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Wendy Erickson RN
CARE BillS. 1042
Does anyone have any up-to-date information about the status of this legistlation and its potential impact on PICC nurses' use of ultrasound for identifying vessels?  I just printed out the bill and read through it, and based on its defiinitions, I am not sure that it WILL apply to us.  I quote:  "The term "medical imaging" means any procedure used to visualize tissues, organs, or physiologic processes in humans for the purpose of diagnosing illness or following the pregression of disease" (my emphasis) We certainly do not diagnose.  So where are we at with this?
Chris Cavanaugh
 Wendy, glad you asked and

 Wendy, glad you asked and people are still following this!  I agree, I do not think it will effect us, but would still prefer to see us listed in the group of exemptions with MDs, PAs and ARNPs.  Here is the update from www.thomas.loc.gov, a great site to keep up with any pending legislation.   

S.1042
Title: A bill to amend the Public Health Service Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly.
Sponsor: Sen Enzi, Michael B. [WY] (introduced 3/29/2007)      Cosponsors (25)
Related Bills: H.R.583
Latest Major Action: 3/13/2008 Senate committee/subcommittee actions. Status: Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.


SUMMARY AS OF:
3/29/2007--Introduced.

Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 - Amends the Public Health Service Act to require the Secretary of Health and Human Services to establish standards to ensure the safety and accuracy of medical imaging studies and radiation therapy treatments. Imposes such standards on personnel who perform, plan, or evaluate, or verify patient doses for, medical imaging studies and radiation therapy procedures and not on the equipment used. Exempts physicians, nurse practitioners, and physician assistants.

Directs the Secretary to ensure that individuals demonstrate compliance with such standards.

Requires the Secretary to provide a method for the recognition of individuals whose training and experience are determined to equal or exceed that of: (1) a graduate of an accredited educational program in that specialty; or (2) an individual who is regularly eligible to take the licensure or certification examination for that discipline.

Directs the Secretary to certify qualified nonprofit organizations as approved bodies to provide accreditation to individuals that demonstrate compliance with such standards.

Requires individuals who provide medical imaging services relating to mammograms to continue to meet standards under the Mammography Quality Standards Act of 1992.

Deems state standards for licensure or certification of personnel, accreditation of educational programs, or administration of examinations to be in compliance with the standards under this Act unless the Secretary determines otherwise. Requires the Secretary to establish a process by which a state may appeal such a determination.

Requires the Secretary to ensure that all programs under the authority of the Secretary meet such standards.

Authorizes the Secretary to develop alternative standards for rural areas or health professional shortage areas as appropriate to assure access to quality medical imaging.

Also, House bill:

H.R.583
Title: To amend the Public Health Service Act to make the provision of technical services for medical imaging examinations and radiation therapy treatments safer, more accurate, and less costly.
Sponsor: Rep Doyle, Michael F. [PA-14] (introduced 1/19/2007)      Cosponsors (145)
Related Bills: S.1042
Latest Major Action: 2/2/2007 Referred to House subcommittee. Status: Referred to the Subcommittee on Health.


SUMMARY AS OF:
1/19/2007--Introduced.

Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act of 2007 - Amends the Public Health Service Act to require the Secretary of Health and Human Services to establish standards to ensure the safety and accuracy of medical imaging studies and radiation therapy treatments. Imposes such standards on personnel who perform, plan, or evaluate, or verify patient doses for, medical imaging studies and radiation therapy procedures and not on the equipment used. Exempts physicians, nurse practitioners, and physician assistants.

Directs the Secretary to ensure that individuals demonstrate compliance with such standards.

Requires the Secretary to provide a method for the recognition of individuals whose training and experience are determined to equal or exceed that of: (1) a graduate of an accredited educational program in that specialty; or (2) an individual who is regularly eligible to take the licensure or certification examination for that discipline.

Directs the Secretary to certify qualified nonprofit organizations as approved bodies to provide accreditation to individuals that demonstrate compliance with such standards.

Requires individuals who provide medical imaging services relating to mammograms to continue to meet standards under the Mammography Quality Standards Act of 1992.

Deems state standards for licensure or certification of personnel, accreditation of educational programs, or administration of examinations to be in compliance with the standards under this Act unless the Secretary determines otherwise. Requires the Secretary to establish a process by which a state may appeal such a determination.

Requires the Secretary to ensure that all programs under the authority of the Secretary meet such standards.

Authorizes the Secretary to develop alternative standards for rural areas or health professional shortage areas as appropriate to assure access to quality medical imaging.

 

 

Chris Cavanaugh, RN, BSN, CRNI, VA-BC

Wendy Erickson RN
Thanks, Chris - I will go
Thanks, Chris - I will go ahead and purchase a new ultrasound!  Ha!  I won't lose anymore sleep over this!  You just never know when government gets involved what the outcome will be!

Wendy Erickson RN
Eau Claire WI

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