STAND.
COM. REP. NO. 1292
Honolulu, Hawaii
, 2021
RE: H.R. No. 126
H.D. 1
Honorable Scott K. Saiki
Speaker, House of Representatives
Thirty-First State Legislature
Regular Session of 2021
State of Hawaii
Sir:
Your Committee on Health, Human Services, & Homelessness, to which was referred H.R. No. 126 entitled:
"HOUSE RESOLUTION URGING THE DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS TO AMEND TITLE 16, CHAPTER 89, OF THE HAWAII ADMINISTRATIVE RULES TO PROHIBIT REGISTERED NURSES FROM DELEGATING THE INTERPRETATION OF DIAGNOSTIC LABORATORY RESULTS TO UNLICENSED ASSISTIVE PERSONNEL,"
begs leave to report as follows:
The purpose of this measure is to urge the Department of Commerce and Consumer Affairs to amend the appropriate Hawaii Administrative Rules to prohibit registered nurses from delegating the interpretation of diagnostic laboratory results to unlicensed assistive personnel.
Your Committee received
testimony in support of this measure from two individuals. Your Committee received comments on this
measure from the Board of Nursing and Hawai‘i State
Center for Nursing.
Your Committee finds
that registered nurses are permitted to delegate certain nursing care tasks,
functions, and activities to unlicensed assistive personnel so long as the delegation
complies with applicable state and federal laws and does not include the
practice-pervasive functions of assessment, evaluation, and nursing
judgment. Your Committee further finds
that medical diagnostic errors occur in all areas of medical practice, with approximately
twelve million people in the United States affected by medical diagnostic
errors every year. Although national
guidelines prohibit nurses from delegating activities that involve nursing
judgment or critical decision making, your Committee finds that this type of
delegation is not explicitly prohibited in the relevant Hawaii Administrative Rules.
Your Committee has
amended this measure by:
(1) Changing its title to read: "URGING THE DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS TO REVISIT TITLE 16, CHAPTER 89, OF THE HAWAII ADMINISTRATIVE RULES TO PROHIBIT REGISTERED NURSES FROM DELEGATING THE INTERPRETATION OF DIAGNOSTIC LABORATORY RESULTS TO UNLICENSED ASSISTIVE PERSONNEL.";
(2) Including the Governor as a recipient of a certified copy of this measure; and
(3) Making a technical, nonsubstantive amendment for the purposes of clarity, consistency, and style.
As affirmed by the record of votes of the members of your Committee on Health, Human Services, & Homelessness that is attached to this report, your Committee concurs with the intent and purpose of H.R. No. 126, as amended herein, and recommends that it be referred to your Committee on Consumer Protection & Commerce in the form attached hereto as H.R. No. 126, H.D. 1.
Respectfully submitted on behalf of the members of the Committee on Health, Human Services, & Homelessness,
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____________________________ RYAN I. YAMANE, Chair |
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