ORC Ann. 4765.38
Scope of Practice: EMT-Intermediate Without Medical Command in Emergency
An EMT-Intermediate can perform medical services (such as establish and maintain an IV, administer epinephrine, triage trauma victims, withdraw blood, and other emergency medical services) without the authorization of a physician medical director when communications fail and the EMT-Intermediate believes the life of the patient is in immediate danger.
Performance of services by EMT-I
(A) An emergency medical technician-intermediate shall perform the emergency medical services described in this section in accordance with this chapter and any rules adopted under it. (B) An EMT-I may do any of the following: (1) Establish and maintain an intravenous lifeline that has been approved by a cooperating physician or physician advisory board; (2) Perform cardiac monitoring; (3) Perform electrical interventions to support or correct the cardiac function; (4) Administer epinephrine; (5) Determine triage of adult and pediatric trauma victims; (6) Perform any other emergency medical services approved pursuant to rules adopted under section 4765.11 of the Revised Code. (C) (1) Except as provided in division (C)(2) of this section, the services described in division (B) of this section shall be performed by an EMT-I only pursuant to the written or verbal authorization of a physician or of the cooperating physician advisory board, or pursuant to an authorization transmitted through a direct communication device by a physician, physician assistant designated by a physician, or registered nurse designated by a physician. (2) If communications fail during an emergency situation or the required response time prohibits communication, an EMT-I may perform any of the services described in division (B) of this section, if, in the judgment of the EMT-I, the life of the patient is in immediate danger. Services performed under these circumstances shall be performed in accordance with the protocols for triage of adult and pediatric trauma victims established in rules adopted under sections 4765.11 and 4765.40 of the Revised Code and any applicable protocols adopted by the emergency medical service organization with which the EMT-I is affiliated. (D) In addition to, and in the course of, providing emergency medical treatment, an emergency medical technician-intermediate may withdraw blood as provided under sections 1547.11, 4506.17, and 4511.19 of the Revised Code. An emergency medical technician-intermediate shall withdraw blood in accordance with this chapter and any rules adopted under it by the state board of emergency medical, fire, and transportation services.