Policyholder Services

Will OMIC insure my ancillary staff for the performance of fluorescein angiography?

Non-physician employees are covered for services they render within the scope of their employment, training, and licensure. Since laws vary from state to state, it is important to verify applicable scope of practice laws before permitting non-physician personnel to administer intravenous fluorescein dye. While all states allow unlicensed personnel to perform venipuncture, some impose specific training and certification requirements. Additional requirements may apply for the administration of fluorescein. For example, many states allow only licensed personnel, such as registered nurses, to administer intravenous dyes and medications due to their increased risk. Even if not mandated by state law, the practice should ensure that anyone responsible for administering IV fluorescein is properly trained and certified.

Regardless of who can lawfully administer the dye, a physician should be on site and immediately available when the injection is performed. In addition, two staff members should be present (either in the room with the patient or within shouting distance) during the procedure. These precautions are necessary since fluorescein angiography carries the rare but life-threatening risk of anaphylactic reaction. Should an emergency occur, one staff member can remain with the patient while the other calls for help; the physician can direct the resuscitation effort while awaiting the arrival of paramedics.

To assist insureds in the prevention of and improved response to the risks of fluorescein angiography, OMIC has developed risk management recommendations and a sample consent form for this procedure. These documents are available here.