EMT Training - Become an Emergency Medical Technician

EMT Training Ohio

Requirements Paramedic School Ohio

Along with the EMT and AEMT school prerequisites, Ohio Paramedic school candidates have additional requirements for acceptance into a Paramedic Training Program.


• Ohio paramedic schools require a Tetanus immunization.


• Ohio paramedic students will need to pass an Ohio Bureau of Criminal Investigation and FBI criminal background check with no felony convictions.


• Paramedic students in Ohio will need proof of Health Insurance Coverage.


• Experience as an Ohio EMT: Paramedic schools in Ohio may require or strongly recommend a year of experience working as an Ohio EMT.


• Many Ohio paramedic programs may require an Anatomy and Physiology prerequisite class.


• Some Ohio paramedic programs will require students to provide a letter of recommendation from a supervisor, medical director, EMS instructor, etc.


• Paramedic students in Ohio may need to report for a personal interview with the Paramedic school program director if required.


• Many Ohio paramedic schools require students to pass a paramedic entrance exam if needed.


Ohio EMS Certification

After completing an Ohio EMT training program, students will be eligible to take both National Registry of Emergency Medical Technician (NREMT) exams. The NREMT exams consist of the Cognitive (written) and Psychomotor (practical) exams.


Ohio EMT Barn with CowsFor in-depth information about passing the NREMT exams go to the NREMT Exams page. After successfully passing both exams, Ohio EMT candidates become nationally certified.


Ohio EMT students will get more details about how and when they should schedule the NREMT psychomotor exam from their instructors, toward the end of EMT training.


Instructors will either schedule the psychomotor exam with Ohio EMT students or inform the students of where to go for scheduling the exam. Before getting tested check out 7 expert tips for passing the psychomotor exam.


Once you complete the entire Ohio EMT training program you will need to set up a date to take the National Registry of EMT Cognitive exam. Ohio EMT candidates can go online through the NREMT website and create a profile to see the closest locations and dates available for taking the cognitive exam.


After Ohio EMTs pass both NREMT exams they will be sent a congratulation letter in the mail along with their national EMS certification. There is one more step before EMTs can begin working in Ohio.


Ohio State EMS License

Before being able to work in Ohio, EMTs must apply for an Ohio state EMT license. The Ohio EMT license is also called an Ohio EMT certification, but I will refer to it here as a license so that it doesn’t get confused with the NREMT national EMT certification.


To clarify the Ohio EMT certification is on a state level while the NREMT certification is on a national level.


After passing both National Registry of EMT exams, candidates can apply for the Ohio EMS state license by going to the Ohio Emergency Medical Services website.


The Ohio State EMS Office address is:


Emergency Medical Services
1970 West Broad Street
P.O. Box 182073
Columbus, Ohio 43218-2073

(800) 233-0785
(614) 466-9447



Ohio state has application requirements which must be met prior to applying for the Ohio EMS license:

→ Applicants must be 18 years old to become a licensed Ohio EMT.


→ Ohio EMTs must complete an EMT training program at the level of EMS license you they applying for.


→ Ohio EMTs must submit a completed EMS Provider application.


→ Ohio EMTs must pass both National Registry of EMT exams.


→ Applicants in Ohio must complete two Federal Emergency Management Agency (FEMA) training courses:


National incident management system course (IS-700).

Incident command system course (IS-100).


→ Ohio EMTs must not have been judged mentally incompetent by a court of law.


Ohio EMT candidates may be asked to provide personal information while applying for an Ohio State EMT license. Applicants should be prepared to answer questions about topics like drug use, criminal history, etc. Below are examples of the type of questions likely to be found on the Ohio EMS license application form.


→ Have you ever been arrested, charged with, or convicted of any felony or misdemeanors?


→ Do you have any mental or physical condition that impairs or could impair your ability to perform the duties required of an EMS Provider?


→ Has an employer or supervising physician taken disciplinary action against you related to your duties as an EMS Provider?


→ Have you ever resigned or surrendered a healthcare license or certificate?


Ohio EMTs will also need to meet the following requirements for licensure.


→ Has not been convicted of or pled guilty to a violation of any federal, state, county, or municipal narcotics or controlled substance law.


→ Does not engage in the illegal use or illegal acquisition of controlled substances, alcohol, or other habit-forming drugs or chemical substances while on duty as an EMS provider.


→ Has not been convicted, in this state or another state, of providing emergency medical services or representing themselves as an EMS provider without a license or certificate.


EMS Scope of Practice: Ohio

The Ohio EMS Scope of Practice as approved by the State Board of Emergency Medical, Fire and Transportation Services (EMFTS Board) was last updated 10/18/2017.


According to the Ohio EMS Scope of Practice, in the event of a public health emergency declared by the governor all levels of Ohio EMTs can administer immunizations.


Ohio EMTs can also respond to suspected or known nerve or organophosphate agent exposure by administering nerve agent antidote auto-injector kits. (As long as the EMTs have been trained and are under a physicians medical direction.


Ohio EMR Scope of Practice

Emergency Medical Responders in Ohio are trained to perform the following:

  1. Open and maintain patient’s airway.
  2. Use of Oropharyngeal and Nasopharyngeal airway adjuncts.
  3. Perform manual removal of obstructed airway.
  4. Perform oral suctioning.
  5. Apply and use pulse oximeter, CO oximeter, capnography and capnometry equipment.
  6. Administer oxygen via nasal cannula, Non-rebreather mask and mouth-to-barrier devices.
  7. Ventilate patient with Bag Valve Mask device and flow restricted oxygen powered device.
  8. Perform Cardiopulmonary resuscitation. (CPR)
  9. Use of chest compression assist devices.
  10. Use of Automated External Defibrillator. (AED)
  11. Administer Epinephrine via auto-injector.
  12. Administer Naloxone via auto-injector.
  13. Administer Naloxone via intranasal route.
  14. Use of long spine board and short spine board.
  15. Use of splinting devices.
  16. Use of cervical immobilization device. (CID)
  17. Perform hemorrhage control.
  18. Manage soft tissue injuries and suspected fractures.
  19. Perform body substance isolation precautions.
  20. Taking and documenting vital signs.
  21. Documentation of Patient Care Reports. (PCR)
  22. Determination of Trauma Triage.
  23. Management of emergency childbirth.
  24. Perform eye irrigation.


Ohio EMT Scope of Practice

The Ohio EMT can perform all the duties the EMR can perform along with the following:

  1. Perform Endotracheal Tube suctioning.
  2. Administer oxygen via Venturi mask and partial rebreather mask.
  3. Use of positive pressure ventilation devices.
  4. Use of Dual lumen and extraglottic airway on pulseless AND apneic patients.
  5. Use of CPAP devices.
  6. Monitoring and detecting end tidal CO2.
  7. Use of humidifier with supplemental oxygen.
  8. Use of negative impedance threshold devices.
  9. Can set up a cardiac monitor in presence of an AEMT or Paramedic.
  10. Can set up and apply a 12-lead electrocardiogram (EKG) when assisting a Paramedic or for the purposes of electronic transmission.
  11. Administer Activated Charcoal, Aspirin and Oral Glucose.
  12. Assist the patient with administration of Nitroglycerin and aerosol/nebulizer medications.
  13. Transport a patient with central/peripheral IV without an infusion.
  14. Can apply Pneumatic Anti-shock Garment (PASG).
  15. Application of traction splint.
  16. Perform rapid extrication procedures and helmet removal.
  17. Use of Blood glucose monitoring system.


Ohio AEMT Scope of Practice

The advanced emergency medical technician can perform all the duties of the EMR and EMT along with the following:

  1. Perform Laryngoscopy for removal of airway obstruction.
  2. Replacement of Tracheostomy tube.
  3. Perform Orotracheal intubation on apneic and pulseless AND apneic patients.
  4. Use of Dual lumen and Extraglottic airways in apneic patients.
  5. Perform manual defibrillation.
  6. Interpret cardiac monitor strips.
  7. Administer the following medications:

    A) Benzodiazepines
    B) Lidocaine for pain relief after intraosseous needle insertions
    C) Bronchodilators
    D) Nalbuphine
    E) Dextrose in water
    F) Naloxone
    G) Diphenhydramine
    H) Narcotics or other analgesics for pain relief
    I) Epinephrine 1 mg per 1 ml (subcutaneous or intramuscular)
    J) Nitrous oxide
    K) Glucagon
    L) Oral ondansetron
    M) Ketamine
    N) Sublingual nitroglycerin
  8. Administer Epinephrine via SQ or IM routes.
  9. Administer Nitroglycerine, aerosol and nebulizer medications.
  10. Administer Naloxone via ET tube, IM, IV, IO, or SQ routes.
  11. Administer intranasal medications.
  12. Maintenance of IV’s and fluid administration.
  13. Perform Intraosseous needle insertion.
  14. Initiate saline lock.
  15. Obtain peripheral IV blood specimens.
  16. Perform needle decompression of the chest.


Ohio Paramedic Scope of Practice 

An Ohio Paramedic is authorized to perform all patient care procedures and administer all the medications included in the EMR, EMT, and Advanced EMT Scope of Practices. Ohio paramedics can also perform the following additional procedures.

  1. Perform surgical and needle Cricothyrotomy.
  2. Manage Ventilator on patients 16 y/o and older.
  3. Perform orotracheal intubation.
  4. Perform nasotracheal intubation.
  5. Use of dual lumen and extraglottic airways.
  6. Use of BiPAP machine.
  7. Use of positive end-expiratory pressure (PEEP) ventilation.
  8. Manage and monitor chest tubes.
  9. Insert Nasogastric (NG) tube and Orogastric (OG) tube.
  10. Administer cardiac medications.
  11. Perform Cardioversion and Transcutaneous Cardiac Pacing.
  12. Perform Carotid Massage.
  13. Apply and interpret 12-lead EKG.
  14. Administer Epinephrine via IV or IO route.
  15. Maintain medicated IV fluids, blood and blood products administration.
  16. Monitor Central Lines.
  17. Use of IV infusion pump.
  18. Initiate and monitor Thrombolytic therapy.
  19. Perform Blood Chemistry analysis.
  20. Perform eye irrigation with Morgan lens.


Ohio EMS Accredited Schools

An Ohio EMT needs to go through training at an Ohio EMS accredited training program in order to be eligible for licensure. There are many EMR, EMT, AEMT and Paramedic schools in Ohio with active accreditation status.


Here is a link with a list of Ohio EMS training programs so you can check for Ohio EMS accredited schools near you.


Ohio Statehouse Columbus Ohio



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