BILL NUMBER: SB 1199 AMENDED
BILL TEXT
AMENDED IN ASSEMBLY AUGUST 24, 2012
AMENDED IN ASSEMBLY JUNE 25, 2012
AMENDED IN SENATE APRIL 17, 2012
INTRODUCED BY Senator Dutton
FEBRUARY 22, 2012
An act to amend Section 106985 of the Health and Safety Code,
relating to radiologic technologists.
LEGISLATIVE COUNSEL'S DIGEST
SB 1199, as amended, Dutton. Radiologic technologists.
Under existing law, a certified radiologic technologist, with
sufficient education and training, may, under the general supervision
of a licensed physician and surgeon, perform venipuncture in an
upper extremity to administer contrast materials. Violation of these
provisions is a misdemeanor.
Existing law authorizes a person who is currently certified as
meeting the standards of competence in nuclear medicine technology
and who meets specified requirements to perform a computerized
tomography scan only on a dual-mode machine, as specified.
This bill would provide that in administering contrast materials,
a radiologic technologist may, to ensure the security and integrity
of the placement of a needle or of an intravenous cannula,
use a saline-based solution that is in accordance with the
hospital or imaging center facility protocol and
is found to be an acceptable practice by the federal
Centers for Disease Control and Prevention, or other nationally
recognized accreditation society approved by a
licensed physician and surgeon . This bill would also apply
these provisions to a person who is currently certified as meeting
the standards of competence in nuclear medicine technology and who
meets specified requirements and to radiologic technologists
who meet the bill's training and education requirements
prior to January 1, 2013 . By expanding the scope of a crime,
this bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the
state. Statutory provisions establish procedures for making that
reimbursement.
This bill would provide that no reimbursement is required by this
act for a specified reason.
Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: yes.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. Section 106985 of the Health and Safety Code is amended
to read:
106985. (a) (1) Notwithstanding Section 2052 of the Business and
Professions Code or any other provision of law, a radiologic
technologist certified pursuant to the Radiologic Technology Act
(Section 27) may, under the general direct
supervision of a licensed physician and surgeon, and in
accordance with the facility's protocol that meets, at a minimum, the
requirements described in paragraph (2), perform venipuncture
in an upper extremity to administer contrast materials, manually or
by utilizing a mechanical injector, if the radiologic technologist
has been deemed competent to perform that venipuncture, in
accordance with paragraph (3), and issued a certificate, as
described in subdivision (b).
(2) (A) In administering contrast materials, a radiologic
technologist may, to ensure the security and integrity of the
needle's placement or of an existing intravenous cannula, use a
saline-based solution that is in accordance with the
hospital or imaging center conforms with the facility's
protocol and is found to be an acceptable practice by
the federal Centers for Disease Control and Prevention, or other
nationally recognized accreditation society that has
been approved by a licensed physician and surgeon . The
protocol shall specify that only contrast materials or
pharmaceuticals a pproved by the United States Food and
Drug Administration may be used and shall also specify that the use
shall be in accordance with the labeling.
(B) A person who is currently certified as meeting the standards
of competence in nuclear medicine technology pursuant to Article 6
(commencing with Section 107150) and who is authorized to perform a
computerized tomography scanner only on a dual-mode machine, as
described in Section 106976, may perform the conduct described in
subparagraph (A) this subdivision .
(3) Prior to performing venipuncture pursuant to paragraph (1), a
radiologic technologist shall have performed at least 10
venipunctures on live humans under the personal supervision of a
licensed physician and surgeon, a registered nurse, or a person the
physician or nurse has previously deemed qualified to provide
personal supervision to the technologist for purposes of performing
venipuncture pursuant to this paragraph. Only after completion of a
minimum of 10 venipunctures may the supervising individual evaluate
whether the technologist is competent to perform venipuncture under
direct supervision. The number of venipunctures required in this
paragraph are in addition to those performed for meeting the
requirements of paragraph (2) of subdivision (d). The facility shall
document compliance with this subdivision.
(b) A radiologic technologist may perform venipuncture,
as described in subdivision (a), only if the radiologic technologist
has received sufficient training and education, as specified in
subdivision (d). The radiologic technologist shall be
issued a certificate by an approved school of radiologic
technology as specified in subdivision (e) or
by an instructor indicating satisfactory completion of the
training required and education described in
subdivision (d) . This certificate documents completion
of the required education and training and may not, by itself, be
construed to authorize a person to perform venipuncture or to
administer contrast materials.
(c) "General (1)
"Direct supervision," for purposes of this section, means the
direction of procedures authorized by this section by a licensed
physician and surgeon who shall be physically present within the
facility and available within the facility where the procedures are
performed, in order to provide immediate medical intervention to
prevent or mitigate injury to the patient in the event of adverse
reaction.
(2) "Personal supervision," for purposes of this section, means
the oversight of the procedures authorized by this section by a
supervising individual identified in paragraph (3) of subdivision (a)
who is physically present to observe, and correct, as needed, the
performance of the individual who is performing the procedure.
(d) Training and education is deemed sufficient if the
radiologic technologist has complied with The
radiologic technologist shall have completed both of the
following:
(1) Received a total of 10 hours of instruction, including all of
the following:
(A) Anatomy and physiology of venipuncture sites.
(B) Venipuncture instruments, intravenous solutions, and related
equipment.
(C) Puncture techniques.
(D) Techniques of intravenous line establishment.
(E) Hazards and complications of venipuncture.
(F) Postpuncture care.
(G) Composition and purpose of antianaphylaxis tray.
(H) First aid and basic cardiopulmonary resuscitation.
(2) Performed 10 venipunctures on a human or training
mannequin upper extremity (for example infusion arm, mannequin arm)
under personal supervision. If performance is
on a human, only an upper extremity may be used.
(e) Schools for radiologic technologists shall include the
instruction training and education
specified in subdivision (d). Upon satisfactory completion of
the training and education, the school shall issue to the student a
completion document. This document may not be construed to authorize
a person to perform venipuncture or to administer contrast materials.
(f) Nothing in this section shall be construed to authorize a
radiologic technologist to perform arterial puncture , any
central venous access procedures including repositioning of
previously placed central venous catheter except as specified in
paragraph (1) of subdivision (a), or cutdowns, or establish an
intravenous line .
(g) This section shall not be construed to apply to a person who
is currently certified as meeting the standards of competence in
nuclear medicine technology pursuant to Article 6 (commencing with
Section 107150), except as provided in subparagraph (B) of paragraph
(2) of subdivision (a).
(h) Radiologic technologists who met the training and education
requirements of subdivision (d) prior to January 1, 2013, need not
repeat those requirements, or perform the venipunctures specified in
paragraph (3) of subdivision (a), provided the facility documents
that the radiologic technologist is competent to perform the tasks
specified in paragraph (1) of subdivision (a).
SEC. 2. No reimbursement is required by this act pursuant to
Section 6 of Article XIII B of the California Constitution because
the only costs that may be incurred by a local agency or school
district will be incurred because this act creates a new crime or
infraction, eliminates a crime or infraction, or changes the penalty
for a crime or infraction, within the meaning of Section 17556 of the
Government Code, or changes the definition of a crime within the
meaning of Section 6 of Article XIII B of the California
Constitution.