Bill Text: NC H358 | 2017-2018 | Regular Session | Amended
Bill Title: Modernize Respiratory Care Practice Act
Spectrum: Bipartisan Bill
Status: (Engrossed - Dead) 2017-04-25 - Ref To Com On Rules and Operations of the Senate [H358 Detail]
Download: North_Carolina-2017-H358-Amended.html
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2017
H 3
HOUSE BILL 358
Committee Substitute Favorable 4/20/17
Third Edition Engrossed 4/24/17
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Short Title: Modernize Respiratory Care Practice Act. |
(Public) |
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Sponsors: |
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Referred to: |
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March 16, 2017
A BILL TO BE ENTITLED
AN ACT updating the respiratory care practice act.
The General Assembly of North Carolina enacts:
SECTION 1. G.S. 90‑648 reads as rewritten:
The following definitions apply in this Article:
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(3a) Endorsement. – A certificate issued by the Board to a licensee recognizing the person named on the certificate as having met the requirements to perform respiratory care procedures that require additional educational, training, or credentialing requirements as established by the Board and that are in addition to the requirements for licensure under this Article.
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(10) Practice of respiratory care. – As defined by the written order of a physician licensed under Article 1 of this Chapter, the observing and monitoring of signs and symptoms, general behavior, and general physical response to respiratory care treatment and diagnostic testing, including the determination of whether such signs, symptoms, reactions, behavior, or general response exhibit abnormal characteristics, and the performance of diagnostic testing and therapeutic application of:
a. Medical gases, humidity,
and aerosols including the maintenance use of associated apparatus,
respiratory care equipment, except for the purpose of anesthesia.
b. Pharmacologic agents related to respiratory care procedures, including those agents necessary to perform hemodynamic monitoring.
c. Mechanical or physiological ventilatory support.
d. Cardiopulmonary resuscitation and maintenance of natural airways, the insertion and maintenance of artificial airways under the direct supervision of a recognized medical director in a health care environment which identifies these services within the scope of practice by the facility's governing board.
e. Hyperbaric oxygen therapy.
f. New and innovative respiratory care and related support activities in appropriately identified environments and under the training and practice guidelines established by the American Association of Respiratory Care.
The term also means the interpretation and implementation of a physician's written or verbal order pertaining to the acts described in this subdivision.
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(13) Support activities. – Procedures
Tasks that do not require formal academic training, including the
delivery, setup, and routine maintenance and repair of apparatus.
respiratory care equipment. The term also includes giving
instructions on the use, fitting, and application of apparatus, respiratory
care equipment, but does not include therapeutic evaluation and assessment.assessment
for an individual patient as defined in rules adopted by the Board."
SECTION 2. G.S. 90‑649(a)(4) reads as rewritten:
"(4) One North Carolina
member shall represent the North Carolina Association of Medical
Equipment Services.Atlantic Coast Medical Equipment Services
Association."
SECTION 3. G.S. 90‑650(a)(7) reads as rewritten:
"(7) The North Carolina
Association of Medical Equipment Services Atlantic Coast Medical
Equipment Services Association shall appoint the member described in
G.S. 90‑649(a)(4)."
SECTION 4. G.S. 90‑652 reads as rewritten:
"§ 90‑652. Powers and duties of the Board.
The Board shall have the power and duty to:
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(14) Establish and adopt rules defining the education and credential requirements for persons seeking endorsement under this Article."
SECTION 5. G.S. 90‑653 reads as rewritten:
"§ 90‑653. Licensure requirements; examination.
(a) Each applicant for
licensure under this Article shall meet the following requirements:do
all of the following:
(1) Submit a completed
application as required by the Board.Board, including a form signed
by the applicant consenting to a check of the applicant's criminal record and
to the use of the applicant's fingerprints and other identifying information
required by the State and national repositories.
(2) Submit any fees required by the Board.
(3) Submit to the Board
written evidence, verified by oath, that the applicant has successfully
completed the minimal requirements of a an associate's degree in respiratory
care education program as approved by the Commission for Accreditation
of Allied Health Educational Programs, or the Canadian Council on Accreditation
for Respiratory Therapy Education.Commission on Accreditation for
Respiratory Care (CoARC) or its successor by arranging for the applicant's
respiratory care education program to submit a verified transcript directly to
the Board.
(4) Submit to the Board written evidence, verified by oath, that the applicant has successfully completed the minimal requirements for Basic Cardiac Life Support as recognized by the American Heart Association, the American Red Cross, or the American Safety and Health Institute.
(5) Pass the entry‑level
Submit to the Board written evidence, verified by oath, that the
applicant passed the Therapist Multiple‑Choice (TMC) examination
given by the National Board for Respiratory Care, Inc.Inc., or its
successor.
(b) At least three times each year, the Board shall
cause the examination required in subdivision (5) of subsection (a) of this section
to be given to applicants at a time and place to be announced by the Board. Any
applicant who fails to pass the first examination may take additional
examinations in accordance with rules adopted pursuant to this Article.
(b1) When issuing a license, the Board shall state the terms and conditions of the use of the license to the licensee."
SECTION 6. G.S. 90‑660(b)(6) reads as rewritten:
"(6) For a license with
a provisional or temporary endorsement, an endorsement to a license, a
fee not to exceed fifty dollars ($50.00)."
SECTION 7. G.S. 90‑654 and G.S. 90‑656 are repealed.
SECTION 8. This act becomes effective October 1, 2017.
