House Bill 3817

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    Florida House of Representatives - 1998                HB 3817

        By Representatives Effman, Dockery and D. Prewitt






  1                      A bill to be entitled

  2         An act relating to emergency medical services;

  3         creating s. 401.272, F.S.; authorizing

  4         paramedics and emergency medical technicians to

  5         perform health promotion and wellness

  6         activities and blood pressure screenings;

  7         authorizing paramedics to administer

  8         immunizations, and requiring verification and

  9         documentation of their qualifications to do so;

10         specifying conditions for the provision of such

11         community health care; providing for

12         rulemaking; amending s. 401.265, F.S.;

13         providing liability of medical directors for

14         such activities; amending s. 401.411, F.S.;

15         providing that undertaking activities for which

16         the paramedic or emergency medical technician

17         is not qualified is grounds for disciplinary

18         action; providing an effective date.

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20  Be It Enacted by the Legislature of the State of Florida:

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22         Section 1.  Section 401.272, Florida Statutes, is

23  created to read:

24         401.272  Emergency medical services community health

25  care.--

26         (1)  The purpose of this section is to encourage more

27  effective utilization of the skills of emergency medical

28  technicians and paramedics by enabling them to perform, in

29  partnership with local county health departments, specific

30  additional health care tasks that are consistent with the

31  public health and welfare.

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    Florida House of Representatives - 1998                HB 3817

    579-114A-98






  1         (2)  Notwithstanding any other provision of law to the

  2  contrary:

  3         (a)  Paramedics or emergency medical technicians may

  4  perform health promotion and wellness activities and blood

  5  pressure screenings in a nonemergency environment, within the

  6  scope of their training, and under the direction of a medical

  7  director. As used in this paragraph, the term "health

  8  promotion and wellness" means the provision of public health

  9  programs pertaining to the prevention of illness and injury.

10         (b)  Paramedics may administer immunizations in a

11  nonemergency environment, within the scope of their training,

12  and under the direction of a medical director. There must be a

13  written agreement between the paramedic's medical director and

14  the county health department located in each county in which

15  the paramedic administers immunizations. This agreement must

16  establish the protocols, policies, and procedures under which

17  the paramedic must operate.

18         (3)  Each medical director under whose direction a

19  paramedic administers immunizations must verify and document

20  that the paramedic has received sufficient training and

21  experience to administer immunizations. The verification must

22  be documented on forms developed by the department, and the

23  completed forms must be maintained at the service location of

24  the licensee and made available to the department upon

25  request.

26         (4)  The department may adopt and enforce all rules

27  necessary to enforce the provisions relating to a paramedic's

28  administration of immunizations and the performance of health

29  promotion and wellness activities and blood pressure

30  screenings by a paramedic or emergency medical technician in a

31  nonemergency environment.

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    Florida House of Representatives - 1998                HB 3817

    579-114A-98






  1         Section 2.  Subsection (4) is added to section 401.265,

  2  Florida Statutes, to read:

  3         401.265  Medical directors.--

  4         (4)  Each medical director who uses a paramedic or

  5  emergency medical technician to perform blood pressure

  6  screenings or health promotion and wellness activities, or

  7  uses a paramedic to administer immunizations, on any patient

  8  in a nonemergency environment, as provided for in s. 406.272,

  9  is liable for any act or omission of any such paramedic or

10  emergency medical technician acting under the medical

11  director's supervision and control.

12         Section 3.  Paragraph (g) of subsection (1) of section

13  401.411, Florida Statutes, is amended to read:

14         401.411  Disciplinary action; penalties.--

15         (1)  The department may deny, suspend, or revoke a

16  license, certificate, or permit or may reprimand or fine any

17  licensee, certificateholder, or other person operating under

18  this part for any of the following grounds:

19         (g)  Unprofessional conduct, including, but not limited

20  to, any departure from or failure to conform to the minimal

21  prevailing standards of acceptable practice as an emergency

22  medical technician or paramedic, including undertaking

23  activities that the emergency medical technician or paramedic

24  is not qualified by training or experience to perform.

25         Section 4.  This act shall take effect upon becoming a

26  law.

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    Florida House of Representatives - 1998                HB 3817

    579-114A-98






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  2                          HOUSE SUMMARY

  3
      Authorizes performance of health promotion and wellness
  4    activities and blood pressure screenings by paramedics
      and emergency medical technicians, and immunizations by
  5    paramedics, in a nonemergency environment under the
      direction of a medical director. Specifies requirements
  6    and restrictions for such activities. Authorizes the
      Department of Health to adopt and enforce rules. Provides
  7    liability of medical directors. Provides that undertaking
      activities for which the paramedic or emergency medical
  8    technician is not qualified is unprofessional conduct and
      grounds for disciplinary action.
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