2005 -- S 0813 | |
======= | |
LC01133 | |
======= | |
STATE OF RHODE ISLAND | |
| |
IN GENERAL ASSEMBLY | |
| |
JANUARY SESSION, A.D. 2005 | |
| |
____________ | |
| |
A N A C T | |
RELATING TO BUSINESSES AND PROFESSIONS - SURGICAL TECHNOLOGISTS | |
|
      |
|
      |
     Introduced By: Senators Perry, Roberts, Pichardo, and Goodwin | |
     Date Introduced: February 17, 2005 | |
     Referred To: Senate Health & Human Services | |
It is enacted by the General Assembly as follows: | |
1-1 |
     SECTION 1. Title 5 of the General Laws entitled "Businesses and Professions" is hereby |
1-2 |
amended by adding thereto the following chapter: |
1-3 |
     CHAPTER 77 |
1-4 |
SURGICAL TECHNOLOGISTS |
1-5 |
     5-77-1. Declaration of policy. -- (a) The general assembly intends to establish by this |
1-6 |
chapter a framework for the development of a new category of health personnel to be known as |
1-7 |
the surgical technologist. |
1-8 |
      (b) The purpose of this chapter is to encourage the more effective utilization of the skills |
1-9 |
of physicians by enabling them to delegate health care tasks to qualified surgical technologists |
1-10 |
where that delegation is consistent with the patient's health and welfare. |
1-11 |
     (c) Nothing in this chapter shall be construed to repeal or supersede existing laws relating |
1-12 |
to other paramedical professions or services. |
1-13 |
     5-77-2. Definitions. -- As used in this chapter, the following words have the following |
1-14 |
meanings: |
1-15 |
     (1) "Administrator" means the administrator, division of professional regulation. |
1-16 |
     (2) "Approved program" means a program for the education and training of surgical |
1-17 |
technologists formally approved by the American Medical Association's (AMA's) Committee on |
1-18 |
Allied Health, Education and Accreditation, its successor, the Commission on Accreditation of |
1-19 |
Allied Health Education Programs (CAAHEP) or its successor. |
2-1 |
     (3) "Approved program for continuing medical education" means a program for |
2-2 |
continuing education approved by the Association of Surgical Technologists or any other board |
2-3 |
approved program. |
2-4 |
     (4) "Board" means the board of licensure of surgical technologists. |
2-5 |
     (5) "Director" means the director of the department of health. |
2-6 |
     (6) "Division" means the division of professional regulation, department of health. |
2-7 |
     (7) "Physician" means a person licensed under the provisions of chapter 29 or 37 of this |
2-8 |
title. |
2-9 |
     (8) "Surgical technologist" means a person who is qualified by academic and practical |
2-10 |
training to provide those certain patient services under the supervision, control, responsibility and |
2-11 |
direction of a licensed physician. |
2-12 |
     (9) "Supervision" means overseeing the activities of, and accepting the responsibility for |
2-13 |
the medical services rendered by the surgical technologists. Supervision is continuous, and under |
2-14 |
the direct control of a licensed physician expert in the field of medicine in which the surgical |
2-15 |
technologists practice. The constant physical presence of the supervising physician or physician |
2-16 |
designee is not required. It is the responsibility of the supervising physician and surgical |
2-17 |
technologist to assure an appropriate level of supervision depending on the services being |
2-18 |
rendered. Each physician or group of physicians, or other health care delivery organization |
2-19 |
excluding licensed hospital or licensed health care facilities controlled or operated by a licensed |
2-20 |
hospital employing surgical technologists must have on file at the primary practice site a copy of |
2-21 |
a policy in the form of an agreement between the supervising physicians and surgical |
2-22 |
technologists delineating: |
2-23 |
      (i) The level of supervision provided by the supervising physician or designee with |
2-24 |
particular reference to differing levels of supervision depending on the type of patient services |
2-25 |
provided and requirements for communication between the supervising physician or designee and |
2-26 |
the surgical technologist. |
2-27 |
      (ii) A job description for the surgical technologist listing patient care responsibilities and |
2-28 |
procedures to be performed by the surgical technologist. |
2-29 |
      (iii) A program for quality assurance for surgical technologist services including |
2-30 |
requirements for periodic review of the surgical technologist services. |
2-31 |
      (iv) Requirements for supervision of surgical technologists employed or extended |
2-32 |
medical staff privileges by licensed hospitals or other licensed health care facilities or employed |
2-33 |
by other health care delivery agencies shall be delineated by the medical staff by laws and/or |
2-34 |
applicable governing authority of the facility. |
3-1 |
      (v) The supervising physician or physician designee must be available for easy |
3-2 |
communication and referral at all times. |
3-3 |
     (11) "Unprofessional conduct" includes, but is not limited to, the following items or any |
3-4 |
combination and may be defined by regulations established by the board with prior approval of |
3-5 |
the director: |
3-6 |
     (i) Fraudulent or deceptive procuring or use of a license; |
3-7 |
     (ii) Representation of himself or herself as a physician; |
3-8 |
     (iii) Conviction of a crime involving moral turpitude; conviction of a felony; conviction |
3-9 |
of a crime arising out of the practice of medicine. All advertising of medical business, which is |
3-10 |
intended or has a tendency to deceive the public; |
3-11 |
     (iv) Abandonment of a patient; |
3-12 |
     (v) Dependence upon a controlled substance, habitual drunkenness, or rendering |
3-13 |
professional services to a patient while intoxicated or incapacitated by the use of drugs; |
3-14 |
     (vi) Promotion of the sale of drugs, devices appliances, or goods or services provided for |
3-15 |
a patient in a manner that exploits the patient for the financial gain of the surgical technologist; |
3-16 |
      (vii) Immoral conduct of a surgical technologist in the practice of medicine; |
3-17 |
     (viii) Willfully making and filing false reports or records; |
3-18 |
     (ix) Willful omission to file or record or willfully impeding or obstructing a filing or |
3-19 |
recording, or inducing another person to omit to file or record medical or other reports as required |
3-20 |
by law; |
3-21 |
      (x) Agreeing with clinical or bioanalytical laboratories to accept payments from these |
3-22 |
laboratories for individual tests or test series for patients; |
3-23 |
     (xi) Practicing with an unlicensed physician or surgical technologist or aiding or abetting |
3-24 |
these unlicensed persons in the practice of medicine; |
3-25 |
      (xii) Offering, undertaking or agreeing to cure or treat a disease by a secret method, |
3-26 |
procedure, treatment or medicine; |
3-27 |
     (xiii) Professional or mental incompetence; |
3-28 |
     (xiv) Surrender, revocation, suspension, limitation of privilege based on quality of care |
3-29 |
provided, or any other disciplinary action against a license or authorization to practice in another |
3-30 |
state or jurisdiction; or surrender, revocation, suspension, or any other disciplinary action relating |
3-31 |
to membership on any medical staff or in any medical professional association, or society while |
3-32 |
under disciplinary investigation by any of those authorities or bodies for acts or conduct similar to |
3-33 |
acts or conduct which would constitute grounds for action as stated in this chapter; |
3-34 |
     (xv) Any adverse judgment, settlement, or award arising from a medical liability claim |
4-1 |
related to acts or conduct, which would constitute grounds for action as stated in this chapter; |
4-2 |
     (xvi) Failure to furnish the board, the administrator, investigator or representatives, |
4-3 |
information legally requested by the board; |
4-4 |
     (xvii) Violation of any provisions of this chapter or the rules and regulations promulgated |
4-5 |
by the director or an action, stipulation, or agreement of the board; |
4-6 |
     (xviii) Cheating or attempting to subvert the certifying examination; |
4-7 |
     (xix) Violating any state or federal law or regulation relating to controlled substances; |
4-8 |
      (xx) Medical malpractice; |
4-9 |
      (xxi) Sexual contact between a surgical technologist and patient during the existence of |
4-10 |
the surgical technologist/patient relationship; |
4-11 |
     (xxii) Providing services to a person who is making a claim as a result of a personal |
4-12 |
injury, who charges or collects from the person any amount in excess of the reimbursement to the |
4-13 |
surgical technologist by the insurer as a condition of providing or continuing to provide services |
4-14 |
or treatment. |
4-15 |
     5-77-3. Exemptions. -- The provisions of this chapter do not apply to services performed |
4-16 |
in any of the following areas: |
4-17 |
     (1) The practice of dentistry or dental hygiene as defined in chapter 31.1 of this title. |
4-18 |
     (2) The practice of chiropractic medicine. |
4-19 |
     (3) The practice of optometry as defined in chapter 35 of this title. |
4-20 |
     (4) A surgical technologist student enrolled in a surgical technologist educational |
4-21 |
program while performing duties in conjunction with a formal training program clinical rotation |
4-22 |
under the auspices of a recognized degree granting institution. |
4-23 |
     (5) Technicians, or other assistants or employees of physicians who perform delegated |
4-24 |
tasks in the office of a physician but who are not rendering services as surgical technologist or |
4-25 |
identifying themselves as a surgical technologist. |
4-26 |
     5-77-4. Board of licensure -- Creation. -- Within the division of professional regulation |
4-27 |
established in the department of health pursuant to chapter 26 of this title there is a board of |
4-28 |
registration for surgical technologist as provided by sections 5-77-5 – 5-77-7. |
4-29 |
     5-77-5. Board of licensure. -- (a) The director of the department of health, with the |
4-30 |
approval of the governor, shall appoint a board consisting of seven (7) persons, residents of the |
4-31 |
state, to constitute a board of licensure for surgical technologist with the duties, powers, and |
4-32 |
authority as stated in this chapter, and that board shall be composed of the following: |
4-33 |
     (1) Two (2) members shall be licensed physicians under the provisions of chapter 37 of |
4-34 |
this title who have been actively engaged in the practice of medicine; |
5-1 |
     (2) One member is a chief executive officer of a health care facility located and licensed |
5-2 |
in the state or his or her designee who is not licensed in any health care profession; |
5-3 |
     (3) Two (2) members who are representatives of the general public not employed in any |
5-4 |
health-related field; and |
5-5 |
     (4) Two (2) members shall be surgical technologists. |
5-6 |
     (b) Members shall be appointed for terms of three (3) years each with no member serving |
5-7 |
more than two (2) consecutive terms. |
5-8 |
     (c) In his or her initial appointment, the director shall designate the members of the board |
5-9 |
of licensure for surgical technologists as follows: two (2) members to serve for terms of three (3) |
5-10 |
years; two (2) members to serve for a term of two (2) years; and three (3) members to serve for a |
5-11 |
term of one year. Any additional appointments shall serve for one year. |
5-12 |
      (d) The director of the department of health may remove any member of the board for |
5-13 |
cause. |
5-14 |
     (e) Vacancies shall be filled for the unexpired portion of any term in the same manner as |
5-15 |
the original appointment. |
5-16 |
     5-77-6. Board of licensure -- Organization and meetings -- Compensation of |
5-17 |
members. -- The board shall elect its own chairperson annually and shall meet at the call of the |
5-18 |
administrator, the chairperson or upon the request of two (2) or more members of the board. A |
5-19 |
quorum shall consist of at least three (3) members present. The board shall approve programs for |
5-20 |
continuing medical education. Board members shall serve without compensation. |
5-21 |
     5-77-7. Board of licensure -- Powers and duties. -- (a) The board shall administer, |
5-22 |
coordinate, and enforce the provisions of this chapter, approve programs for the training of |
5-23 |
surgical technologists, evaluate the qualifications of applicants, supervise any examination of |
5-24 |
applicants deemed necessary, recommend to the director the commencement of disciplinary |
5-25 |
hearings in accordance with chapter 35 of title 42 and the provisions of this chapter, and |
5-26 |
investigate persons engaging in practices which violate the provisions of this chapter. This |
5-27 |
authority shall specifically encompass practicing surgical technologists, supervisory physicians, |
5-28 |
and those health care agencies employing surgical technologists. The board shall investigate all |
5-29 |
persons and agencies engaging in practices which violate the provisions in this chapter. |
5-30 |
     (b) The board shall conduct hearings of a non-disciplinary nature and shall keep the |
5-31 |
records and minutes that are necessary to an orderly dispatch of business. |
5-32 |
     (c) The board, with the approval of the director of the department of health, shall adopt |
5-33 |
rules and regulations necessary to carry into effect the provisions of this chapter and may amend |
5-34 |
or repeal them. |
6-1 |
      (d) Regular meetings of the board shall be held at any time and places that the board |
6-2 |
prescribes and special meetings shall be held upon the call of the chairperson; provided, that at |
6-3 |
least one regular meeting is held each year. |
6-4 |
     (e) The conferral or enumeration of specific powers in this chapter shall not be construed |
6-5 |
as a limitation of the general powers conferred by this section. |
6-6 |
     (f) The board shall recommend to the director for registration those persons meeting the |
6-7 |
criteria stated by this chapter. |
6-8 |
      (g) The board shall recommend to the director the revocation or suspension of the |
6-9 |
registration of any surgical technologist who does not conform to the requirements of this chapter |
6-10 |
or regulations adopted under this chapter. |
6-11 |
     (h) In accordance with its authority under subsection (a) of this section the board shall |
6-12 |
make recommendations to the director for discipline of supervising physicians and employing |
6-13 |
health care agencies found wanting in their use of surgical technologists. |
6-14 |
     (i) The board shall approve programs for continuing medical education. |
6-15 |
     5-77-8. Permitted health care practices by surgical technologist. -- (a) Surgical |
6-16 |
technologists shall practice with physician supervision. Surgical technologists may perform those |
6-17 |
duties and responsibilities consistent with the limitations of this section, which are delegated by |
6-18 |
their supervising physician(s). Notwithstanding any other provisions of law, a surgical |
6-19 |
technologist may perform health care services when those services are rendered under the |
6-20 |
supervision of a licensed physician. |
6-21 |
     (b) Surgical technologists, depending upon their level of professional training and |
6-22 |
experience, as determined by a supervising physician, may perform health care services |
6-23 |
consistent with their expertise and that of the supervising physician, who is a licensed physician |
6-24 |
in solo practice, in group practice, or in health care facilities. |
6-25 |
      (c) Hospitals and other licensed health care facilities have discretion to grant privileges |
6-26 |
to a surgical technologist and to define the scope of privileges or services which a surgical |
6-27 |
technologist may deliver in a facility. In no event shall those privileges, if granted, exceed the |
6-28 |
privileges granted to the supervising physician. |
6-29 |
     5-77-9. Criteria for licensure as a surgical technologist. -- The board shall recommend |
6-30 |
to the director for licensure as a surgical technologist an applicant who: |
6-31 |
     (1) Is of good character and reputation; |
6-32 |
     (2) Graduated from a surgical technologist training program certified by the AMA's |
6-33 |
Committee on Allied Health, Education, and Accreditation, its successor, the Commission on |
6-34 |
Accreditation of Allied Health Education Programs (CAAHEP) or its successor; |
7-1 |
     (3) Passed a national certifying exam approved by the board; |
7-2 |
     (4) Submitted a completed application together with the required fee of sixty-two dollars |
7-3 |
and fifty cents ($62.50). |
7-4 |
     5-77-9.1. Graduate practice. -- (a) Any graduate of an approved surgical technologist |
7-5 |
training program who files a completed application for licensure may, upon receiving a receipt |
7-6 |
from the division of professional regulation, perform as a graduate surgical technologist subject to |
7-7 |
the board promulgating rules and regulations delineating the appropriate level of supervision for |
7-8 |
the graduate surgical technologist practice. During this period, the applicant shall identify himself |
7-9 |
or herself only as a "graduate surgical technologist". |
7-10 |
     (b) If the applicant fails to take the next succeeding examination without cause, or fails to |
7-11 |
pass the examination and is licensed, all privileges granted pursuant to this section shall |
7-12 |
automatically cease. |
7-13 |
     5-77-10. Registration based on previous practice. -- The board shall recommend to the |
7-14 |
director for registration as a surgical technologist an applicant who: |
7-15 |
     (1) Is employed in this state as a surgical technologist on July 1, 2005, and has |
7-16 |
successfully passed the national qualifying exam prior to July 1, 2005; |
7-17 |
     (2) No person shall represent himself or herself or be registered as a surgical technologist |
7-18 |
after July 1, 2005 unless he or she has passed the certifying examination approved by the board in |
7-19 |
section 5-77-9(3); and |
7-20 |
     (3) Submitted a completed application with the application fee. |
7-21 |
     5-77-11. Issuance and annual renewal of certificates of licensure. -- (a) The board |
7-22 |
shall recommend to the director for registration those individuals who meet the criteria for |
7-23 |
licensure as stated in this chapter. Upon that recommendation, the director shall issue a certificate |
7-24 |
of licensure as a surgical technologist. |
7-25 |
     (b) The certificate of licensure shall expire biannually on the thirtieth (30th) day of June. |
7-26 |
On or before the first day of March in each year, the administrator shall mail an application for a |
7-27 |
renewal certificate to every person licensed under the provisions of this chapter, and every person |
7-28 |
who desires his or her certificate to be renewed shall file with the division the renewal application |
7-29 |
together with a renewal fee of one hundred twenty-five dollars ($125) on or before the first day of |
7-30 |
June in every other year. Upon receipt of the renewal application and payment of fee, the |
7-31 |
accuracy of the application shall be verified and the administrator shall grant a renewal certificate |
7-32 |
effective July 1st and expiring June 30th two years hence, unless the certificate is sooner |
7-33 |
suspended for cause as provided in section 5-77-12. |
7-34 |
     5-77-11.1. Inactive list. -- A surgical technologist licensed to practice who does not |
8-1 |
intend to engage in the practice of his or her profession during any year, upon written request to |
8-2 |
the board may have his or her name transferred to an inactive list, and shall not be required to |
8-3 |
register annually or pay any renewal as long as he or she remains inactive. Any surgical |
8-4 |
technologist included in the inactive list as provided in this section shall be restored to active |
8-5 |
status by the administrator upon filing of a written request accompanied by the renewal fee. |
8-6 |
     5-77-12. Grounds for refusal to renew, suspension or revocation of certificates. -- |
8-7 |
The director may, after notice and a hearing refuse to grant, renew, suspend, or revoke any |
8-8 |
certificate of licensure or discipline any registrant upon proof that the person is guilty of |
8-9 |
unprofessional conduct as defined in section 5-77-2. |
8-10 |
     5-77-12.1. Continuing medical education. -- Every surgical technologist licensed to |
8-11 |
practice within the state shall be required to have satisfactorily completed ten (10) hours of |
8-12 |
approved continuing medical education annually. The annual period for accumulation of |
8-13 |
continuing medical education hours commences on the first day of September and runs through |
8-14 |
the thirty-first (31st) day of August beginning in 2005. Beginning with the annual renewal period |
8-15 |
commencing the first day of August 2006 the administrator shall not renew the certificate of |
8-16 |
licensure until satisfactory evidence of completion of the required continuing medical education |
8-17 |
is provided to the division. |
8-18 |
     5-77-13. Procedure for discipline. -- (a) When a sworn complaint is filed with the board |
8-19 |
charging a person with being guilty of any of the actions specified in section 5-77-12, the division |
8-20 |
of professional regulation or the board shall immediately investigate those charges. In the event |
8-21 |
that investigation reveals reasonable grounds for believing that the applicant or surgical |
8-22 |
technologist is guilty of the charges, and upon the recommendation of the board or the |
8-23 |
administrator, the director shall fix a time and place for a hearing, and shall cause a copy of the |
8-24 |
charges together with a notice of the time and the place fixed for the hearing to be served upon |
8-25 |
the accused at least twenty (20) days prior to the time fixed for the hearing. At the hearing, the |
8-26 |
accused has the right to appear personally or by counsel or both, to produce witnesses and |
8-27 |
evidence on his or her behalf, to cross-examine witnesses and to have subpoenas issued by the |
8-28 |
administrator of professional regulation. The attendance of witnesses and the production of |
8-29 |
books, documents, and papers at the hearing may be compelled by subpoenas issued by the |
8-30 |
administrator which shall be served in accordance with law. At the hearing, the director or his or |
8-31 |
her designee shall administer oaths that may be necessary for the proper conduct of the hearing. |
8-32 |
The director of health or his or her designee is not bound by the strict rules of procedure or by the |
8-33 |
laws of evidence in the conduct of its proceedings but the determination shall be based upon |
8-34 |
sufficient legal evidence to sustain it. If the accused is found guilty of the charges, the director |
9-1 |
may refuse to issue a registration to the applicant or may revoke or suspend his or her certificate |
9-2 |
or discipline the person. |
9-3 |
     (b) Upon the revocation or suspension of any certificate, the holder of the certificate shall |
9-4 |
surrender the certificate to the administrator of professional regulation who shall strike the name |
9-5 |
of the holder from the register of surgical technologists. |
9-6 |
     5-77-13.1. Non-disciplinary alternative. -- The board may permit a licensee to enter |
9-7 |
into a non-disciplinary alternative program. All records pertaining to the surgical technologist's |
9-8 |
participation in the non-disciplinary program shall be confidential and shall not be subject to |
9-9 |
discovery, subpoena, or public disclosure. |
9-10 |
     5-77-14. Grounds for discipline without a hearing. -- The director may temporarily |
9-11 |
suspend the license of a surgical technologist without a hearing if the director finds that the |
9-12 |
evidence in his or her possession indicates that a surgical technologist's continuation in practice |
9-13 |
would constitute a danger to the public. In the event that the director temporarily suspends the |
9-14 |
license of a surgical technologist without a hearing, a hearing by the board must be held within |
9-15 |
ten (10) days after the suspension. |
9-16 |
     5-77-15. Appeals from board, administrator or director. -- An appeal from any |
9-17 |
decision or order of the board, administrator of professional regulation or director of department |
9-18 |
of health may be taken by any aggrieved party to the superior court in the manner provided for in |
9-19 |
chapter 35 of title 42. |
9-20 |
     5-77-16. Penalty for misrepresentation. -- No person who is not licensed as a surgical |
9-21 |
technologist may use the title of "Surgical Technologist" or hold himself or herself out as a |
9-22 |
surgical technologist. Any person who violates the provisions of this section shall be punished by |
9-23 |
a fine of not less than two hundred dollars ($200) nor more than five hundred dollars ($500), nor |
9-24 |
more than one year imprisonment, or by both the fine and imprisonment. |
9-25 |
     5-77-17. Injunction of violations. -- When it appears to the director that any person is |
9-26 |
violating any of the provisions of this chapter, the director may cause an action to be instituted, |
9-27 |
commenced in the name of the board, to enjoin that violation in a court of competent jurisdiction |
9-28 |
and that court may enjoin any person, firm, corporation, or association without regard to whether |
9-29 |
proceedings have been or may be instituted before the director or whether criminal proceedings |
9-30 |
have been or may be instituted. |
9-31 |
     5-77-18. Receipts. -- The proceeds of any fees collected pursuant to the provisions of this |
9-32 |
chapter shall be deposited as general revenues. |
9-33 |
     5-77-19. Enforcement of chapter. -- The director of the department health shall enforce |
9-34 |
the provisions of this chapter. The director or his or her authorized agents and the board shall be |
10-1 |
exempt from providing surety for costs in connection with the commencement of any legal |
10-2 |
proceedings under this chapter. |
10-3 |
     5-77-20. Immunity from liability for gratuitous emergency assistance. -- No person |
10-4 |
licensed under the provisions of this chapter or members of the same profession licensed to |
10-5 |
practice in other states of the United States who voluntarily and gratuitously, and other than in the |
10-6 |
ordinary course of his or her employment or practice, renders emergency medical assistance to a |
10-7 |
person in need shall be liable for civil damages for any personal injuries resulting from acts or |
10-8 |
omissions by those persons in rendering the emergency care which may constitute ordinary |
10-9 |
negligence. The immunity granted by this section shall not apply to acts or omissions constituting |
10-10 |
gross, willful, wanton negligence or when the medical assistance is rendered at any hospital, |
10-11 |
physician's office or other health care delivery entity where those services are normally rendered. |
10-12 |
     5-77-21. Severability. -- The provisions of this chapter are severable and if any of the |
10-13 |
provisions of this chapter are held unconstitutional by any court of competent jurisdiction, the |
10-14 |
decision of that court does not affect or impair any of the remaining provisions. |
10-15 |
     5-77-22. Continuing medical education. -- Every surgical technologist licensed to |
10-16 |
practice within the state shall be required to have satisfactorily completed ten (10) hours of |
10-17 |
approved continuing medical education annually. The annual period for accumulation of |
10-18 |
continuing education hours commences on the first day of October and runs through the last day |
10-19 |
of September beginning in 1996. Beginning with the annual renewal period commencing the first |
10-20 |
day of October 1997 the administrator shall not renew the certificate of licensure until satisfactory |
10-21 |
evidence of the completion of the required continuing medical education is provided to the |
10-22 |
division. |
10-23 |
     5-77-23. Reports relating to professional conduct and capacity -- Regulations -- |
10-24 |
Confidentiality -- Immunity. -- In addition to the requirements of section 42-14-2.1: |
10-25 |
     (1) The board, with the approval of the director, shall adopt regulations requiring any |
10-26 |
person, including, but not limited to, corporations, health care facilities, health maintenance |
10-27 |
organizations, organizations and federal, state, or local governmental agencies, or peer review |
10-28 |
boards to report to the board any: conviction, determination, or finding that a licensed surgical |
10-29 |
technologist has committed unprofessional conduct as defined in section 5-77-2, or to report |
10-30 |
information which indicates that a licensed surgical technologist may not be able to practice with |
10-31 |
reasonable skill and safety to patients as the result of any mental or physical condition. The |
10-32 |
regulations shall include the reporting requirements of subdivision (2)(i), (ii), (iii) of this section. |
10-33 |
     (2) The following reports, in writing, shall be filed with the board: |
10-34 |
     (i) Every insurer providing professional liability insurance to a surgical technologist |
11-1 |
licensed under the provisions of this chapter shall send a complete report to the board reporting |
11-2 |
any formal notice of any claim, settlement of any claim or cause of action, or final judgment |
11-3 |
rendered in any cause of action for damages for death or personal injury caused by a surgical |
11-4 |
technologist's negligence, error or omission in practice or his or her rendering of unauthorized |
11-5 |
professional services. The report shall be sent within thirty (30) days after service of the |
11-6 |
complaint or notice, settlement, judgment, or arbitration award on the parties. All the reports |
11-7 |
present an in-depth factual summary of the claim in question. |
11-8 |
      (ii) All hospital and licensed health care facilities including, but not limited to, nursing |
11-9 |
homes and health maintenance organizations and the division of drug control must report within |
11-10 |
thirty (30) days of this action, any action, disciplinary or otherwise, taken for any reason, which |
11-11 |
limits, suspends, or revokes a surgical technologist's privilege to practice, either through formal |
11-12 |
action by the institution or facility or through any voluntary agreement with the surgical |
11-13 |
technologist. |
11-14 |
     (iii) Within ten (10) days after a judgment by a court of this state that a surgical |
11-15 |
technologist licensed under the provisions of this chapter has been convicted of a crime or is |
11-16 |
civilly liable for any death or personal injury caused by his or her negligence, error or omission in |
11-17 |
his or her practice or his or her rendering unauthorized professional services, the clerk of the |
11-18 |
court which rendered the judgment shall report the judgment to the board. |
11-19 |
     (3) The board shall publicly report any change of privileges, of which it is aware, to the |
11-20 |
board of trustees or other appropriate body of all licensed hospitals, licensed health care facilities, |
11-21 |
health maintenance organizations and any other parties that the board deems appropriate, within |
11-22 |
thirty (30) days; provided, that notwithstanding the provisions of this subdivision, the board may, |
11-23 |
in instances where the change of privilege is not related to quality of patient care, elect not to |
11-24 |
disseminate the report of changed privileges. This election may be made in executive session and |
11-25 |
no decision not to disseminate shall be made except by the majority vote of the members present |
11-26 |
at the meeting and only upon a finding of fact by the board after inquiry that the change was not |
11-27 |
related to quality of patient care. |
11-28 |
     (4) The contents of any report file shall be confidential and exempt from public |
11-29 |
disclosure, except that it may be reviewed: |
11-30 |
     (i) By the licensee involved or his or her counsel or authorized representative who |
11-31 |
submits any additional exculpatory or explanatory statements or other information, which |
11-32 |
statements or information shall be included in the file; or |
11-33 |
     (ii) By the chief administrative officer, a representative of the board or investigator of the |
11-34 |
board, who shall be assigned to review the activities of a licensed surgical technologist. |
12-1 |
      (5) Upon determination that a report is without merit, the board's records shall be purged |
12-2 |
of information relating to the report. |
12-3 |
     (6) If any person refuses to furnish a required report, the board may petition the superior |
12-4 |
court of any county in which the person resides or is found, and the court shall issue to the person |
12-5 |
an order to furnish the required report. Any failure to obey the order shall be punished by the |
12-6 |
court as a civil contempt is punished. |
12-7 |
     (7) Every individual medical association, medical society, surgical technologist |
12-8 |
professional organization, health care facility, health maintenance organization, peer review |
12-9 |
board, medical service bureau, health insurance carrier or agent, professional standards review |
12-10 |
organization, and agency of the federal, state, or local government shall be immune from civil |
12-11 |
liability, whether direct or derivative, for providing information in good faith to the board |
12-12 |
pursuant to this statute or the regulations outlined in subdivision (1) or requirements of |
12-13 |
subdivision (2) of this section. |
12-14 |
     (8) Nondisclosure agreements shall be prohibited insofar as they forbid parties from |
12-15 |
making reports regarding competency and/or unprofessional conduct to the board. |
12-16 |
     5-77-24. Requirements relating to professional conduct. -- The board shall receive and |
12-17 |
maintain a confidential file which shall be available to the board to precipitate or aid in their |
12-18 |
investigations. The information shall also be available to licensed health care facilities including |
12-19 |
health maintenance organizations in connection with the granting of staff privileges and to the |
12-20 |
individual surgical technologists themselves. The file shall contain the following information: |
12-21 |
     (1) Cases of malpractice suits against surgical technologists as reported to the board by |
12-22 |
insurers and self-insurers; |
12-23 |
     (2) Cases of malpractice suits that result in allegations being dropped, a dismissal, a |
12-24 |
settlement, or court judgment or arbitration award adverse to the surgical technologist; |
12-25 |
     (3) Reports by any hospital or state or local professional medical association/society of |
12-26 |
disciplinary action taken against any surgical technologist. This should also include any |
12-27 |
resignation of a surgical technologist if related to unprofessional conduct as defined in law or any |
12-28 |
withdrawal of an application for hospital privileges relating to unprofessional conduct; |
12-29 |
     (4) Reports by state and federal courts of surgical technologists found guilty of a felony; |
12-30 |
     (5) Reports by professional review organizations and third-party health insurers of |
12-31 |
sanctions imposed on a surgical technologist; |
12-32 |
      (6) The file may contain any other data that the board by reasonable rule or regulation |
12-33 |
deems appropriate. |
12-34 |
     5-77-25. Communication of information among health care facilities. -- Any licensed |
13-1 |
health care facility, acting by and through it's chief executive officer or his or her designee, may |
13-2 |
upon the request of any other licensed health care facility, communicate to the chief executive |
13-3 |
officer of the requesting facility or his or her designee any and all information available regarding |
13-4 |
circumstances under which the privileges of any surgical technologist were changed as described |
13-5 |
in section 5-77-23(3). No health care facility, chief executive officer, or his or her designee, |
13-6 |
communicating information under this section, shall have liability arising out of the |
13-7 |
communication, unless the person making the communication is not acting in good faith. |
13-8 |
     5-77-26. Hospital responsibility to take action based upon adverse information |
13-9 |
received. -- (a) Whenever a hospital receives information from the board pursuant to section 5- |
13-10 |
77-23(3) that indicates that the privileges of a surgical technologist or other health care |
13-11 |
professional have been suspended, revoked, or limited at another hospital, the receiving hospital |
13-12 |
shall within thirty (30) days initiate a preliminary inquiry into whether the privileges of the |
13-13 |
affected surgical technologist or other health care professional at the receiving hospital should be |
13-14 |
suspended, revoked, or limited, based upon review of the exercise of privileges at the receiving |
13-15 |
hospital, unless the information indicates that any adverse action with respect to privileges was |
13-16 |
administrative in character. |
13-17 |
     (b) Any hospital receiving information described in subsection (a) of this section may |
13-18 |
take any one or more of the following courses of action in addition to the action required in |
13-19 |
subsection (a) of this section, any one of which shall discharge its responsibility under this |
13-20 |
chapter to monitor the qualification and fitness of surgical technologists and other health care |
13-21 |
professionals on its medical staff: |
13-22 |
     (1) In any case that has been referred to the board, to await final disposition of the board, |
13-23 |
and to take further action that is consistent with sanctions, if any, imposed by the board; |
13-24 |
     (2) In any case in which the matter has resulted in the suspension, revocation, or |
13-25 |
restriction of privileges at any other hospital, to adopt the factual findings of the other hospital, |
13-26 |
and to impose the suspension, revocation, or restriction in privileges that the receiving hospital |
13-27 |
deems appropriate, if any, in light of these factors; or |
13-28 |
     (3) In any case, to conduct a formal inquiry, in accordance with applicable procedural |
13-29 |
requirements, to determine what action, if any, should be taken with respect to the privileges of |
13-30 |
the surgical technologist or other health care professional. |
13-31 |
     (c) No hospital, or officer, employee, surgical technologist or other health care |
13-32 |
professional associated with these shall be liable to any surgical technologist or other health care |
13-33 |
professional for any action taken in accordance with subsection (a) or (b) of this section when the |
13-34 |
action was made in good faith. |
14-1 |
     SECTION 2. This act shall take effect upon passage. |
      | |
======= | |
LC01133 | |
======= | |
EXPLANATION | |
BY THE LEGISLATIVE COUNCIL | |
OF | |
A N A C T | |
RELATING TO BUSINESSES AND PROFESSIONS - SURGICAL TECHNOLOGISTS | |
*** | |
15-1 |
     This act would establish laws pertaining to the profession of surgical technologists. |
15-2 |
     This act would take effect upon passage. |
      | |
======= | |
LC01133 | |
======= |