BILL NUMBER: SB 1199	AMENDED
	BILL TEXT

	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.  Under
existing law, training and education is sufficient if the radiologic
technologist has, among other things, performed 10 venipunctures
under supervision.  Violation of these provisions is a
misdemeanor.
   This bill would provide that in administering contrast materials,
a radiologic technologist may, to ensure the security and integrity
of the intravenous cannula, use  any chemical solution or
equipment   a saline   -based solution 
that is in accordance with the hospital or imaging center protocol
and is found to be an acceptable practice by the  American
College of Radiology   federal Centers for Disease
Control and Prevention  , or other nationally recognized
accreditation society.  By expanding the scope of a crime, this
bill would impose a state-mandated local program.  
   This bill would provide that the 10 supervised venipunctures may
be performed on a human or phantom extremity and would make
technical, nonsubstantive changes. By expanding the definition 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 supervision of a licensed
physician and surgeon, perform venipuncture in an upper extremity to
administer contrast materials, manually or by utilizing a mechanical
injector, if the radiologic technologist has been issued a
certificate, as described in subdivision (b).
   (2) In administering contrast materials, a radiologic technologist
may, to ensure the security and integrity of the intravenous
cannula, use  any chemical solutions or equipment 
 a saline   -based solution  that is in accordance
with the hospital or imaging center protocol and is found to be an
acceptable practice by the  American College of Radiology
  federal Centers for Disease Control and Prevention
 , or other nationally recognized accreditation society.
   (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
or instructor indicating satisfactory completion of the training
required.
   (c) "General 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.
   (d) Training and education is deemed sufficient if the radiologic
technologist has complied with 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 phantom
extremity  under supervision.
   (e)  Schools for radiologic technologists shall include the
instruction specified in subdivision (d).
   (f)  Nothing in this section shall be construed to authorize a
radiologic technologist to perform arterial puncture.
  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.