OLR Bill Analysis

sHB-7174 (as amended by House "A")*

AN ACT ALLOWING CERTAIN HOSPITAL PERSONNEL TO ADMINISTER A SALINE FLUSH TO AN INTRAVENOUS LINE.

SUMMARY

PA 17-23 specifically allows phlebotomists practicing in the state to obtain certification from specified national organizations. This bill amends the definition of “phlebotomist” in PA 17-23, by requiring that the person must be acting under an order of a physician, physician assistant, advanced practice registered nurse, or podiatrist.

The bill also allows a phlebotomist at a hospital to flush a peripherally inserted intravenous line (“peripheral IV”) with prepackaged normal saline in a single use pre-filled syringe. The phlebotomist must (1) maintain certification from the American Society of Phlebotomy Technicians, National Center for Competency Testing, National Phlebotomy Association, National Healthcareer Association, or American Medical Technologists and (2) be responsible for drawing blood and trained under a hospital-approved protocol. The protocol must indicate the level of training and supervision needed to perform the task and include education about aseptic technique and infection control. The hospital must document and maintain the protocol for at least two years after it is implemented.

Under the bill, flushing a peripheral IV with prepackaged normal saline is not considered medication administration.

*House Amendment A” replaces the original bill (File 590) and allows a certified phlebotomist, rather than certain unlicensed hospital personnel, to flush a peripheral IV. It also modifies the definition of phlebotomist in PA 17-23.

EFFECTIVE DATE: October 1, 2017

COMMITTEE ACTION

Public Health Committee

Joint Favorable Substitute

Yea

24

Nay

2

(03/27/2017)