| 1 | A bill to be entitled |
| 2 | An act relating to surgical technology; creating part |
| 3 | XVII of ch. 468, F.S., relating to minimum |
| 4 | requirements to practice surgical technology; |
| 5 | providing legislative intent; providing definitions; |
| 6 | prohibiting a person from practicing surgical |
| 7 | technology in a health care facility unless he or she |
| 8 | meets certain criteria; providing an exception for a |
| 9 | specified time; prohibiting a health care facility |
| 10 | from employing or contracting for the services of a |
| 11 | surgical technologist unless the surgical technologist |
| 12 | meets certain requirements; requiring continuing |
| 13 | education for persons qualified to practice surgical |
| 14 | technology; requiring a health care facility to verify |
| 15 | that a person who is qualified to practice surgical |
| 16 | technology meets continuing education requirements and |
| 17 | maintains the credential of certified surgical |
| 18 | technologist; requiring a health care facility to |
| 19 | supervise persons employed or contracted by a health |
| 20 | care facility to practice surgical technology; |
| 21 | providing that the act does not prohibit certain |
| 22 | licensed health care practitioners and medical and |
| 23 | osteopathic students from performing tasks or |
| 24 | functions related to surgical technology; requiring |
| 25 | the Agency for Health Care Administration to adopt |
| 26 | rules; providing an effective date. |
| 27 |
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| 28 | Be It Enacted by the Legislature of the State of Florida: |
| 29 |
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| 30 | Section 1. Part XVII of chapter 468, Florida Statutes, |
| 31 | consisting of sections 468.91, 468.92, 468.93, 468.94, 468.95, |
| 32 | 468.96, and 468.97, is created to read: |
| 33 | 468.91 Legislative intent.-The sole legislative purpose |
| 34 | for enacting this part is to ensure that every surgical |
| 35 | technologist employed in this state meets minimum requirements |
| 36 | for safe practice as a member of the surgical care team. It is |
| 37 | the legislative intent that surgical technologists who fail to |
| 38 | meet minimum competencies or who otherwise present a danger to |
| 39 | the public health and safety be prohibited from practicing in |
| 40 | this state. |
| 41 | 468.92 Definitions.-As used in this part, the term: |
| 42 | (1) "Health care facility" means a hospital, an ambulatory |
| 43 | surgical center, or a mobile surgical facility that is regulated |
| 44 | by the Department of Health under chapter 395. |
| 45 | (2) "Surgical technologist" means a person who practices |
| 46 | surgical technology. |
| 47 | (3) "Surgical technology" means surgical patient care |
| 48 | performed collaboratively with the surgical team which includes, |
| 49 | but is not limited to, the following tasks or functions: |
| 50 | (a) Preparing the operating room for surgical procedures |
| 51 | by ensuring that surgical equipment is functioning properly and |
| 52 | safely; |
| 53 | (b) Preparing the operating room and the sterile field for |
| 54 | surgical procedures by preparing sterile supplies, instruments, |
| 55 | and equipment using sterile techniques; |
| 56 | (c) Anticipating the needs of the surgical team based on |
| 57 | knowledge of human anatomy and pathophysiology and how those |
| 58 | needs relate to the surgical patient and the patient's surgical |
| 59 | procedure; and |
| 60 | (d) Performing tasks at the sterile field, as directed, |
| 61 | including: |
| 62 | 1. Passing supplies, equipment, or instruments. |
| 63 | 2. Sponging or suctioning an operative site. |
| 64 | 3. Preparing and cutting suture material. |
| 65 | 4. Transferring and irrigating with fluids. |
| 66 | 5. Transferring drugs within the sterile field, according |
| 67 | to applicable law. |
| 68 | 6. Handling specimens. |
| 69 | 7. Holding retractors and other instruments. |
| 70 | 8. Applying electrocautery to clamps on blood vessels that |
| 71 | bleed. |
| 72 | 9. Connecting drains to suction apparatus. |
| 73 | 10. Applying dressings to closed wounds. |
| 74 | 11. Performing sponge, needle, supply, and instrument |
| 75 | counts with the registered nurse circulator. |
| 76 | 468.93 Training and certification required.- |
| 77 | (1) A person may not practice surgical technology in a |
| 78 | health care facility in this state unless the person meets one |
| 79 | of the following requirements: |
| 80 | (a) Has successfully completed a nationally accredited |
| 81 | educational program for surgical technologists and holds and |
| 82 | maintains the credential of certified surgical technologist, |
| 83 | which is administered by a nationally accredited credentialing |
| 84 | body; |
| 85 | (b) Has completed an appropriate training program for |
| 86 | surgical technology in the United States Armed Forces or Public |
| 87 | Health Service Commissioned Corps; |
| 88 | (c) Provides evidence that the person was employed to |
| 89 | practice surgical technology in a health care facility within 2 |
| 90 | years before July 1, 2012; or |
| 91 | (d) Is in the service of the Federal Government, to the |
| 92 | extent the person is performing duties related to that service. |
| 93 | (2) A person may be employed or contracted to practice |
| 94 | surgical technology during the 12-month period immediately |
| 95 | following successful completion of a program in surgical |
| 96 | technology, but may not continue to be employed or contracted to |
| 97 | practice beyond that period without documentation that the |
| 98 | employee or contractor holds and maintains the credential of |
| 99 | certified surgical technologist. |
| 100 | (3) A health care facility in this state may not employ or |
| 101 | otherwise contract for the services of a surgical technologist |
| 102 | unless the person meets the requirements of this section. |
| 103 | 468.94 Continuing education required.- |
| 104 | (1) A person who qualifies to practice surgical technology |
| 105 | in a health care facility under s. 468.93(1)(b) or (c) must |
| 106 | annually complete 15 hours of continuing education to remain |
| 107 | qualified to practice as a surgical technologist. |
| 108 | (2) A health care facility that employs or contracts with |
| 109 | a person to practice surgical technology shall verify that the |
| 110 | person meets the continuing education requirements of subsection |
| 111 | (1) and, where applicable, maintains the credential of certified |
| 112 | surgical technologist. |
| 113 | 468.95 Supervision and compliance.-A health care facility |
| 114 | shall supervise each person employed or contracted by a health |
| 115 | care facility to practice surgical technology according to the |
| 116 | health care facility's policies and procedures to ensure that |
| 117 | the person competently performs delegated perioperative tasks in |
| 118 | accordance with this part and other applicable laws. |
| 119 | 468.96 Applicability.-This part does not prohibit any |
| 120 | licensed practitioner from performing tasks or functions related |
| 121 | to surgical technology if the person is acting within the scope |
| 122 | of his or her license. This section also does not prohibit any |
| 123 | medical student, osteopathic student, or resident from |
| 124 | performing tasks or functions related to surgical technology if |
| 125 | the person is acting within the scope of his or her duties. |
| 126 | 468.97 Rulemaking authority.-The Agency for Health Care |
| 127 | Administration shall adopt rules to administer the requirements |
| 128 | of this part. |
| 129 | Section 2. This act shall take effect July 1, 2012. |