Association of periOperative Registered Nurses

California  Government Affairs

State Coordinator

Georgina Centeno
(310) 329-9693

Regional Coordinator

Anita Shoup
(425) 742-9738

RN Circulator Laws and Language

Hospital: CALIFORNIA CODE OF REGULATIONS TITLE 22. SOCIAL SECURITY DIVISION 5. LICENSING AND CERTIFICATION OF HEALTH FACILITIES, HOME HEALTH AGENCIES, CLINICS, AND REFERRAL AGENCIES CHAPTER 1. GENERAL ACUTE CARE HOSPITALS ARTICLE 3. BASIC SERVICES. Organization and Supervision 70217. Nursing Service Staff (2) The surgical service operating room shall have at least one registered nurse assigned to the duties of the circulating nurse and a minimum of one additional person serving as scrub assistant for each patient-occupied operating room. The scrub assistant may be a licensed nurse, an operating room technician, or other person who has demonstrated current competence to the hospital as a scrub assistant, but shall not be a physician or other licensed health professional who is assisting in the performance of surgery. 70225. Surgical Service Staff (d) There shall be sufficient nursing personnel so that one person is not serving as circulating assistant for more than one operating room.
ASC: None

Registered Nurse First Assistants (RNFAs)

Reimbursement:  None
Definition:  None
Scope:  State of California Department of Consumer Affairs, Board of Registered Nursing, NPR-B-18 6/16/2011: “The RN as First Assistant to the Surgeon” The role of RN first assistant to the surgeon requires the performance of a combination of nursing and medical functions. The RN first assistant directly assists the surgeon by controlling bleeding, providing wound exposure, suturing and other surgical tasks. The RN first assistant may provide other advanced assistance, such as mobilization of tissue, patient positions and directing other surgical team members with specific individual tasks. The RN first assistant, practices perioperative nursing and must have acquired the necessary specific knowledge, skills and judgment. The RN first assistant practices under the supervision of the surgeon during the intraoperative phase of the perioperative experience. In order to perform those functions considered to be first assistant to the surgeon, the RN must adhere to standardized procedures. The RNFA may not perform the function of the scrub nurse while functioning as the RNFA. * This Advisory Opinion links to AORN’s Standards for RN first assistant education programs.

Legislative Tracking

CA A 1677 — 2014 State Nursing Assumption Program
This bill would establish a loan assumption program for employees of eligible public facilities, as defined to include state hospitals, state veterans’ homes, members of the California Association of Public Hospitals and Health Systems, and California facilities administered by the federal Veterans Health Administration. This program would provide loan assumption benefits to persons who fulfill agreements to work full time for 4 consecutive years as clinical registered nurses or 99 licensed vocational nurses in eligible public facilities, as specified, that employ registered nurses or licensed vocational nurses.
Comments
http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1651-1700/ab_1677_bill_20140212_introduced.pdf 
Sponsor(s):
Gomez  
General Topic:
Education Funding 
Status:
04/09/2014 : In ASSEMBLY Committee on APPROPRIATIONS: To Suspense File. 
SB 455 — 2013 Patient Classification System
Would require every general acute care hospital to establish and maintain a patient classification system for establishing staffing requirements by unit, patient and shift.
Comments
http://www.legislature.ca.gov/cgi-bin/port-postquery?bill_number=sb_455&sess=CUR&house=B&author=hernandez 
Sponsor(s):
Hernandez 
General Topic:
Nurse Staffing 
Status:
07/02/2013: Passed Assembly Health Committee; to Committee on Appropriations 
CA A 2062 — 2014 Health Facitilies and Surgical Technologists
Prohibits a health facility from employing a surgical technologist unless the individual possesses specified training and certification or was practicing surgical technology at a health facility for a specified time.
Comments
http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_2051-2100/ab_2062_bill_20140220_introduced.pdf 
Sponsor(s):
Hernandez 
General Topic:
Surgical Assistants/Surgical Technologists 
Status:
04/10/2014 In ASSEMBLY. Read second time and amended. Re-referred to Committee on HEALTH. 
CA A 2155 — 2014 Nurses and Certified Nurse Assistants Overtime
Prohibits a nurse employed by the state, in a state facility, from being compelled to work in excess of the regularly scheduled workweek or shift, except under certain circumstances, including the occurrence of a catastrophic event in a state facility.
Comments
http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_2051-2100/ab_2062_bill_20140220_introduced.pdf 
Sponsor(s):
Ridley-Thomas 
General Topic:
Nurse Staffing 
Status:
2/20/14 Introduced 

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