La. Admin. Code tit. 48 § I-8441

Current through Register Vol. 50, No. 11, November 20, 2024

Section I-8441 - Training

A. Each employee shall complete appropriate orientation to the facility and to his/her work responsibilities prior to providing direct patient care/contact. The content of the basic orientation provided to all employees at the time of employment/annual review shall include:

1. policies/procedures and objectives of the facility;

2. duties and responsibilities of the employee;

3. organizational/reporting relationships;

4. ethics and confidentiality;

5. patient's rights;

6. standards of conduct required by the facility;

7. information on the disease process and expected outcomes;

8. emergency procedures including the disaster plan and evacuation procedures;

9. principals and practices of maintaining a clean, healthy and safe environment;

10. specific information as appropriate to the employee's job duties;

11. universal precautions;

12. violent behavior in the workplace;

13. abuse/neglect and exploitation;

14. overview of ESRD licensing standards; and

15. basic emergency care of ill or injured persons until trained personnel can arrive.

B. In-service training is an educational offering that shall assist the direct care/contact workers in providing current treatment modalities, and serve as refresher for subjects covered in orientation. Documentation of attendance for at least three in-services per quarter is required. Additional educational programs are encouraged.

C. Patient Care Technician (PCT) or Dialysis Technician. Training and orientation shall reflect the American Nephrology Nurses Association (ANNA) standards of clinical practice, including but not limited to:

1. anatomy and physiology of the renal system;

2. principles of water treatment;

3. dialyzer reprocessing;

4. basics of nutrition in renal failure;

5. understanding of ethical issues impacting on nephrology practice;

6. communication and interpersonal skills;

7. standard precautions, as recommended by the Center for Disease Control;

8. concepts and principles of hemodialysis;

9. arteriovenous puncture for dialysis access techniques;

10. use of heparin in dialysis procedures;

11. use of isotonic saline in dialysis;

12. maintenance of the delivery system:

a. integrity of extra corporeal circuit;

b. pressure monitor readings;

c. anticoagulant delivery;

d. blood flow rate;

e. alarm limits and/or conditions;

13. observation and reports of complications to the registered nurse;

14. post-treatment access care guidelines;

15. disposal of supplies in compliance with standard precautions; and

16. agency policy regarding the cleaning of equipment and treatment area.

La. Admin. Code tit. 48, § I-8441

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 28:2198 (October 2002).

AUTHORITY NOTE: Promulgated in accordance with R.S. 46:153 and R.S. 40:2117.4.