By Representatives Jackson, Ulysses Jones, Armstrong, Buck

Substituted for: Senate Bill No. 2836

By Senators Ramsey, Springer, Ford

AN ACT to amend Tennessee Code Annotated, Title 68, Chapter 140, Part 5, relative to emergency medical services.


SECTION 1. Tennessee Code Annotated, Title 68, Chapter 140, Part 5, is amended by adding the following language as a new section:

Section ___. (a) A local government or any licensed ambulance service may utilize one (1) or more of its employees licensed as an EMT-P as their designated officer or officers for exposure control to perform infection control procedures necessary for prevention, exposure control and post-exposure evaluation on persons employed by that local government or licensed ambulance service as emergency response employees.

(b) For the purposes of this part, "emergency response employees" (EREs) shall include paramedics, fire fighters, first response workers, and emergency medical technicians.

(c) All procedures authorized by this part shall be approved and performed under the medical direction of a Tennessee licensed physician.

(d) For the purposes of this part, infection control procedures shall include the following:

(1) Administering tuberculosis skin tests, influenza immunizations, hepatitis B immunizations, and other immunizations to EREs as ordered by the medical director;

(2) Conducting prevention, informational and education programs for EREs pertaining to airborne and bloodborne diseases; and

(3) Post-exposure evaluation of an ERE who may have been exposed to potentially life-threatening airborne or bloodborne diseases, including, but not limited to, tuberculosis, HIV or hepatitis B. Said evaluation shall consist of ascertaining information relative to the events regarding the perceived exposure, as well as assessing the degree or significance of the exposure for the purpose of informing the medical director. The medical director shall determine the potential public health risk and recommend the immediate course of action pertaining to the medical care of the ERE and any potential public health risk relative thereto. Further evaluation, treatment and follow-up of the ERE's condition shall be performed at a licensed hospital or physician's office.

(e) Nothing in this part shall relieve nor limit any entity employing EREs from the statutory obligations imposed under Tennessee Code Annotated, Title 68, Chapter 10; Title 50, Chapter 3; or from occupational safety and health standards promulgated pursuant to 29 CFR 1910.

SECTION 2. This act shall take effect on becoming a law, the public welfare requiring it.


April 27, 1998

APPROVED this 11th day of May 1998