WSR 15-24-093 PERMANENT RULES DEPARTMENT OF HEALTH [Filed November 30, 2015, 6:00 p.m., effective December 31, 2015] Effective Date of Rule: Thirty-one days after filing.
Purpose: WAC 246-926-180 Parenteral procedures, the amended parenteral procedure rule for radiologic technologists clarifies that accessing peripherally inserted central catheter (PICC) lines and ports for manual and power injections is within their existing statutory scope of practice.
Citation of Existing Rules Affected by this Order: Amending WAC 246-926-180.
Statutory Authority for Adoption: RCW 18.84.040.
Adopted under notice filed as WSR 15-12-090 on June 2, 2015.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 1, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.
Date Adopted: November 25, 2015.
John Wiesman, DrPH, MPH
Secretary
AMENDATORY SECTION (Amending WSR 12-10-094, filed 5/2/12, effective 5/3/12)
WAC 246-926-180 Parenteral procedures ((for a diagnostic or therapeutic radiologic technologist, or a cardiovascular invasive specialist)).
(1) For the purposes of this section, these terms shall have the following meaning:
(a) "Diagnostic agent" means a substance used in radiologic technology to reveal, pinpoint, and define the localization of a pathological process, such as contrast preparations, radioactive isotopes, and dyes.
(b) "Parenteral administration" means introducing a substance or medication into the body in a manner other than through the digestive canal or by topical application.
(c) "Therapeutic agent" means a medication or substance intended for medical treatment in the radiologic technology domain.
(d) "Venipuncture" means a procedure to puncture a vein to withdraw blood or to start intravenous infusion related to radiologic technology, but does not include the insertion of peripherally inserted central catheter (PICC) lines.
(2) A certified diagnostic or therapeutic radiologic technologist may administer diagnostic and therapeutic agents via intravenous, intramuscular, or subcutaneous injection, under the direct supervision of a physician licensed under chapter 18.71 or 18.57 RCW. ((Diagnostic and therapeutic agents may be administered via intravenous, intramuscular, or subcutaneous injection. In addition to direct supervision,)) This includes accessing PICC lines and ports for manual or power injections for procedures related to radiologic technology. PICC lines and injection ports must be of a type approved by the federal Food and Drug Administration for administering diagnostic or therapeutic agents in radiologic technology. This does not include intraosseous infusion or intrathecal administration.
(3) Before the radiologic technologist may administer diagnostic and therapeutic agents, the following ((guidelines)) must be met:
(a) The radiologic technologist has had the prerequisite training and thorough knowledge of the particular procedure to be performed;
(b) Appropriate facilities are available for coping with any complication of the procedure as well as for emergency treatment of severe reactions to the diagnostic or therapeutic agent itself, including readily available appropriate resuscitative drugs, equipment, and personnel; and
(c) After parenteral administration of a diagnostic or therapeutic agent, competent personnel and emergency facilities must be available to the patient for at least thirty minutes in case of a delayed reaction.
(((2))) (4) A cardiovascular invasive specialist may administer parenteral diagnostic and therapeutic agents during cardiac or vascular catheterization procedures under the personal supervision of a physician licensed under chapter 18.71 or 18.57 RCW. Parenteral administration includes, but is not limited to, catheterization procedures involving arteries and veins.
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