Ohio Administrative Code|Rule 4729:5-14-01 | Emergency Medical Services - Definitions.

                                                
As used in Chapter 4729:5-14 of the Administrative
		Code:
(A) "Business day" means any
		  day other than Saturday, Sunday or a holiday recognized by the state of Ohio on
		  which the offices of the board of pharmacy are not open for
		  business.
(B) "Certificate to practice"
		  means the level to which an individual is trained and licensed as defined in
		  sections 4765.01, 4765.011 and 4765.30 of the Revised Code and rule 4765-1-01
		  of the Administrative Code.
(C) "Direct supervision" or
		  "personal supervision" means EMS organization personnel shall be
		  physically present at the licensed location or within the immediate proximity
		  of an EMS unit to deter and detect the diversion of dangerous drugs.
		  
(D) "Electronic signature" means any of the
		  following attached to or associated with an electronic drug administration
		  record by EMS organization personnel to authenticate the drug administration
		  record:
(1) A private, unique
			 personal identifier and secure passcode consisting of a combination of letters,
			 numbers, and symbols that is adapted or executed by an individual as that
			 individual's electronic signature.
(2) An electronic image
			 of an individual's handwritten signature that is captured following drug
			 administration and is created by using a writing apparatus (i.e. stylus). The
			 signature shall be legible and include the person's first name, last name
			 and credentials.
(3) Any other method
			 approved by the board.
(E) "Emergency medical service organization" or
		  "EMS organization" has the same meaning as in section 4765.01 of the
		  Revised Code.
(F) "Medical director" means a physician to whom
		  an EMS organization has designated, pursuant to section 4765.42 of the Revised
		  Code, to perform the duties of medical director including establishing medical
		  protocols that must be followed in the delivery of emergency medical
		  services.
(G) "Mutual aid" means a formal written agreement
		  between two or more EMS organizations to assist in emergency medical coverage
		  in the other's usual area of coverage, including having access to
		  dangerous drugs during the emergency.
(H)  
(1) "Positive
			 identification" means a method of identifying EMS personnel that does not
			 rely solely on the use of a private personal identifier such as a password, but
			 must also include a secure means of identification such as the
			 following:
(a) A manual signature on a hard copy record;
(b) A magnetic card reader;
(c) A bar code reader;
(d) A biometric method;
(e) A proximity badge reader;
(f) A board approved system of randomly generated personal
				questions;
(g) A printout of every transaction that is verified and
				manually signed within a reasonable period of time by the individual who
				prescribed, administered, or dispensed the dangerous drug. The printout must be
				maintained for three years and made available on request to those individuals
				authorized by law to review such records; or
(h) Other effective methods for identifying individuals
				that have been approved by the board.
(2) A method relying on a
			 magnetic card reader, a bar code reader, a proximity badge reader, or randomly
			 generated questions for identification must also include a private personal
			 identifier, such as a password, for entry into a secure mechanical or
			 electronic system.
(I) "Posting up" means locating an EMS unit
		  containing dangerous drugs at a location other than a location licensed by the
		  board of pharmacy for less than twenty-four hours and where the EMS unit is
		  under the direct supervision of the EMS personnel on duty.
(J) "Posting up at a special event" means
		  locating an EMS unit containing dangerous drugs at a location other than a
		  location licensed by the board of pharmacy for more than twenty-four
		  consecutive hours pursuant to a formal agreement with the sponsors of the event
		  and where the EMS unit is under the direct supervision of the EMS personnel on
		  duty.
(1) Posting up at a
			 special event requires notification to the board. Notification shall be
			 provided prior to the special event in a manner determined by the
			 board.
(2) The requirements of
			 this paragraph do not apply in the event of an emergency management assistance
			 compact or an emergency declared by the governor.
(K) "Protocol" or "standing order"
		  means a definitive set of written treatment guidelines that include definitive
		  orders for drugs and their specified dosages which have been authorized and
		  signed by the EMS organization's medical director. A protocol may be used
		  only by licensed or certified EMS personnel, in accordance with the
		  individual's scope of practice, when providing limited medical services to
		  individuals in an emergency.
(L) "Readily retrievable" means that records
		  maintained in accordance with this chapter shall be kept in such a manner that
		  they can be separated out from all other records and, upon request, produced
		  for review no later than three business days to an agent, officer or inspector
		  of the board.
(M) "Responsible person" has the same meaning as
		  defined in agency 4729 of the Administrative Code and is responsible for the
		  supervision and control of dangerous drugs as required in division (B) of
		  section 4729.55 of the Revised Code, adequate safeguards as required in
		  division (C) of section 4729.55 of the Revised Code, security and control of
		  dangerous drugs and maintaining all drug records otherwise
		  required.
(N) "Satellite" means a location licensed by the
		  state board of pharmacy as a terminal distributor of dangerous drugs that is
		  separate from the licensed headquarters of the EMS organization.
(O) "Scope of practice" has the same meaning as
		  defined as in section 4765.35 of the Revised Code and rule 4765-12-04 of the
		  Administrative Code for an emergency medical responder or first responder,
		  section 4765.37 of the Revised Code and rule 4765-15-04 of the Administrative
		  Code for an emergency medical technician or emergency medical technician-basic,
		  section 4765.38 of the Revised Code and rule 4765-16-04 of the Administrative
		  Code for an advanced emergency medical technician or emergency medical
		  technician-intermediate, and section 4765.39 of the Revised Code and rule
		  4765-17-03 of the Administrative Code for a paramedic or emergency medical
		  technician-paramedic.
(P) "Tamper-evident" means a package, storage
		  container or other physical barrier is sealed or secured in such a way that
		  access to the drugs stored within is not possible without leaving visible proof
		  that such access has been attempted or made.