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S.B. 86

             1     

EMERGENCY MEDICAL SERVICES

             2     
AMENDMENTS

             3     
2000 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Sponsor: John L. Valentine

             6      AN ACT RELATING TO HEALTH; EXPANDING THE TRAINING PROGRAMS
             7      RECOGNIZED BY THE STATE FOR FULLY AUTOMATED EXTERNAL
             8      DEFIBRILLATORS; AND EXTENDING IMMUNITY TO HEALTH CARE PROVIDERS WHO
             9      PROVIDE INSTRUCTIONS ON THE USE OF FULLY AUTOMATED EXTERNAL
             10      DEFIBRILLATORS.
             11      This act affects sections of Utah Code Annotated 1953 as follows:
             12      AMENDS:
             13          26-8a-308, as enacted by Chapter 141, Laws of Utah 1999
             14          26-8a-601, as renumbered and amended by Chapter 141 and last amended by Chapter 285,
             15      Laws of Utah 1999
             16      Be it enacted by the Legislature of the state of Utah:
             17          Section 1. Section 26-8a-308 is amended to read:
             18           26-8a-308. Exemptions.
             19          (1) The following persons may provide emergency medical services to a patient without
             20      being certified or licensed under this chapter:
             21          (a) out-of-state emergency medical service personnel and providers in time of disaster;
             22          (b) an individual who gratuitously acts as a Good Samaritan;
             23          (c) a family member;
             24          (d) a private business if emergency medical services are provided only to employees at the
             25      place of business and during transport;
             26          (e) an agency of the United States government if compliance with this chapter would be
             27      inconsistent with federal law; and


             28          (f) police, fire, and other public service personnel if:
             29          (i) emergency medical services are rendered in the normal course of the person's duties;
             30      and
             31          (ii) medical control, after being apprised of the circumstances, directs immediate transport.
             32          (2) An ambulance or emergency response vehicle may operate without a permit issued
             33      under Section 26-8a-304 in time of disaster.
             34          (3) Nothing in this chapter or Title 58, Occupations and Professions, may be construed as
             35      requiring a license or certificate for an individual to perform cardiopulmonary resuscitation and
             36      use a fully automated external defibrillator if that individual has successfully completed a course
             37      that includes instruction on cardiopulmonary resuscitation and the operation and use of a fully
             38      automated external defibrillator that is conducted in accordance with guidelines of the American
             39      Heart Association, American Red Cross, or other nationally recognized program by a person
             40      qualified by training or experience.
             41          (4) Nothing in this chapter may be construed as requiring a license, permit, designation,
             42      or certificate for an acute care hospital, medical clinic, physician's office, or other fixed medical
             43      facility that:
             44          (a) is staffed by a physician, physician's assistant, nurse practitioner, or registered nurse;
             45      and
             46          (b) treats an individual who has presented himself or was transported to the hospital, clinic,
             47      office, or facility.
             48          Section 2. Section 26-8a-601 is amended to read:
             49           26-8a-601. Persons and activities exempt from civil liability.
             50          (1) A licensed physician, physician's assistant, or licensed registered nurse who,
             51      gratuitously and in good faith, gives oral or written instructions to an individual certified under
             52      Section 26-8a-302 or a person permitted to use a fully automated external defibrillator because of
             53      Section 26-8a-308 is not liable for any civil damages as a result of issuing the instructions, unless
             54      the instructions given were the result of gross negligence or willful misconduct.
             55          (2) An individual certified under Section 26-8a-302 , during either training or after
             56      certification, a licensed physician, physician's assistant, or a registered nurse who, gratuitously and
             57      in good faith, provides emergency medical instructions or renders emergency medical care
             58      authorized by this chapter is not liable for any civil damages as a result of any act or omission in


             59      providing the emergency medical instructions or medical care, unless the act or omission is the
             60      result of gross negligence or willful misconduct.
             61          (3) An individual certified under Section 26-8a-302 is not subject to civil liability for
             62      failure to obtain consent in rendering emergency medical services authorized by this chapter to any
             63      individual who is unable to give his consent, regardless of the individual's age, where there is no
             64      other person present legally authorized to consent to emergency medical care, provided that the
             65      certified individual acted in good faith.
             66          (4) A principal, agent, contractor, employee, or representative of an agency, organization,
             67      institution, corporation, or entity of state or local government that sponsors, authorizes, supports,
             68      finances, or supervises any functions of an individual certified under Section 26-8a-302 is not
             69      liable for any civil damages for any act or omission in connection with such sponsorship,
             70      authorization, support, finance, or supervision of the certified individual where the act or omission
             71      occurs in connection with the certified individual's training or occurs outside a hospital where the
             72      life of a patient is in immediate danger, unless the act or omission is inconsistent with the training
             73      of the certified individual, and unless the act or omission is the result of gross negligence or willful
             74      misconduct.
             75          (5) A physician who gratuitously and in good faith arranges for, requests, recommends,
             76      or initiates the transfer of a patient from a hospital to a critical care unit in another hospital is not
             77      liable for any civil damages as a result of such transfer where:
             78          (a) sound medical judgment indicates that the patient's medical condition is beyond the
             79      care capability of the transferring hospital or the medical community in which that hospital is
             80      located; and
             81          (b) the physician has secured an agreement from the receiving facility to accept and render
             82      necessary treatment to the patient.
             83          (6) A person who is a registered member of the National Ski Patrol System (NSPS) or a
             84      member of a ski patrol who has completed a course in winter emergency care offered by the NSPS
             85      combined with CPR for medical technicians offered by the American Red Cross or American
             86      Heart Association, or an equivalent course of instruction, and who in good faith renders emergency
             87      care in the course of ski patrol duties is not liable for civil damages as a result of any act or
             88      omission in rendering the emergency care, unless the act or omission is the result of gross
             89      negligence or willful misconduct.


             90          (7) An emergency medical service provider who, in good faith, transports an individual
             91      against his will but at the direction of a law enforcement officer pursuant to Section 62A-12-232
             92      is not liable for civil damages for transporting the individual.
             93          (8) A person who is permitted to use a fully automated external defibrillator because of
             94      Section 26-8a-308 is not liable for civil damages as a result of any act or omission related to the
             95      use of the defibrillator in providing emergency medical care gratuitously and in good faith to a
             96      person who reasonably appears to be in cardiac arrest, unless the act or omission is the result of
             97      gross negligence or wilful misconduct.




Legislative Review Note
    as of 12-23-99 8:37 AM


A limited legal review of this legislation raises no obvious constitutional or statutory concerns.

Office of Legislative Research and General Counsel


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