| 1 | | - | Assembly Bill No. 1007 CHAPTER 352 An act to add Section 144.9 to the Labor Code, relating to occupational safety and health. [ Approved by Governor October 07, 2023. Filed with Secretary of State October 07, 2023. ] LEGISLATIVE COUNSEL'S DIGESTAB 1007, Ortega. Occupational safety and health standards: plume.Under existing law, the Occupational Safety and Health Standards Board within the Department of Industrial Relations promulgates and enforces occupational safety and health standards for the state, including standards dealing with toxic materials and harmful physical agents. Under existing law, the Division of Occupational Safety and Health is required to enforce all occupational safety and health standards, as specified. A violation of these standards and regulations under specific circumstances is a crime.This bill would, by December 1, 2026, require the division to submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume. The bill would require the division, when developing regulations, to consider, among other things, recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health. The bill would require the board to consider for adoption a proposed regulation by June 1, 2027.This bill would provide that compliance with general room ventilation standards or the use of surgical masks does not satisfy the requirements for protection from surgical plumes under these provisions. The bill would provide that the use of respirators does not satisfy the requirements for protection from surgical plumes under these provisions, except as specified. The bill would require the manufacturer of a plume scavenging system to provide evidence that the system meets specified minimum requirements when installed, operated, and maintained in accordance with the manufacturers instructions. This bill would specify that these provisions do not limit the authority of the division to develop, or limit the authority of the board to adopt, a regulation with a broader scope or broader application than required by these provisions.By expanding the definition of an existing crime, this bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Bill TextThe people of the State of California do enact as follows:SECTION 1. It is the intent of the Legislature to require the Division of Occupational Safety and Health to propose, and the Occupational Safety and Health Standards Board to adopt, a regulation establishing an occupational safety and health standard in hospitals and other health care settings to protect nurses and other health care workers from noxious airborne contaminants or plume generated as byproducts during a variety of surgical, diagnostic, or therapeutic procedures in acute care settings. SEC. 2. Section 144.9 is added to the Labor Code, to read:144.9. (a) As used in this section, the following definitions apply:(1) Board means the Occupational Safety and Health Standards Board.(2) Division means the Division of Occupational Safety and Health.(3) Electrocautery device means a device that is electrically heated to cut, ablate, or coagulate human tissue for therapeutic purposes.(4) Electrosurgical device means a device that uses a radio frequency electric current passing through the patient to cut, ablate, or coagulate human tissue for therapeutic purposes.(5) Energy-based device means a device that uses energy to ablate, cauterize, or mechanically manipulate target human tissue including lasers, electrosurgical generators, broadband light sources, ultrasonic instruments, plasma generators, bone saws, and drills.(6) Health facility means a health facility as defined in subdivision (a) of Section 1250 of the Health and Safety Code.(7) Plume means noxious airborne contaminants generated as byproducts of the use of energy-based devices, electrosurgical devices, electrocautery devices, or mechanical tools during surgical, diagnostic, or therapeutic procedures.(8) Plume scavenging system means smoke evacuators, laser plume evacuators, plume scavengers, and local exhaust ventilators that, when used in concert with other engineering controls and equipment, and to the extent technologically feasible, capture and neutralize plume at the site of origin and before plume can make ocular contact or contact with the respiratory tract of employees.(b) (1) By December 1, 2026, the division shall submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) In developing regulations, the division shall do all of the following:(A) Evaluate using as a benchmark the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization and the standards titled Plume scavenging in surgical, diagnostic, therapeutic, and aesthetic settings (CSA Z305.13-13) adopted by the CSA Group.(B) Take into consideration recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health.(C) Take into consideration the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization in developing a standard establishing how much plume shall be captured by a plume scavenging system.(D) Include a requirement in the regulation for employers to provide training to all workers foreseeably participating in procedures that involve the creation of plume. The training shall include, but not be limited to, general education on the contents of plume, the circumstances in which it is generated, the associated health and safety hazards, and appropriate use of the plume scavenging equipment and systems utilized by the health facility. The training shall be designed to provide an opportunity for interactive questions and answers with a person knowledgeable about occupational exposure to plume and the specific equipment utilized to scavenge plume.(E) Include a requirement that a plume scavenging system be included as engineering or work practice controls.(F) Include a requirement for appropriate practices and other controls necessary to prevent employee exposure to plume in situations where a plume scavenging system could interfere with a medical procedure.(c) (1) By June 1, 2027, the board shall consider for adoption a proposed regulation of the division requiring a health facility to evacuate or remove plume through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) Paragraph (1) does not limit the authority of the division to develop a regulation, or the authority of the board to adopt a regulation, that is broader in scope or broader in application than required by this section.(d) (1) This section does not alter, amend, expand, or reduce existing general room ventilation standards or requirements. Any plume scavenging standards adopted by the board are in addition to general room ventilation standards or requirements, and compliance with general room ventilation standards shall not satisfy the requirements of this section.(2) Evidence that the plume scavenging system conforms to the minimum requirements of this section when installed, operated, and maintained in accordance with the manufacturers instructions, shall be provided by the manufacturer.(e) (1) The use of surgical masks shall not satisfy the requirements of this section.(2) The use of respirators shall not satisfy the requirements of this section except when, due to medical necessity, the plume scavenging system is unable to be located where it effectively captures plume.SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. |
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| 1 | + | Enrolled September 18, 2023 Passed IN Senate September 12, 2023 Passed IN Assembly September 13, 2023 Amended IN Senate September 08, 2023 Amended IN Senate June 29, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1007Introduced by Assembly Member OrtegaFebruary 15, 2023 An act to add Section 144.9 to the Labor Code, relating to occupational safety and health.LEGISLATIVE COUNSEL'S DIGESTAB 1007, Ortega. Occupational safety and health standards: plume.Under existing law, the Occupational Safety and Health Standards Board within the Department of Industrial Relations promulgates and enforces occupational safety and health standards for the state, including standards dealing with toxic materials and harmful physical agents. Under existing law, the Division of Occupational Safety and Health is required to enforce all occupational safety and health standards, as specified. A violation of these standards and regulations under specific circumstances is a crime.This bill would, by December 1, 2026, require the division to submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume. The bill would require the division, when developing regulations, to consider, among other things, recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health. The bill would require the board to consider for adoption a proposed regulation by June 1, 2027.This bill would provide that compliance with general room ventilation standards or the use of surgical masks does not satisfy the requirements for protection from surgical plumes under these provisions. The bill would provide that the use of respirators does not satisfy the requirements for protection from surgical plumes under these provisions, except as specified. The bill would require the manufacturer of a plume scavenging system to provide evidence that the system meets specified minimum requirements when installed, operated, and maintained in accordance with the manufacturers instructions. This bill would specify that these provisions do not limit the authority of the division to develop, or limit the authority of the board to adopt, a regulation with a broader scope or broader application than required by these provisions.By expanding the definition of an existing crime, this bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Bill TextThe people of the State of California do enact as follows:SECTION 1. It is the intent of the Legislature to require the Division of Occupational Safety and Health to propose, and the Occupational Safety and Health Standards Board to adopt, a regulation establishing an occupational safety and health standard in hospitals and other health care settings to protect nurses and other health care workers from noxious airborne contaminants or plume generated as byproducts during a variety of surgical, diagnostic, or therapeutic procedures in acute care settings. SEC. 2. Section 144.9 is added to the Labor Code, to read:144.9. (a) As used in this section, the following definitions apply:(1) Board means the Occupational Safety and Health Standards Board.(2) Division means the Division of Occupational Safety and Health.(3) Electrocautery device means a device that is electrically heated to cut, ablate, or coagulate human tissue for therapeutic purposes.(4) Electrosurgical device means a device that uses a radio frequency electric current passing through the patient to cut, ablate, or coagulate human tissue for therapeutic purposes.(5) Energy-based device means a device that uses energy to ablate, cauterize, or mechanically manipulate target human tissue including lasers, electrosurgical generators, broadband light sources, ultrasonic instruments, plasma generators, bone saws, and drills.(6) Health facility means a health facility as defined in subdivision (a) of Section 1250 of the Health and Safety Code.(7) Plume means noxious airborne contaminants generated as byproducts of the use of energy-based devices, electrosurgical devices, electrocautery devices, or mechanical tools during surgical, diagnostic, or therapeutic procedures.(8) Plume scavenging system means smoke evacuators, laser plume evacuators, plume scavengers, and local exhaust ventilators that, when used in concert with other engineering controls and equipment, and to the extent technologically feasible, capture and neutralize plume at the site of origin and before plume can make ocular contact or contact with the respiratory tract of employees.(b) (1) By December 1, 2026, the division shall submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) In developing regulations, the division shall do all of the following:(A) Evaluate using as a benchmark the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization and the standards titled Plume scavenging in surgical, diagnostic, therapeutic, and aesthetic settings (CSA Z305.13-13) adopted by the CSA Group.(B) Take into consideration recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health.(C) Take into consideration the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization in developing a standard establishing how much plume shall be captured by a plume scavenging system.(D) Include a requirement in the regulation for employers to provide training to all workers foreseeably participating in procedures that involve the creation of plume. The training shall include, but not be limited to, general education on the contents of plume, the circumstances in which it is generated, the associated health and safety hazards, and appropriate use of the plume scavenging equipment and systems utilized by the health facility. The training shall be designed to provide an opportunity for interactive questions and answers with a person knowledgeable about occupational exposure to plume and the specific equipment utilized to scavenge plume.(E) Include a requirement that a plume scavenging system be included as engineering or work practice controls.(F) Include a requirement for appropriate practices and other controls necessary to prevent employee exposure to plume in situations where a plume scavenging system could interfere with a medical procedure.(c) (1) By June 1, 2027, the board shall consider for adoption a proposed regulation of the division requiring a health facility to evacuate or remove plume through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) Paragraph (1) does not limit the authority of the division to develop a regulation, or the authority of the board to adopt a regulation, that is broader in scope or broader in application than required by this section.(d) (1) This section does not alter, amend, expand, or reduce existing general room ventilation standards or requirements. Any plume scavenging standards adopted by the board are in addition to general room ventilation standards or requirements, and compliance with general room ventilation standards shall not satisfy the requirements of this section.(2) Evidence that the plume scavenging system conforms to the minimum requirements of this section when installed, operated, and maintained in accordance with the manufacturers instructions, shall be provided by the manufacturer.(e) (1) The use of surgical masks shall not satisfy the requirements of this section.(2) The use of respirators shall not satisfy the requirements of this section except when, due to medical necessity, the plume scavenging system is unable to be located where it effectively captures plume.SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. |
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| 14 | 25 | | |
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| 15 | 26 | | LEGISLATIVE COUNSEL'S DIGEST |
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| 16 | 27 | | |
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| 17 | 28 | | ## LEGISLATIVE COUNSEL'S DIGEST |
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| 18 | 29 | | |
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| 19 | 30 | | AB 1007, Ortega. Occupational safety and health standards: plume. |
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| 20 | 31 | | |
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| 21 | 32 | | Under existing law, the Occupational Safety and Health Standards Board within the Department of Industrial Relations promulgates and enforces occupational safety and health standards for the state, including standards dealing with toxic materials and harmful physical agents. Under existing law, the Division of Occupational Safety and Health is required to enforce all occupational safety and health standards, as specified. A violation of these standards and regulations under specific circumstances is a crime.This bill would, by December 1, 2026, require the division to submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume. The bill would require the division, when developing regulations, to consider, among other things, recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health. The bill would require the board to consider for adoption a proposed regulation by June 1, 2027.This bill would provide that compliance with general room ventilation standards or the use of surgical masks does not satisfy the requirements for protection from surgical plumes under these provisions. The bill would provide that the use of respirators does not satisfy the requirements for protection from surgical plumes under these provisions, except as specified. The bill would require the manufacturer of a plume scavenging system to provide evidence that the system meets specified minimum requirements when installed, operated, and maintained in accordance with the manufacturers instructions. This bill would specify that these provisions do not limit the authority of the division to develop, or limit the authority of the board to adopt, a regulation with a broader scope or broader application than required by these provisions.By expanding the definition of an existing crime, this bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason. |
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| 22 | 33 | | |
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| 23 | 34 | | Under existing law, the Occupational Safety and Health Standards Board within the Department of Industrial Relations promulgates and enforces occupational safety and health standards for the state, including standards dealing with toxic materials and harmful physical agents. Under existing law, the Division of Occupational Safety and Health is required to enforce all occupational safety and health standards, as specified. A violation of these standards and regulations under specific circumstances is a crime. |
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| 24 | 35 | | |
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| 25 | 36 | | This bill would, by December 1, 2026, require the division to submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume. The bill would require the division, when developing regulations, to consider, among other things, recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health. The bill would require the board to consider for adoption a proposed regulation by June 1, 2027. |
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| 26 | 37 | | |
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| 27 | 38 | | This bill would provide that compliance with general room ventilation standards or the use of surgical masks does not satisfy the requirements for protection from surgical plumes under these provisions. The bill would provide that the use of respirators does not satisfy the requirements for protection from surgical plumes under these provisions, except as specified. The bill would require the manufacturer of a plume scavenging system to provide evidence that the system meets specified minimum requirements when installed, operated, and maintained in accordance with the manufacturers instructions. |
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| 28 | 39 | | |
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| 29 | 40 | | This bill would specify that these provisions do not limit the authority of the division to develop, or limit the authority of the board to adopt, a regulation with a broader scope or broader application than required by these provisions. |
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| 30 | 41 | | |
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| 31 | 42 | | By expanding the definition of an existing crime, this bill would impose a state-mandated local program. |
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| 32 | 43 | | |
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| 33 | 44 | | The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. |
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| 34 | 45 | | |
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| 35 | 46 | | This bill would provide that no reimbursement is required by this act for a specified reason. |
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| 36 | 47 | | |
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| 37 | 48 | | ## Digest Key |
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| 38 | 49 | | |
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| 39 | 50 | | ## Bill Text |
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| 40 | 51 | | |
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| 41 | 52 | | The people of the State of California do enact as follows:SECTION 1. It is the intent of the Legislature to require the Division of Occupational Safety and Health to propose, and the Occupational Safety and Health Standards Board to adopt, a regulation establishing an occupational safety and health standard in hospitals and other health care settings to protect nurses and other health care workers from noxious airborne contaminants or plume generated as byproducts during a variety of surgical, diagnostic, or therapeutic procedures in acute care settings. SEC. 2. Section 144.9 is added to the Labor Code, to read:144.9. (a) As used in this section, the following definitions apply:(1) Board means the Occupational Safety and Health Standards Board.(2) Division means the Division of Occupational Safety and Health.(3) Electrocautery device means a device that is electrically heated to cut, ablate, or coagulate human tissue for therapeutic purposes.(4) Electrosurgical device means a device that uses a radio frequency electric current passing through the patient to cut, ablate, or coagulate human tissue for therapeutic purposes.(5) Energy-based device means a device that uses energy to ablate, cauterize, or mechanically manipulate target human tissue including lasers, electrosurgical generators, broadband light sources, ultrasonic instruments, plasma generators, bone saws, and drills.(6) Health facility means a health facility as defined in subdivision (a) of Section 1250 of the Health and Safety Code.(7) Plume means noxious airborne contaminants generated as byproducts of the use of energy-based devices, electrosurgical devices, electrocautery devices, or mechanical tools during surgical, diagnostic, or therapeutic procedures.(8) Plume scavenging system means smoke evacuators, laser plume evacuators, plume scavengers, and local exhaust ventilators that, when used in concert with other engineering controls and equipment, and to the extent technologically feasible, capture and neutralize plume at the site of origin and before plume can make ocular contact or contact with the respiratory tract of employees.(b) (1) By December 1, 2026, the division shall submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) In developing regulations, the division shall do all of the following:(A) Evaluate using as a benchmark the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization and the standards titled Plume scavenging in surgical, diagnostic, therapeutic, and aesthetic settings (CSA Z305.13-13) adopted by the CSA Group.(B) Take into consideration recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health.(C) Take into consideration the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization in developing a standard establishing how much plume shall be captured by a plume scavenging system.(D) Include a requirement in the regulation for employers to provide training to all workers foreseeably participating in procedures that involve the creation of plume. The training shall include, but not be limited to, general education on the contents of plume, the circumstances in which it is generated, the associated health and safety hazards, and appropriate use of the plume scavenging equipment and systems utilized by the health facility. The training shall be designed to provide an opportunity for interactive questions and answers with a person knowledgeable about occupational exposure to plume and the specific equipment utilized to scavenge plume.(E) Include a requirement that a plume scavenging system be included as engineering or work practice controls.(F) Include a requirement for appropriate practices and other controls necessary to prevent employee exposure to plume in situations where a plume scavenging system could interfere with a medical procedure.(c) (1) By June 1, 2027, the board shall consider for adoption a proposed regulation of the division requiring a health facility to evacuate or remove plume through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) Paragraph (1) does not limit the authority of the division to develop a regulation, or the authority of the board to adopt a regulation, that is broader in scope or broader in application than required by this section.(d) (1) This section does not alter, amend, expand, or reduce existing general room ventilation standards or requirements. Any plume scavenging standards adopted by the board are in addition to general room ventilation standards or requirements, and compliance with general room ventilation standards shall not satisfy the requirements of this section.(2) Evidence that the plume scavenging system conforms to the minimum requirements of this section when installed, operated, and maintained in accordance with the manufacturers instructions, shall be provided by the manufacturer.(e) (1) The use of surgical masks shall not satisfy the requirements of this section.(2) The use of respirators shall not satisfy the requirements of this section except when, due to medical necessity, the plume scavenging system is unable to be located where it effectively captures plume.SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. |
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| 42 | 53 | | |
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| 43 | 54 | | The people of the State of California do enact as follows: |
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| 44 | 55 | | |
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| 45 | 56 | | ## The people of the State of California do enact as follows: |
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| 46 | 57 | | |
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| 47 | 58 | | SECTION 1. It is the intent of the Legislature to require the Division of Occupational Safety and Health to propose, and the Occupational Safety and Health Standards Board to adopt, a regulation establishing an occupational safety and health standard in hospitals and other health care settings to protect nurses and other health care workers from noxious airborne contaminants or plume generated as byproducts during a variety of surgical, diagnostic, or therapeutic procedures in acute care settings. |
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| 48 | 59 | | |
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| 49 | 60 | | SECTION 1. It is the intent of the Legislature to require the Division of Occupational Safety and Health to propose, and the Occupational Safety and Health Standards Board to adopt, a regulation establishing an occupational safety and health standard in hospitals and other health care settings to protect nurses and other health care workers from noxious airborne contaminants or plume generated as byproducts during a variety of surgical, diagnostic, or therapeutic procedures in acute care settings. |
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| 50 | 61 | | |
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| 51 | 62 | | SECTION 1. It is the intent of the Legislature to require the Division of Occupational Safety and Health to propose, and the Occupational Safety and Health Standards Board to adopt, a regulation establishing an occupational safety and health standard in hospitals and other health care settings to protect nurses and other health care workers from noxious airborne contaminants or plume generated as byproducts during a variety of surgical, diagnostic, or therapeutic procedures in acute care settings. |
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| 52 | 63 | | |
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| 53 | 64 | | ### SECTION 1. |
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| 54 | 65 | | |
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| 55 | 66 | | SEC. 2. Section 144.9 is added to the Labor Code, to read:144.9. (a) As used in this section, the following definitions apply:(1) Board means the Occupational Safety and Health Standards Board.(2) Division means the Division of Occupational Safety and Health.(3) Electrocautery device means a device that is electrically heated to cut, ablate, or coagulate human tissue for therapeutic purposes.(4) Electrosurgical device means a device that uses a radio frequency electric current passing through the patient to cut, ablate, or coagulate human tissue for therapeutic purposes.(5) Energy-based device means a device that uses energy to ablate, cauterize, or mechanically manipulate target human tissue including lasers, electrosurgical generators, broadband light sources, ultrasonic instruments, plasma generators, bone saws, and drills.(6) Health facility means a health facility as defined in subdivision (a) of Section 1250 of the Health and Safety Code.(7) Plume means noxious airborne contaminants generated as byproducts of the use of energy-based devices, electrosurgical devices, electrocautery devices, or mechanical tools during surgical, diagnostic, or therapeutic procedures.(8) Plume scavenging system means smoke evacuators, laser plume evacuators, plume scavengers, and local exhaust ventilators that, when used in concert with other engineering controls and equipment, and to the extent technologically feasible, capture and neutralize plume at the site of origin and before plume can make ocular contact or contact with the respiratory tract of employees.(b) (1) By December 1, 2026, the division shall submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) In developing regulations, the division shall do all of the following:(A) Evaluate using as a benchmark the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization and the standards titled Plume scavenging in surgical, diagnostic, therapeutic, and aesthetic settings (CSA Z305.13-13) adopted by the CSA Group.(B) Take into consideration recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health.(C) Take into consideration the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization in developing a standard establishing how much plume shall be captured by a plume scavenging system.(D) Include a requirement in the regulation for employers to provide training to all workers foreseeably participating in procedures that involve the creation of plume. The training shall include, but not be limited to, general education on the contents of plume, the circumstances in which it is generated, the associated health and safety hazards, and appropriate use of the plume scavenging equipment and systems utilized by the health facility. The training shall be designed to provide an opportunity for interactive questions and answers with a person knowledgeable about occupational exposure to plume and the specific equipment utilized to scavenge plume.(E) Include a requirement that a plume scavenging system be included as engineering or work practice controls.(F) Include a requirement for appropriate practices and other controls necessary to prevent employee exposure to plume in situations where a plume scavenging system could interfere with a medical procedure.(c) (1) By June 1, 2027, the board shall consider for adoption a proposed regulation of the division requiring a health facility to evacuate or remove plume through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) Paragraph (1) does not limit the authority of the division to develop a regulation, or the authority of the board to adopt a regulation, that is broader in scope or broader in application than required by this section.(d) (1) This section does not alter, amend, expand, or reduce existing general room ventilation standards or requirements. Any plume scavenging standards adopted by the board are in addition to general room ventilation standards or requirements, and compliance with general room ventilation standards shall not satisfy the requirements of this section.(2) Evidence that the plume scavenging system conforms to the minimum requirements of this section when installed, operated, and maintained in accordance with the manufacturers instructions, shall be provided by the manufacturer.(e) (1) The use of surgical masks shall not satisfy the requirements of this section.(2) The use of respirators shall not satisfy the requirements of this section except when, due to medical necessity, the plume scavenging system is unable to be located where it effectively captures plume. |
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| 56 | 67 | | |
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| 57 | 68 | | SEC. 2. Section 144.9 is added to the Labor Code, to read: |
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| 58 | 69 | | |
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| 59 | 70 | | ### SEC. 2. |
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| 60 | 71 | | |
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| 61 | 72 | | 144.9. (a) As used in this section, the following definitions apply:(1) Board means the Occupational Safety and Health Standards Board.(2) Division means the Division of Occupational Safety and Health.(3) Electrocautery device means a device that is electrically heated to cut, ablate, or coagulate human tissue for therapeutic purposes.(4) Electrosurgical device means a device that uses a radio frequency electric current passing through the patient to cut, ablate, or coagulate human tissue for therapeutic purposes.(5) Energy-based device means a device that uses energy to ablate, cauterize, or mechanically manipulate target human tissue including lasers, electrosurgical generators, broadband light sources, ultrasonic instruments, plasma generators, bone saws, and drills.(6) Health facility means a health facility as defined in subdivision (a) of Section 1250 of the Health and Safety Code.(7) Plume means noxious airborne contaminants generated as byproducts of the use of energy-based devices, electrosurgical devices, electrocautery devices, or mechanical tools during surgical, diagnostic, or therapeutic procedures.(8) Plume scavenging system means smoke evacuators, laser plume evacuators, plume scavengers, and local exhaust ventilators that, when used in concert with other engineering controls and equipment, and to the extent technologically feasible, capture and neutralize plume at the site of origin and before plume can make ocular contact or contact with the respiratory tract of employees.(b) (1) By December 1, 2026, the division shall submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) In developing regulations, the division shall do all of the following:(A) Evaluate using as a benchmark the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization and the standards titled Plume scavenging in surgical, diagnostic, therapeutic, and aesthetic settings (CSA Z305.13-13) adopted by the CSA Group.(B) Take into consideration recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health.(C) Take into consideration the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization in developing a standard establishing how much plume shall be captured by a plume scavenging system.(D) Include a requirement in the regulation for employers to provide training to all workers foreseeably participating in procedures that involve the creation of plume. The training shall include, but not be limited to, general education on the contents of plume, the circumstances in which it is generated, the associated health and safety hazards, and appropriate use of the plume scavenging equipment and systems utilized by the health facility. The training shall be designed to provide an opportunity for interactive questions and answers with a person knowledgeable about occupational exposure to plume and the specific equipment utilized to scavenge plume.(E) Include a requirement that a plume scavenging system be included as engineering or work practice controls.(F) Include a requirement for appropriate practices and other controls necessary to prevent employee exposure to plume in situations where a plume scavenging system could interfere with a medical procedure.(c) (1) By June 1, 2027, the board shall consider for adoption a proposed regulation of the division requiring a health facility to evacuate or remove plume through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) Paragraph (1) does not limit the authority of the division to develop a regulation, or the authority of the board to adopt a regulation, that is broader in scope or broader in application than required by this section.(d) (1) This section does not alter, amend, expand, or reduce existing general room ventilation standards or requirements. Any plume scavenging standards adopted by the board are in addition to general room ventilation standards or requirements, and compliance with general room ventilation standards shall not satisfy the requirements of this section.(2) Evidence that the plume scavenging system conforms to the minimum requirements of this section when installed, operated, and maintained in accordance with the manufacturers instructions, shall be provided by the manufacturer.(e) (1) The use of surgical masks shall not satisfy the requirements of this section.(2) The use of respirators shall not satisfy the requirements of this section except when, due to medical necessity, the plume scavenging system is unable to be located where it effectively captures plume. |
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| 62 | 73 | | |
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| 63 | 74 | | 144.9. (a) As used in this section, the following definitions apply:(1) Board means the Occupational Safety and Health Standards Board.(2) Division means the Division of Occupational Safety and Health.(3) Electrocautery device means a device that is electrically heated to cut, ablate, or coagulate human tissue for therapeutic purposes.(4) Electrosurgical device means a device that uses a radio frequency electric current passing through the patient to cut, ablate, or coagulate human tissue for therapeutic purposes.(5) Energy-based device means a device that uses energy to ablate, cauterize, or mechanically manipulate target human tissue including lasers, electrosurgical generators, broadband light sources, ultrasonic instruments, plasma generators, bone saws, and drills.(6) Health facility means a health facility as defined in subdivision (a) of Section 1250 of the Health and Safety Code.(7) Plume means noxious airborne contaminants generated as byproducts of the use of energy-based devices, electrosurgical devices, electrocautery devices, or mechanical tools during surgical, diagnostic, or therapeutic procedures.(8) Plume scavenging system means smoke evacuators, laser plume evacuators, plume scavengers, and local exhaust ventilators that, when used in concert with other engineering controls and equipment, and to the extent technologically feasible, capture and neutralize plume at the site of origin and before plume can make ocular contact or contact with the respiratory tract of employees.(b) (1) By December 1, 2026, the division shall submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) In developing regulations, the division shall do all of the following:(A) Evaluate using as a benchmark the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization and the standards titled Plume scavenging in surgical, diagnostic, therapeutic, and aesthetic settings (CSA Z305.13-13) adopted by the CSA Group.(B) Take into consideration recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health.(C) Take into consideration the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization in developing a standard establishing how much plume shall be captured by a plume scavenging system.(D) Include a requirement in the regulation for employers to provide training to all workers foreseeably participating in procedures that involve the creation of plume. The training shall include, but not be limited to, general education on the contents of plume, the circumstances in which it is generated, the associated health and safety hazards, and appropriate use of the plume scavenging equipment and systems utilized by the health facility. The training shall be designed to provide an opportunity for interactive questions and answers with a person knowledgeable about occupational exposure to plume and the specific equipment utilized to scavenge plume.(E) Include a requirement that a plume scavenging system be included as engineering or work practice controls.(F) Include a requirement for appropriate practices and other controls necessary to prevent employee exposure to plume in situations where a plume scavenging system could interfere with a medical procedure.(c) (1) By June 1, 2027, the board shall consider for adoption a proposed regulation of the division requiring a health facility to evacuate or remove plume through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) Paragraph (1) does not limit the authority of the division to develop a regulation, or the authority of the board to adopt a regulation, that is broader in scope or broader in application than required by this section.(d) (1) This section does not alter, amend, expand, or reduce existing general room ventilation standards or requirements. Any plume scavenging standards adopted by the board are in addition to general room ventilation standards or requirements, and compliance with general room ventilation standards shall not satisfy the requirements of this section.(2) Evidence that the plume scavenging system conforms to the minimum requirements of this section when installed, operated, and maintained in accordance with the manufacturers instructions, shall be provided by the manufacturer.(e) (1) The use of surgical masks shall not satisfy the requirements of this section.(2) The use of respirators shall not satisfy the requirements of this section except when, due to medical necessity, the plume scavenging system is unable to be located where it effectively captures plume. |
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| 64 | 75 | | |
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| 65 | 76 | | 144.9. (a) As used in this section, the following definitions apply:(1) Board means the Occupational Safety and Health Standards Board.(2) Division means the Division of Occupational Safety and Health.(3) Electrocautery device means a device that is electrically heated to cut, ablate, or coagulate human tissue for therapeutic purposes.(4) Electrosurgical device means a device that uses a radio frequency electric current passing through the patient to cut, ablate, or coagulate human tissue for therapeutic purposes.(5) Energy-based device means a device that uses energy to ablate, cauterize, or mechanically manipulate target human tissue including lasers, electrosurgical generators, broadband light sources, ultrasonic instruments, plasma generators, bone saws, and drills.(6) Health facility means a health facility as defined in subdivision (a) of Section 1250 of the Health and Safety Code.(7) Plume means noxious airborne contaminants generated as byproducts of the use of energy-based devices, electrosurgical devices, electrocautery devices, or mechanical tools during surgical, diagnostic, or therapeutic procedures.(8) Plume scavenging system means smoke evacuators, laser plume evacuators, plume scavengers, and local exhaust ventilators that, when used in concert with other engineering controls and equipment, and to the extent technologically feasible, capture and neutralize plume at the site of origin and before plume can make ocular contact or contact with the respiratory tract of employees.(b) (1) By December 1, 2026, the division shall submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) In developing regulations, the division shall do all of the following:(A) Evaluate using as a benchmark the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization and the standards titled Plume scavenging in surgical, diagnostic, therapeutic, and aesthetic settings (CSA Z305.13-13) adopted by the CSA Group.(B) Take into consideration recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health.(C) Take into consideration the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization in developing a standard establishing how much plume shall be captured by a plume scavenging system.(D) Include a requirement in the regulation for employers to provide training to all workers foreseeably participating in procedures that involve the creation of plume. The training shall include, but not be limited to, general education on the contents of plume, the circumstances in which it is generated, the associated health and safety hazards, and appropriate use of the plume scavenging equipment and systems utilized by the health facility. The training shall be designed to provide an opportunity for interactive questions and answers with a person knowledgeable about occupational exposure to plume and the specific equipment utilized to scavenge plume.(E) Include a requirement that a plume scavenging system be included as engineering or work practice controls.(F) Include a requirement for appropriate practices and other controls necessary to prevent employee exposure to plume in situations where a plume scavenging system could interfere with a medical procedure.(c) (1) By June 1, 2027, the board shall consider for adoption a proposed regulation of the division requiring a health facility to evacuate or remove plume through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume.(2) Paragraph (1) does not limit the authority of the division to develop a regulation, or the authority of the board to adopt a regulation, that is broader in scope or broader in application than required by this section.(d) (1) This section does not alter, amend, expand, or reduce existing general room ventilation standards or requirements. Any plume scavenging standards adopted by the board are in addition to general room ventilation standards or requirements, and compliance with general room ventilation standards shall not satisfy the requirements of this section.(2) Evidence that the plume scavenging system conforms to the minimum requirements of this section when installed, operated, and maintained in accordance with the manufacturers instructions, shall be provided by the manufacturer.(e) (1) The use of surgical masks shall not satisfy the requirements of this section.(2) The use of respirators shall not satisfy the requirements of this section except when, due to medical necessity, the plume scavenging system is unable to be located where it effectively captures plume. |
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| 66 | 77 | | |
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| 67 | 78 | | |
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| 68 | 79 | | |
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| 69 | 80 | | 144.9. (a) As used in this section, the following definitions apply: |
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| 70 | 81 | | |
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| 71 | 82 | | (1) Board means the Occupational Safety and Health Standards Board. |
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| 72 | 83 | | |
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| 73 | 84 | | (2) Division means the Division of Occupational Safety and Health. |
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| 74 | 85 | | |
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| 75 | 86 | | (3) Electrocautery device means a device that is electrically heated to cut, ablate, or coagulate human tissue for therapeutic purposes. |
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| 76 | 87 | | |
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| 77 | 88 | | (4) Electrosurgical device means a device that uses a radio frequency electric current passing through the patient to cut, ablate, or coagulate human tissue for therapeutic purposes. |
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| 78 | 89 | | |
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| 79 | 90 | | (5) Energy-based device means a device that uses energy to ablate, cauterize, or mechanically manipulate target human tissue including lasers, electrosurgical generators, broadband light sources, ultrasonic instruments, plasma generators, bone saws, and drills. |
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| 80 | 91 | | |
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| 81 | 92 | | (6) Health facility means a health facility as defined in subdivision (a) of Section 1250 of the Health and Safety Code. |
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| 82 | 93 | | |
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| 83 | 94 | | (7) Plume means noxious airborne contaminants generated as byproducts of the use of energy-based devices, electrosurgical devices, electrocautery devices, or mechanical tools during surgical, diagnostic, or therapeutic procedures. |
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| 84 | 95 | | |
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| 85 | 96 | | (8) Plume scavenging system means smoke evacuators, laser plume evacuators, plume scavengers, and local exhaust ventilators that, when used in concert with other engineering controls and equipment, and to the extent technologically feasible, capture and neutralize plume at the site of origin and before plume can make ocular contact or contact with the respiratory tract of employees. |
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| 86 | 97 | | |
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| 87 | 98 | | (b) (1) By December 1, 2026, the division shall submit to the board a proposed regulation requiring a health facility to evacuate or remove plume to the extent technologically feasible through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume. |
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| 88 | 99 | | |
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| 89 | 100 | | (2) In developing regulations, the division shall do all of the following: |
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| 90 | 101 | | |
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| 91 | 102 | | (A) Evaluate using as a benchmark the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization and the standards titled Plume scavenging in surgical, diagnostic, therapeutic, and aesthetic settings (CSA Z305.13-13) adopted by the CSA Group. |
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| 92 | 103 | | |
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| 93 | 104 | | (B) Take into consideration recommendations on the evacuation of plume from the federal Occupational Safety and Health Administration and National Institute for Occupational Safety and Health. |
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| 94 | 105 | | |
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| 95 | 106 | | (C) Take into consideration the standards titled Systems for evacuation of plume generated by medical devices (ISO 16571) adopted by the International Organization for Standardization in developing a standard establishing how much plume shall be captured by a plume scavenging system. |
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| 96 | 107 | | |
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| 97 | 108 | | (D) Include a requirement in the regulation for employers to provide training to all workers foreseeably participating in procedures that involve the creation of plume. The training shall include, but not be limited to, general education on the contents of plume, the circumstances in which it is generated, the associated health and safety hazards, and appropriate use of the plume scavenging equipment and systems utilized by the health facility. The training shall be designed to provide an opportunity for interactive questions and answers with a person knowledgeable about occupational exposure to plume and the specific equipment utilized to scavenge plume. |
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| 98 | 109 | | |
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| 99 | 110 | | (E) Include a requirement that a plume scavenging system be included as engineering or work practice controls. |
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| 100 | 111 | | |
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| 101 | 112 | | (F) Include a requirement for appropriate practices and other controls necessary to prevent employee exposure to plume in situations where a plume scavenging system could interfere with a medical procedure. |
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| 102 | 113 | | |
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| 103 | 114 | | (c) (1) By June 1, 2027, the board shall consider for adoption a proposed regulation of the division requiring a health facility to evacuate or remove plume through the use of a plume scavenging system in all settings that employ techniques that involve the creation of plume. |
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| 104 | 115 | | |
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| 105 | 116 | | (2) Paragraph (1) does not limit the authority of the division to develop a regulation, or the authority of the board to adopt a regulation, that is broader in scope or broader in application than required by this section. |
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| 106 | 117 | | |
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| 107 | 118 | | (d) (1) This section does not alter, amend, expand, or reduce existing general room ventilation standards or requirements. Any plume scavenging standards adopted by the board are in addition to general room ventilation standards or requirements, and compliance with general room ventilation standards shall not satisfy the requirements of this section. |
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| 108 | 119 | | |
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| 109 | 120 | | (2) Evidence that the plume scavenging system conforms to the minimum requirements of this section when installed, operated, and maintained in accordance with the manufacturers instructions, shall be provided by the manufacturer. |
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| 110 | 121 | | |
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| 111 | 122 | | (e) (1) The use of surgical masks shall not satisfy the requirements of this section. |
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| 112 | 123 | | |
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| 113 | 124 | | (2) The use of respirators shall not satisfy the requirements of this section except when, due to medical necessity, the plume scavenging system is unable to be located where it effectively captures plume. |
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| 114 | 125 | | |
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| 115 | 126 | | SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. |
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| 116 | 127 | | |
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| 117 | 128 | | SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. |
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| 118 | 129 | | |
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| 119 | 130 | | SEC. 3. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. |
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| 120 | 131 | | |
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| 121 | 132 | | ### SEC. 3. |
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