D.C. Mun. Regs. tit. 17, r. 17-9415

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 17-9415 - DIALYSIS TECHNICIAN TASKS

9415.1

A DT may perform the following tasks under the supervision of a registered nurse, nurse practitioner, or physician while utilizing effective communication and interpersonal skills:

(a) Preparing and cannulating peripheral access sites;

(b) Initiating, delivering or discontinuing dialysis care;

(c) Measuring and recording temperature, pulse, respiration, and blood pressure when initiating, delivering, or discontinuing dialysis patient care;

(d) Administering the following drugs only:

(1) Anticoagulants either to prime the extracorporeal system in preparation for initiation of treatment, or for administration throughout the treatment, in an amount prescribed by a licensed provider; and

(2) Normal saline via the extracorporeal system to correct dialysis induced hypotension based on the facility's medical protocol, provided that amounts beyond that established in the facility's medical protocol shall not be administered without the direction from a registered nurse, nurse practitioner, physician, or physician assistant.

(e) Assisting the registered nurse in data collection;

(f) Obtaining a blood specimen via the extracorporeal system;

(g) Responding to complications that arise in conjunction with dialysis care;

(h) Managing vascular access; and

(i) Maintaining the central venous catheter.

9415.2

The scope of practice of a DT shall not include:

(a) Dialysis care for a patient whose condition is determined by the registered nurse to be critical, fluctuating, or unpredictable; and

(b) The administration of blood and blood products.

9415.3

DTs, where appropriate, shall provide care based upon standing treatment protocols.

D.C. Mun. Regs. tit. 17, r. 17-9415

Final Rulemaking published at 65 DCR 11404 (8/23/2019)