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EMS CE Update Session for Emergency Medical and Fire Services Professionals Tuesday, April 27, 2010 – 1:00 p.m. to 3:00 p.m. Offered by the: Ohio Division of Emergency Medical Services. Our thanks to … The Ohio Department of Transportation and the Ohio Department of Public Safety,

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EMS CE Update Sessionfor Emergency Medical and Fire Services ProfessionalsTuesday, April 27, 2010 – 1:00 p.m. to 3:00 p.m.


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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.


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Ohio Department of Public Safety Ohio Division of Emergency Medical ServicesExecutive Director Richard N. Rucker



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Division of Emergency Medical ServicesOversight of EMS in Ohio

Role of the EMS Board

Role of the Division of EMS

Role of State Medical Director


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Role of the EMS Board

The EMS Board is regulatory and advocacy Board that:

administers and enforces the provisions of the Ohio Revised Code (ORC 4765);

makes recommendations to the General Assembly on legislation to improve the delivery of EMS;

establishes standards for the performance of EMS providers including certification and training;

establishes qualifications & standards of performance for EMS providers, instructors, accredited institutions and CE approved institutions;

establishes and maintains a state trauma registry;

administers a grant program for training, research & equipment purchase;

maintains an EMS incidence reporting system;

maintains a statewide EMS plan; and

serves as a statewide clearinghouse for discussion, inquiry, and complaints concerning emergency medical services.


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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.


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*Committees

Education – Monthly, First Thursday, @ 9:00 a.m.

EMS-C - Odd months, Tues. before EMS Board @ 12:15 PM

Fire - Second Tues. of every month @ 10:00 AM

Homeland Security - Monthly, Tues. before EMS Board @ 1:00 PM

IRSAC - Even months, Tues. before EMS Board @ 10:00 AM

Medical Oversight - Odd months, Tues. before EMS Board @ 10:00 AM

Recruitment & Retention – Monthly, 9:00 AM day of EMS Board Meeting

Research - Even months, Tues. before EMS Board @ 10:00 AM

Rules - Monthly, Tues. before EMS Board @ 9:00 AM

Trauma - Odd months, 2nd Wed. @ 10:00 AM

Trauma Registry - Even months, Tues. before EMS Board @ 1:30 PM

*Dates and/or locations may change; check

the EMS website for the latest information.


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Division of Emergency Medical ServicesFFSI Committee/Division of EMS Overview

FFSI Committee Members

Role of the FFSI Committee

Division of EMS Staff

Role of the Division of EMS


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Role of the FFSI Committee

Advises & counsels the EMS Executive Director on:

establishment and maintenance of fire service training programs for positions of any fire training certification level;

classification and chartering of fire service training programs; and

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.


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Firefighter and Fire SafetyInspector Training Committee

Members

Phil McLean, Chair

Brent Gates

Richard Sacco

Terry Gill

Mark Mankins

Jim Steele

Bob Babb

Mark Lundy

Appointed by

Mark Resanovich, OSFA

Mark Burgess, OFCA

William Quinn, OAPFF

Jim Holcomb, OSFA

Joyce Fisher, OSFA

Daryl McNutt, OFCA

Jim Davis, OAPFF

William Mallory, Jr., OAPFF


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Fire and Fire Safety Inspector Training Committee Meetings

The Committee meets the second Tuesday of each month at 10:00 AM at the Ohio Department of Public Safety in Columbus.

Meetings are open to the public.

Everyone is welcome to participate

in discussions.


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Role of the State Medical Director

The Medical Director directs the Executive Director and advises the EMS Board with regard to adult and pediatric trauma and emergency medical services issues.


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Ohio State Board of Emergency Medical Services

State Medical Director

Carol A. Cunningham,

M.D., FACEP, FAAEM

1970 West Broad Street

Columbus, Ohio 43223

Phone: (800) 233-0785

Office Phone: (614) 466-7076

FAX: (614) 466-9461

[email protected]


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Role of the Division of EMS(EMS)

Administrative arm of the State EMS Board

The Ohio Administrative Code (OAC 4765) provides guidance on how to implement EMS and Fire services.

The Division develops and enhances a statewide, comprehensive, systematic response to injury, illness and fire, primarily through education and training, certification and strategic planning.


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Role of the Division of EMSFIRESECTION

Administrative support for the FFSI

The Ohio Administrative Code (OAC 4765) provides guidance on how to implement Fire services.


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Division of Emergency Medical ServicesEMS & FIRE - Education

EMS & Fire Certification Renewal

EMS & Fire CE Requirements

EMS & Fire Instructor Levels

EMS & Fire Instructor CE

EMS Trauma Triage Requirement

EMS & Fire Audits

EMS Approved EMS CE Training

One Card – One Expiration Date

Certification – Recertification On-line

National Accreditation / EMS Awards


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Role of the Division of EMS

FIRE RECERTIFICATION REQUIREMENTS


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CE Requirements - FIREFIGHTERS

CE for firefighter must be approved through your local Fire Chief or local Fire Charter Program Director

For expiring in 2010 – 18 hours required

For expiring in 2011 – 36 hours required

For expiring in 2012 – 54 hours required


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CE Requirements – FIRE Safety Inspector (FSI)

CE for fire safety inspector must be approved through your local Fire Chief or local Fire Charter Program Director

For expiring in 2010 – 10 hours required

For expiring in 2011 – 20 hours required

Must be related to FSI objectives


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CE Requirements – FIRE For Full 3-year Cycle

FF – 54 hours total, 18 hours annual

CFSI – 30 hours total, 10 hours annual

Fire Instructor – 6 hours methodology total, 2 hours per year, 24 hours per certification cycle teaching

Assistant Fire Instructor – 6 hours methodology total, 2 hours per year, 8 hours per certification cycle teaching


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Types of EMS & Fire Instructors

EMS Instructor

Assistant EMS Instructor

Continuing Education Instructor

Effective 02-01-2010 - No longer certificates as Special Topic Instructors (STI’s)

Fire Instructor

Assistant Fire Instructor


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FireInstructor - CE Required

Fire Instructor

2010 8 hours teaching 2 hours How to teach

2011 16 hours teaching 4 hours how to teach

Assistant Fire Instructor

2010 2.65 hours teaching 2 hours how to teach

2011 5.3 hours teaching 4 hours how to teach


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Role of the Division of EMS

EMS RECERTIFICATION REQUIREMENTS


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CE Requirements – First ResponderOAC 4765-12-03

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

Ohio 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


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CE Requirements – EMT-BasicOAC 4765-15-03

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 Ohio EMT-B refresher 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


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CE Requirements - EMT-IntermediateOAC 4765-16-03

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

Ohio 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


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CE Requirements - EMT - Paramedic OAC 4765-17-02

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 Ohio 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


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During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or Approved CE training program

AND

Complete 6 hrs of instructional CE as approved by the Board

CE Requirements- EMS Instructor

OAC 4765-18-06


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During the preceding 2 years has provided 16 hrs of instruction through an EMS accredited training program or CE training program

AND

Complete 6 hrs of instructional CE as approved by the Board

CE Requirements- Asst. EMS Instructor

OAC 4765-18-19


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During the preceding 2 years has provided 4 hrs of instruction through an EMS accredited training program or CE training program

AND

Complete 2 hrs of instructional CE as approved by the Board

CE Requirements- CE Instructor

OAC 4765-18-16


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EMS Instructor instruction through an EMS accredited training program or CE training program OAC 4765-18-05

Certificate to teach as an EMS instructor

May teach any topic up to and within the individual’s certificate to practice in accredited or CE program

Possesses current and valid certificate or license to practice as a first responder, EMT, registered nurse or physician assistant

Has been certified or licensed at least 5 of last 7 years

Meets entrance requirements to EMSI training program

Completes 50 hr adult education methods course,8 hr EMS module and 10 hrs supervised teaching

Provide at least 16 hrs of EMS instruction and completed 6 hrs of instructional CE during preceding 2 years


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Assistant EMS Instructor instruction through an EMS accredited training program or CE training program OAC 4765-18-18

Certificate to teach as an assistant EMS instructor

May prepare and instruct courses in any topic under the mentorship of an EMS instructor.

May teach up to and within the individual’s certificate to practice in accredited or CE program

Possesses current and valid certificate or license to practice as a first responder, EMT, registered nurse or physician assistant

Has been certified or licensed at least 3 of last 5 years

Meets entrance requirements to EMSI training program

Completes 8 hr EMS module and 10 hrs supervised teaching

Provide at least 16 hrs of EMS instruction and completed 6 hrs of instructional CE during preceding 2 years


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EMS Continuing Education Instructor instruction through an EMS accredited training program or CE training program OAC 4765-18-15

Certificate to teach as a continuing education instructor

May teach any EMS continuing education course, approved by the program Medical Director, up to and within the individual’s certificate to practice

Possesses current and valid certificate or license to practice as a first responder, EMT, registered nurse or physician assistant

Has been certified or licensed at least 3 of last 5 years

Provides written documentation of qualifications to accredited or approved institution

Provide at least 4 hrs of EMS CE instruction and completed 2 hrs of instructional CE during preceding 2 years


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EMS Certificates to Teach instruction through an EMS accredited training program or CE training program

Effective 3/1/2010


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OAC 4765-19-01 instruction through an EMS accredited training program or CE training program

CE For First Responders and EMTs

  • Requires that a single session be at least one-half contact hour

  • Must be EMS operations or patient care related

  • Specifies the acceptable formats in which CE courses may be delivered & sets requirements for each acceptable format


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OAC 4765-19-01 instruction through an EMS accredited training program or CE training program

CE For First Responders and EMTs

  • Accepted CE Resources include:

    • Ohio accredited or approved training

      program;

    • EMS licensing agency in another state;

    • Branch of the U.S. military;

    • Medical or Nursing licensing board;

    • federal, national, or state entities (EMA, FEMA, HLS, ARC, AHA, ASHI, CECBEMS & others approved by the Board)

  • 􀂉


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CE 4765-19-01 instruction through an EMS accredited training program or CE training program

CE For First Responders and EMTs

  • EMS Board accepts CE credit awarded for portions of an initial certification or licensing course when:

    • Course work is related to EMS operations or patient care and

    • CE credit is issued by the sponsoring entity.


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CE 4765-19-01 instruction through an EMS accredited training program or CE training program

CE For First Responders and EMTs

  • EMS Board accepts CE credit awarded for teaching through an EMS approved or accredited institution when:

    • Prior approval received from program director and medical director

    • CE credit for lesson is earned once within a 12 month period.


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CE Certificate of Completion instruction through an EMS accredited training program or CE training program

  • Must be issued by a provider listed in OAC 4765-19-01(A)(4)

  • Include total CE hours awarded and

    • Specific breakdown for pediatric, geriatric, trauma and cardiology hours

  • Class dates must be within certification cycle


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Division of EMS instruction through an EMS accredited training program or CE training program EMS and Fire Audits

10% of providers that renew are audited thefollowing month by computerized random selection

EMS audit occurs the month AFTER the new card takes effect

May conduct audit at anytime if complaint is received

Audits are for the previous three year cycle

Certificate of completion needed from an accredited institution, approved CE site or meets OAC 4765-19-01 for EMS

Chief or Fire Charter approval for Fire


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Division of EMS instruction through an EMS accredited training program or CE training program EMS and Fire Audits

Do not wait until 3rd year of certification to start getting CE in-line

If audited – Respond!

Call or e-mail with questions or with concerns, or information that might affect your certification card

This should be “no worries” if CE was completed as required


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Division of EMS instruction through an EMS accredited training program or CE training program EMS and Fire Audits

Keep E-Mail and Address Current with the Division – Highly Important!!! If we can’t notify you, you can’t respond!

Be honest! If you didn’t complete, say so, don’t forge, or misrepresent anything

The EMS Board will work with you to successfully complete an audit


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Division of EMS instruction through an EMS accredited training program or CE training program EMS and Fire Audits

Fire audits just started with the February 2010 renewals

The Executive Director will monitor the Fire audits for 2010 and make a determination on those that don’t meet or do not respond.

With the 1 card 1 expiration, the audit process will be amended in January 2011.


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Trauma Triage Transportation Protocol instruction through an EMS accredited training program or CE training program ORC 4765.40

The law requires the board to adopt rules for education regarding state trauma triage protocols

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.

DOES NOT increase the total number of CE hours

CE may include state trauma triage protocol, OR approved regional trauma triage protocol


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Trauma Triage Transportation Protocol instruction through an EMS accredited training program or CE training program

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.

www.ohioemstraining.com


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Sign in instruction through an EMS accredited training program or CE training program

Not a member yet?

Click here to Join


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On-Line Ohio EMS CE Courses instruction through an EMS accredited training program or CE training program

  • 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.

  • 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


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On-Line Ohio EMS CE Courses instruction through an EMS accredited training program or CE training program

  • 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

  • Print only from the printer icon on the upper right just above the certificate of completion

  • Once you have completed the session, make sure you log out of this program


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On-Line Ohio EMS CE Courses instruction through an EMS accredited training program or CE training program


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CHEMPACK instruction through an EMS accredited training program or CE training program

Ohio one of the first states to develop Statewide Activation protocols

EMS & Hospital CHEMPACK are to be used for suspected organophosphate or nerve agent release causing a Mass Casualty Incident

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


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Division of EMS instruction through an EMS accredited training program or CE training program

Certificate of Approval Training Programs


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Division of EMS instruction through an EMS accredited training program or CE training program EMS Certificate of Approval

Accredited vs. Approval sites

Initial training, upgrade training, Ohio Refresher Courses and CE - Accredited

CE and Ohio Refresher Courses - Approved

95 Accredited Sites

538 Approved Sites

Approved site inspections started in 2004

100% visited, each visited every three years

Approximately 170 sites visited each year


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Division of EMS instruction through an EMS accredited training program or CE training program EMS Certificate of Approval

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

Normal Approval cycle is 3 years from Board approval to expiration

Approval renew process – notified 5 months, 90-days and certified mail at 30-days before CE site expiration date


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Division of EMS instruction through an EMS accredited training program or CE training program EMS Certificate of Approval

Renewing a CE site

Application process, use most recent application that is Board approved

Ohio EMS Education Coordinator will schedule site visit with Program Director

Site visit is not to try to find something wrong, it is to review:

training files and records for past 3 years

review instructor certifications & File

review medical director and program director approval of all CE classes presented

review training rooms and equipment


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Division of EMS instruction through an EMS accredited training program or CE training program EMS Certificate of Approval

Renewal application must be received 30 days prior to established expiration date

For renewal applications make sure the applications are completely and accurately filled-out

Let us know during the cycle if anything changes, Program Director, Medical Director, addresses, authorizing official, e-mail addresses

Program Director does not have to be EMT certified, good administrator who oversees the program

Authorizing official is typically Program Director’s supervisor and has responsibility to maintain program and appoint EMS Program Director


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Division of EMS instruction through an EMS accredited training program or CE training program EMS Certificate of Approval

Required documentation to for CE Training Program to comply with ORC/OAC 4765-7-09 & 4765-7-11

Program Director and Medical Director course approval sign-off

Clear course objectives documented (some sites place these on above form)

Sign-in sheet with date, time, topic, location, instructor of record and guest lecturer if applicable

Participant evaluation

Summary evaluation

Certificate of Completion


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Division of EMS instruction through an EMS accredited training program or CE training program EMS Certificate of Approval

Each Continuing Education File:

The following should be a part of each CE file which you give CE credit:

Outline or syllabus of what was taught with clearly spelled out objectives

Summary sheet of participant evaluations

Roster or attendance sheet with date, time, topic, location, instructor of record and guest lecturer, if applicable

Program Director and Medical Director approval of class and medical content

Ohio refreshers document written and practical testing


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Continuing Education Approval Form instruction through an EMS accredited training program or CE training program

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


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Medical Director Approval Form instruction through an EMS accredited training program or CE training program

For

Continuing Education Course

Title: __________________________________

Instructor: ____________________________________

Category: __Geriatric __Pediatric __Trauma __Cardiology __Trauma Triage __Other: ______________________________________________

Objectives:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Data Approved: ________________________________________

Signature: _____________________________________________

Comments: ____________________________________________


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EMS Continuing Education instruction through an EMS accredited training program or CE training program

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.


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Evaluation Form instruction through an EMS accredited training program or CE training program

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


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Evaluation Form (cont.) instruction through an EMS accredited training program or CE training program

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


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Evaluation Form (cont.) instruction through an EMS accredited training program or CE training program

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


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Division of EMS instruction through an EMS accredited training program or CE training program EMS Certificate of Approval

Have files and records in order prior to site visit

Should be maintained throughout the year

Don’t get behind on records and files

Files and Records are your protection and can greatly help the EMT in civil suits


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Division of EMS instruction through an EMS accredited training program or CE training program EMS Certificate of Approval

If you use a computer generated training report in place of a certificate of completion it must:

Be used for your department personnel only, outside individuals need to be issued a certificate of completion

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

Attested to by original signature of the Program Director of an Accredited or Approved Training Program


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Division of EMS instruction through an EMS accredited training program or CE training program

ONE CARD/ ONE EXPIRATION DATE


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Division of Emergency Medical Services instruction through an EMS accredited training program or CE training program One Card / One Expiration

Currently working on draft rules to be able to move everyone’s certification date to birthday

Target date for switch is January 1, 2011

If you have an established Fire Expiration date, any other certifications will move to that date

There will be shortened CE requirements during the merge cycle periods

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

If no fire card, EMS card will move to the birthday in the year the EMS card is currently set to expire.


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Division of Emergency Medical Services instruction through an EMS accredited training program or CE training program One Card / One Expiration

New certifications obtained after the merge of cards, will move to the already established date of the existing card

If new certification and no established expiration date, it will go to the birthday in the third year of the certification

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


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Division of Emergency Medical Services instruction through an EMS accredited training program or CE training program One Card / One Expiration

Merged cycle CE will be 0-1 year no CE required

1 to 2 years 30% of required CE for both Fire and EMS

2 to 3 years 60% of required CE for both Fire and EMS

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


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Division of Emergency Medical Services instruction through an EMS accredited training program or CE training program One Card / One Expiration

EMS instructor, Assistant EMS Instructor and CE Instructor cards will also move to the three-year certification cycle and common expiration date

Fire Instructors already at three year expiration date and already a common date with their fire certification


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EMS CERTIFICATE TO PRACTICE instruction through an EMS accredited training program or CE training program

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


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MERGED/SHORTENED CERTIFICATION CYCLES CE REQUIREMENTS instruction through an EMS accredited training program or CE training program

30% (12 months but less than 24 months)

60% (24 months but less than 36 months)

100% (36 months or more)

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


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MERGED/SHORTENED CERTIFICATION CYCLES CE REQUIREMENTS instruction through an EMS accredited training program or CE training program

30% (12 months but less than 24 months)

60% (24 months but less than 36 months)

100% (36 months or more)

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


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MERGED/SHORTENED CERTIFICATION CYCLES CE REQUIREMENTS instruction through an EMS accredited training program or CE training program

30% (12 months but less than 24 months)

60% (24 months but less than 36 months)

100% (36 months or more)

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


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EMS CERTIFICATE TO TEACH instruction through an EMS accredited training program or CE training program

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 InstructorAssistant 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


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CONTINUING EDUCATION REQUIREMENTS FOR FIREFIGHTER FOR MERGED/SHORTENED CERTIFICATION CYCLE

Time FrameAmount 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 FrameAmount 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


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CONTINUING EDUCATION/INSTRUCTION REQUIREMENTS FOR FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Time FrameAmount 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


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CONTINUING EDUCATION/INSTRUCTION REQUIREMENTS FOR ASSISTANT FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Time FrameAmount 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


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Division of Emergency Medical Services FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE Certification

On-line certification process

Renewal - 99% renewing on-line!

Verification - Now displays entire record

42,000 EMT’s 53,000 Firefighters


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Log In Error FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE


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Registration Screen FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE


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Registration Submitted FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE


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Password Email FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE


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Application Received FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE


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Processed Email FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE


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Homeland FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE Security

What Should You Do?

Report suspicious activity to your local law enforcement or call the Ohio Homeland Security Tipline at:

1- 877- OHS – INTE

1- 877- 647- 4683

SEE SOMETHING,

SAY SOMETHING!


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Homeland FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE Security

Be informed:

Register for Contact and Information Management System (CIMS)

http://www.dps.state.oh.us/CIMS

You can help prevent terrorist attacks by being aware of suspicious activities which include:

Surveillance

Suspicious Activity

Tests of Security

Acquiring Supplies

Suspicious Persons

Dry Runs

Deploying Assets


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Homeland FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE Security

Ohio EMS HLS Web page has

Pandemic Influenza section

WMD/Bioterrorism

State of Ohio WMD Protocol

Required NIMS Training for all Ohio EMS Providers and firefighters

State Of Ohio EMS Health Crisis Planning Awareness Essentials for Patient Care Delivery by the EMS Provider Course Handbook


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Division of Emergency Medical Services FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE Office of Investigative Services

Jurisdiction

EMS & Fire Complaint Forms

Violations


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Jurisdiction FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

EMS:

Applicants

EMTs

Instructors

Accredited training sites

Continuing education sites

Fire:

Applicants

Firefighters

(all levels)

Fire Instructors

Fire Safety Inspectors

Chartered training sites


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EMS Complaint Form FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE http://www.ems.ohio.gov/Forms_05.asp


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Fire Complaint Form FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE


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Violations FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Conviction (including treatment in lieu) of any felony offense, a misdemeanor committed in the course of practice or involving moral turpitude

Misrepresentation of credentials

Violation of any narcotics or controlled substances law

Professional standard of conduct

Patient care cases including scope of practice

Continuing education cases


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Declaration of Criminal History FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE http://www.ems.ohio.gov/Forms_05.asp


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Biggest Issue in Investigations… FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Individuals

NOT

responding

to the

Division


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Scope of Practice FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Rules pertaining to scope of practice updated May 2008

OAC 4765-12-04 First Responder

OAC 4765-15-04 EMT-Basic

OAC 4765-16-04 EMT-Intermediate

OAC 4765-17-03 EMT-Paramedic


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Scope of Practice Matrix FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

The Scope of Practice Matrix:

serves as a "quick view" of the scope of practice; and

can be found on the EMS web page.

The EMS Board may add skills to the scope and post on the matrix, with the rule updated annually to reflect additions.


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Division of Emergency Medical Services FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE Grants

Grant Process

Eligibility Issues

First Priority


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Grant Application FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

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

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

Award letters will be mailed after July 1st of the award year


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Grants FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Funding for all grant priorities is determined by the amount of seat belt fines collected annually; approximately $4,000,000 is available each year.

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.


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Grant Eligibility FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Eligible grantees are limited to:

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.


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Grant Eligibility FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

EMS organizations must also meet one of the following:

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.

OR

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.


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Grants – First Priority FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Given to EMS organizations for personnel training, for equipment and vehicles purchases, and to improve the availability, accessibility, and quality of emergency medical services.


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Useful Information and Resources FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Ambulance Staffing – State Law

ListServs – Immediate Notifications

CE Tracking System - Voluntary

Suggestion Box – Ideas and Improvements

New EMS Projects


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4765.43 ORC FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

  • Signed by Governor on December 30, 2008

    • Due to emergency clause in bill, became effective same date

  • 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).


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4765.43 ORC FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

  • Provides that, during each emergency run made by an ambulance that is operated by an emergency medical service organization that substantially utilizesvolunteer emergency medical service providers, the ambulance must be staffed by at least one first responder and one EMT-basic, EMT-I, or paramedic.


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EMS Board Position Paper FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

S.B. 129 (Ambulance Staffing O.R.C. 4765.43)

Supports the limited use that is described in S.B. 129 if there is no other alternative

Volunteer agencies are encouraged to maintain patient care with a minimum of two EMTs during transport

Approved by EMS Board March 2009


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4765.43 ORC FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

  • 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.

  • Prohibits an emergency medical service organization from permitting an individual who is younger than 18 years of age to drive an ambulance.


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Definition of FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE “substantially utilizes”

  • 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.


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Definition of “Volunteer” FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

  • 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.

  • 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.


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E-mail Listserv FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Broadcast announcement e-mail lists created to improve outbound communication

EMS General Announcement List

Fire Training and CE Announcement List

EMS Incident Reporting System

Fire Chiefs

The Siren newsletter

Trauma System

EMS Instructors

EMS for Children

LISTSERV link at ems.ohio.gov


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Fire FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE & 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


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New CE Tracking System FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

  • Use of this system does not remove an individual from their responsibility to maintain documentation of their continuing education.

  • If audited you are required to provide acceptable documentation of CE training per the Ohio Administrative Code.

    THIS IS A VOLUNTARY TRACKING SYSTEM - YOU ARE NOT REQUIRED TO USE IT.


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EMS Suggestion Box FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

Electronic “suggestion box” created to improve inbound communication

You have insight into our operations

You can help us improve our services

Use EMS Suggestion Box to give us feedback


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EMS Suggestion Box FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

It is NOT a Complaint Box

All entries must come with suggestions on how to improve

All valid suggestions will be considered

Valid suggestions are acknowledged when received

No guarantee of acceptance and implementation


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New EMS Projects FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE

  • Siren Newsletter now all electronic, quarterly large, monthly updates.

  • Awards program for EMS currently on-line and will continue annually during EMS week.

  • National accreditation of Ohio paramedic training programs slated for 1/1/2018.

  • Ohio curriculums are being revised to reflect National EMS Education Standards.


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www.ems.ohio.gov FIRE INSTRUCTOR FOR MERGED/SHORTENED CERTIFICATION CYCLE


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