BILL ANALYSIS �
SB 1199
Page 1
SENATE THIRD READING
SB 1199 (Dutton)
As Amended August 24, 2012
Majority vote
SENATE VOTE : 38-0
HEALTH 18-0 APPROPRIATIONS 17-0
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|Ayes:|Monning, Logue, Ammiano, |Ayes:|Fuentes, Harkey, |
| |Atkins, Bonilla, Eng, | |Blumenfield, Bradford, |
| |Garrick, Gordon, Hayashi, | |Charles Calderon, Campos, |
| |Roger Hern�ndez, | |Davis, Donnelly, Gatto, |
| |Bonnie Lowenthal, | |Hall, Hill, Lara, |
| |Mansoor, Mitchell, | |Mitchell, Nielsen, Norby, |
| |Nestande, V. Manuel | |Solorio, Wagner |
| |P�rez, Silva, Smyth, | | |
| |Williams | | |
| | | | |
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SUMMARY : Authorizes a radiologic technologist (RT) who is
permitted to perform venipuncture in an upper extremity in
administering contrast materials, to use a saline-based solution
if certain requirements are met. Specifically, this bill :
1)Requires a saline-based solution used in administering
contrast materials to conform with a facility's protocol that
has been approved by a licensed physician and surgeon.
Requires the protocol to specify that only contrast materials
or pharmaceuticals approved by the U.S. Food and Drug
Administration may be used, and require the use to be in
accordance with the labeling.
2)Requires an RT, prior to performing venipuncture in in upper
extremity to administer contrast materials, to 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 RT for
purposes of performing venipuncture, as specified. Indicates
that only after completion of a minimum of 10 venipunctures
may the supervising individual evaluate whether the RT is
competent to perform venipuncture under direct supervision.
SB 1199
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States that the number of venipunctures required is in
addition to those performed as part of certification, as
specified.
3)Indicate that a certificate issued to an RT for purpose of
certification 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.
4)Replaces the terms general supervision with direct
supervision.
5)Defines personal supervision as the oversight of the
procedures by a supervising individual identified, as
specified, who is physically present to observe and correct,
as needed, the performance of the individual who is performing
the procedure.
6) Authorizes an RT as part of completion of the training and
education in venipuncture to perform 10 venipunctures on a
human or training mannequin upper extremity under personal
supervision, as specified. States that if the performance of
the venipuncture is on a human, only an upper extremity may be
used.
7)Requires RT schools to issue to RT students upon satisfactory
completion of training and education required of venipuncture,
to issue to the student a completion document. Indicates that
this document may not be construed to authorize a person to
perform venipuncture or to administer contrast materials.
8)Provides that provisions of this bill shall not be construed
to authorize an RT to perform any central venous access
procedures, as specified.
9)States that RTs who met existing training and education
requirements, as specified, prior to January 1, 2013, need not
repeat those requirements, or perform additional venipunctures
specified in 3) above, provided the facility documents that
the RT is competent to perform venipuncture in the upper
extremity, as specified.
10)Authorizes a certified nuclear medicine technologist who is
authorized a perform a computerized tomography scanner only on
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a dual-mode machine, as specified to use saline-based solution
in performing venipuncture in an upper extremity to administer
contrast materials, as specified.
FISCAL EFFECT : According to the Assembly Appropriations
Committee, this bill would have negligible state fiscal effect.
COMMENTS : The California Radiological Society is the sponsor of
this bill. According to the author, this bill is necessary to
clarify that an RT is able to administer saline-based solutions
in accordance with hospital or imaging facility protocol
specific to ensuring the integrity of the IV cannula. In some
patients, it is necessary to inject a saline-based solution
related to the contrast injection or the patency of the port of
injection. The sponsor points out that although it is not the
standard of practice in all radiology settings to use
saline-based solution, in situations where necessary, the
radiology community would like to clarify statute and allow for
this possibility.
Analysis Prepared by : Rosielyn Pulmano / HEALTH / (916)
319-2097
FN: 0005544