What's happening
This bill requires hospitals to consult caregivers before discharging patients with central venous lines and arrange home health services if needed.
Why it matters
Protects patient safety at home by ensuring caregivers are properly consulted and assessed for their ability to manage complex medical devices like central lines. , reducing potential risks like infections or complications that can arise from improper care.
Places legal responsibility on hospitals to identify and communicate with caregivers before discharge. , promoting better coordination and preventing patients from being sent home without adequate support or preparation.
Mandates that if a caregiver is unwilling or unable to perform necessary care, hospitals must arrange additional services (such as home health care). , aiming to prevent gaps in care and reduce unnecessary hospital readmissions or emergencies.
Empowers caregivers to voice their concerns about their ability to provide medical care. , which can alleviate pressure, prevent burnout, and ensure that care tasks are only given to those who feel ready and able to handle them.
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Who cares
Headline styles
Protect Patients with IV Lines
Plain English, a few words. Used as the page title.
Sponsors
History
- Print number 1165b
- Amend (t) and recommit to health
- Print number 1165a
- Amend and recommit to health
- Referred to health
- Referred to health
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Ensure Safe Home IV Care
In Senate Committee · Rules · Sponsor Sandy Galef
Full text
1 pageUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
1165--B
2017-2018 Regular Sessions
IN SENATE
January 6, 2017
Introduced by Sens. CARLUCCI, GOLDEN, HOYLMAN, PERSAUD, SAVINO, VALESKY -- read twice and ordered printed, and when printed to be committed to the Committee on Health -- recommitted to the Committee on Health in accordance with Senate Rule 6, sec. 8 -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee
AN ACT to amend the public health law, in relation to central venous lines
The People of the State of New York, represented in Senate and Assembly, do enact as follows:
Section 1. Section 2994-ll of the public health law is amended by adding a new subdivision 4 to read as follows:
4. Discharge of any patients who have a condition that requires a central venous line. As part of discharge planning for patients who will be discharged from a hospital with a central venous line, the identified caregiver shall be consulted as soon as possible, but not later than twenty-four hours prior to discharge, regarding his or her capabilities and limitations in administering medications and providing proper central venous line care. In the event that the identified caregiver is unwilling or unable to confidently provide proper care of the central venous line, appropriate services, which may include but not be limited to home health care services, shall be ordered.
§ 2. This act shall take effect immediately. Effective immediately, the addition, amendment and/or repeal of any rule or regulation necessary for the implementation of this act on its effective date are authorized to be made and completed on or before such effective date.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02024-09-8
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Sponsor's memo
Title of bill
An act to amend the public health law, in relation to central venous lines
Purpose
To ensure as part of discharge planning for transplant patients, with a central venous line, the designated caregiver shall be consulted on his or her capabilities and limitations in administering medications and providing proper central venous line care.
Summary of provisions
Section 1 is the short title and citation of this act as "Dream's Law," which amends the public health law by adding a new section 28 27 which requires as part of discharge planning for transplant patients, with a central venous line, the designated caregiver shall be consulted as soon as possible, but not later than 24 hours prior to discharge, regarding his or her capabilities and limitations in administering medications and providing proper central venous line care.
Read the full memo (665 words)
In the event that the designated caregiver is unable or unwilling to confidently carry out these duties, the attending physician shall deem it medically necessary for the patient to have a trained and appropriate medical professional provide the care for the entirety of the adminis- tration of the central venous line.
Section 2 is the effective date.
Justification
Dream Shepherd is an 11-year-old girl who has courageously battled Sick- le Cell Disease and who suffered a stroke in 2010 at the age of five.
In December 2014, as part of a study, Dream received a stem cell trans- plant as part of her treatment plan and fight against Sickle Cell Disease. After the transplant she remained in the hospital for several months, while Doctors worked to stabilize her immune system, which was crucial to her discharge and transplant success. Additionally while in the hospital Dream had a Central Venous Line placed into her heart. The Central Venous Line has strict care requirements. In New York State Health Facilities only Registered Nurses are legally allowed to adminis- ter I.V. medications with use of a Central Venous Line; which have to be properly managed to ensure that Dream, and other's with a Central Line, do not acquire infections, especially if immuno-compromised. This central line goes directly into the right atrium of the heart, and requires immediate action should there be a disconnection for any reason as a patient with this type of line can exsanguinate should this go unmonitored or unnoticed.
In addition to the high risk of infections, other complications of Central Venous Lines include Air Embolism, Pneumothorax, Pinch-off, Syndrome, Drug Precipitates, Thrombosis, Catheter Occlusion, Catheter Malposition, and Sepsis a severe blood infection caused by bacteria, viruses, and fungi. Sepsis is extremely serious and can be life-threat- ening.
Due to the high potential for dangerous infections, as part of discharge planning, Dream's mother, who is not a medical professional, made a request for a skilled private duty nurse to care for Dream's central venous line. This request was denied by the insurance company as it was "not deemed medically necessary." Due to this rejection by the insurance company, the hospital informed Dream's mother, that she was required to provide the necessary care to Dream's central venous line. Not ensuring that Dream would have the correct and proper skilled nurse to provide the care after discharge which could have caused irreparable harm, including the worst outcome. Attempting to force the mother to provide the care would have required her to lose her job and source of income, along with saddling her with the anxiety of overseeing the medical attention that if not done properly, could lead to the loss of her daughter's life. That is a position no family member or friend should ever be in.
Legislative history
S7293
Fiscal implications
None to the state.
Effective date
This act shall take effect immediately; provided, however, that effec- tive immediately, the addition, amendment and/or repeal of any rule or regulation necessary for the implementation of this act on its effective date are authorized and directed to be made and completed on or before such effective date.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.