ul><ul><li>Renewal - 99% renewing on-line! </li></ul></ul><ul><ul><li>Verification - Now displays entire record </li></ul></ul><ul><ul><li>42,000 EMT’s 53,000 Firefighters </li></ul></ul>
    83. 87. Log In Error
    84. 89. Registration Screen
    85. 90. Registration Submitted
    86. 91. Password Email
    87. 93. Application Received
    88. 94. Processed Email
    89. 97. Homeland Security <ul><li>What Should You Do? </li></ul><ul><li>Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at: </li></ul><ul><li>1- 877- OHS – INTE </li></ul><ul><li>1- 877- 647- 4683 </li></ul><ul><li>SEE SOMETHING, </li></ul><ul><li>SAY SOMETHING! </li></ul>
    90. 98. Homeland Security <ul><li>Be informed: </li></ul><ul><ul><li>Register for Contact and Information Management System (CIMS) </li></ul></ul><ul><ul><ul><li>http://www.dps.state.oh.us/CIMS </li></ul></ul></ul><ul><li>You can help prevent terrorist attacks by being aware of suspicious activities which include: </li></ul><ul><ul><li>Surveillance </li></ul></ul><ul><ul><li>Suspicious Activity </li></ul></ul><ul><ul><li>Tests of Security </li></ul></ul><ul><ul><li>Acquiring Supplies </li></ul></ul><ul><ul><li>Suspicious Persons </li></ul></ul><ul><ul><li>Dry Runs </li></ul></ul><ul><ul><li>Deploying Assets </li></ul></ul>
    91. 99. Homeland Security <ul><li>Ohio EMS HLS Web page has </li></ul><ul><ul><li>Pandemic Influenza section </li></ul></ul><ul><ul><li>WMD/Bioterrorism </li></ul></ul><ul><ul><ul><li>State of Ohio WMD Protocol </li></ul></ul></ul><ul><ul><ul><li>Required NIMS Training for all Ohio EMS Providers and firefighters </li></ul></ul></ul><ul><ul><ul><li>State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook </li></ul></ul></ul>
    92. 100. Division of Emergency Medical Services Office of Investigative Services <ul><li>Jurisdiction </li></ul><ul><li>EMS & Fire Complaint Forms </li></ul><ul><li>Violations </li></ul>
    93. 101. Jurisdiction <ul><li>EMS: </li></ul><ul><li>Applicants </li></ul><ul><li>EMTs </li></ul><ul><li>Instructors </li></ul><ul><li>Accredited training sites </li></ul><ul><li>Continuing education sites </li></ul><ul><li>Fire: </li></ul><ul><li>Applicants </li></ul><ul><li>Firefighters </li></ul><ul><li>(all levels) </li></ul><ul><li>Fire Instructors </li></ul><ul><li>Fire Safety Inspectors </li></ul><ul><li>Chartered training sites </li></ul>
    94. 102. EMS Complaint Form http://www.ems.ohio.gov/Forms_05.asp
    95. 103. Fire Complaint Form
    96. 104. Violations <ul><li>Conviction (including treatment in lieu) of any felony offense, a misdemeanor committed in the course of practice or involving moral turpitude </li></ul><ul><li>Misrepresentation of credentials </li></ul><ul><li>Violation of any narcotics or controlled substances law </li></ul><ul><li>Professional standard of conduct </li></ul><ul><li>Patient care cases including scope of practice </li></ul><ul><li>Continuing education cases </li></ul>
    97. 105. Declaration of Criminal History http://www.ems.ohio.gov/Forms_05.asp
    98. 106. Biggest Issue in Investigations… <ul><li>Individuals </li></ul><ul><li>NOT </li></ul><ul><li>responding </li></ul><ul><li>to the </li></ul><ul><li>Division </li></ul>
    99. 107. Scope of Practice <ul><li>Rules pertaining to scope of practice updated May 2008 </li></ul><ul><ul><li>OAC 4765-12-04 First Responder </li></ul></ul><ul><ul><li>OAC 4765-15-04 EMT-Basic </li></ul></ul><ul><ul><li>OAC 4765-16-04 EMT-Intermediate </li></ul></ul><ul><ul><li>OAC 4765-17-03 EMT-Paramedic </li></ul></ul>
    100. 108. Scope of Practice Matrix <ul><li>The Scope of Practice Matrix: </li></ul><ul><ul><li>serves as a &quot;quick view&quot; of the scope of practice; and </li></ul></ul><ul><ul><li>can be found on the EMS web page. </li></ul></ul><ul><li>The EMS Board may add skills to the scope and post on the matrix, with the rule updated annually to reflect additions. </li></ul>
    101. 109. Division of Emergency Medical Services Grants <ul><li>Grant Process </li></ul><ul><li>Eligibility Issues </li></ul><ul><li>First Priority </li></ul>
    102. 110. Grant Application <ul><li>Applications must be sent electronically, postmarked or hand delivered to the Division of EMS office by 5:00 P.M. April 1st of each award year </li></ul><ul><li>Applications may be completed on-line beginning February 1st or by utilizing the hard copy application available at the Ohio EMS website at www.ems.ohio.gov </li></ul><ul><li>Award letters will be mailed after July 1 st of the award year </li></ul>
    103. 111. Grants <ul><li>Funding for all grant priorities is determined by the amount of seat belt fines collected annually; approximately $4,000,000 is available each year. </li></ul><ul><li>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. </li></ul>
    104. 112. Grant Eligibility <ul><li>Eligible grantees are limited to: </li></ul><ul><li>EMS organizations whose main responsibility is to provide continuous emergency medical services to the community pursuant to requests and/or calls from the public for emergency medical service response. </li></ul>
    105. 113. Grant Eligibility <ul><li>EMS organizations must also meet one of the following: </li></ul><ul><li>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. </li></ul><ul><li>OR </li></ul><ul><li>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. </li></ul>
    106. 114. Grants – First Priority <ul><li>Given to EMS organizations for personnel training, for equipment and vehicles purchases, and to improve the availability, accessibility, and quality of emergency medical services. </li></ul>
    107. 115. Useful Information and Resources <ul><li>Ambulance Staffing – State Law </li></ul><ul><li>ListServs – Immediate Notifications </li></ul><ul><li>CE Tracking System - Voluntary </li></ul><ul><li>Suggestion Box – Ideas and Improvements </li></ul><ul><li>New EMS Projects </li></ul>
    108. 116. 4765.43 ORC <ul><li>Signed by Governor on December 30, 2008 </li></ul><ul><ul><li>Due to emergency clause in bill, became effective same date </li></ul></ul><ul><li>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). </li></ul><ul><li>     </li></ul>
    109. 117. 4765.43 ORC <ul><li>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. </li></ul>
    110. 118. EMS Board Position Paper <ul><li>S.B. 129 (Ambulance Staffing O.R.C. 4765.43) </li></ul><ul><ul><li>Supports the limited use that is described in S.B. 129 if there is no other alternative </li></ul></ul><ul><ul><li>Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport </li></ul></ul><ul><ul><li>Approved by EMS Board March 2009 </li></ul></ul>
    111. 119. 4765.43 ORC <ul><li>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. </li></ul><ul><li>Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance. </li></ul><ul><li>  </li></ul>
    112. 120. Definition of “substantially utilizes” <ul><li>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 organization's 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. </li></ul>
    113. 121. Definition of “Volunteer” <ul><li>4765.01 (K) “Volunteer” means a person who provides services either for no compensation or for compensation that does not exceed the actual expenses incurred in providing the services or in training to provide the services. </li></ul><ul><li>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. </li></ul>
    114. 122. E-mail Listserv <ul><li>Broadcast announcement e-mail lists created to improve outbound communication </li></ul><ul><li>EMS General Announcement List </li></ul><ul><li>Fire Training and CE Announcement List </li></ul><ul><li>EMS Incident Reporting System </li></ul><ul><li>Fire Chiefs </li></ul><ul><li>The Siren newsletter </li></ul><ul><li>Trauma System </li></ul><ul><li>EMS Instructors </li></ul><ul><li>EMS for Children </li></ul><ul><li>LISTSERV link at ems.ohio.gov </li></ul>
    115. 123. Fire & EMS Information on the Web Online CE Tracking System – Allows individuals, fire & 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 W/Expiration Dates
    116. 124. New CE Tracking System <ul><li>Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education. </li></ul><ul><li>If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code. </li></ul><ul><li>THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT. </li></ul>
    117. 125. EMS Suggestion Box <ul><li>Electronic “suggestion box” created to improve inbound communication </li></ul><ul><ul><li>You have insight into our operations </li></ul></ul><ul><ul><li>You can help us improve our services </li></ul></ul><ul><ul><li>Use EMS Suggestion Box to give us feedback </li></ul></ul>
    118. 126. EMS Suggestion Box <ul><li>It is NOT a Complaint Box </li></ul><ul><ul><li>All entries must come with suggestions on how to improve </li></ul></ul><ul><li>All valid suggestions will be considered </li></ul><ul><ul><li>Valid suggestions are acknowledged when received </li></ul></ul><ul><li>No guarantee of acceptance and implementation </li></ul>
    119. 127. New EMS Projects <ul><li>Siren Newsletter now all electronic, quarterly large, monthly updates. </li></ul><ul><li>Awards program for EMS currently on-line and will continue annually during EMS week. </li></ul><ul><li>National accreditation of Ohio paramedic training programs slated for 1/1/2018. </li></ul><ul><li>Ohio curriculums are being revised to reflect National EMS Education Standards. </li></ul>
    120. 128. www.ems.ohio.gov

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