Or. Admin. Code § 333-275-0090

Current through Register Vol. 63, No. 12, December 1, 2024

Section 333-275-0090 - Scope of Practice of Hemodialysis Technician

(1) Authorized Functions of Certified Hemodialysis Technicians: CHDTs who hold full or provisional certification by the Oregon Public Health Division may, under the direct supervision of a physician licensed under ORS Chapter 677 or a registered nurse licensed under ORS 678.010 to 678.410:

(a) Perform venipunctures for dialysis access;

(b) Collect data, i.e. pre-weight, complaints, and vital signs, to be utilized by the registered nurse in developing the nursing assessment;

(c) Obtain lidocaine from a stock source and inject intradermal lidocaine in preparation for dialysis access;

(d) Obtain heparin from a stock source and administer a heparin bolus;

(e) Administer a bolus of normal saline;

(f) Connect a dialysis access to normal saline or heparinized normal saline;

(g) Initiate or discontinue dialysis treatment via central lines; and

(h) Administer oxygen on the basis of standing orders, facility protocol, or at the direction of a physician, registered nurse, or licensed practical nurse.

(2) Prohibited functions of the Certified Hemodialysis Technician: CHDTs who have been certified by the Oregon Public Health Division may not:

(a) Administer medications by oral, intramuscular, intravenous, or subcutaneous routes except as addressed in 333-275-0090(1);

(b) Perform arterial punctures outside of dialysis access;

(c) Determine the frequency or duration of dialysis treatments;

(d) Administer blood or blood products;

(e) Accept verbal or telephone orders from a physician or his/her representative;

(f) Perform hemodialysis on a hospitalized intensive care unit patient.

(3) An individual facility may elect to further limit the scope of practice of hemodialysis technicians working in that facility. If so, then the CHDT shall comply with that facility's job description.

Or. Admin. Code § 333-275-0090

OHD 2-2001, f. & cert. ef. 1-18-01; PH 13-2023, amend filed 03/13/2023, effective 7/1/2023

Statutory/Other Authority: ORS 688.625 - 688.665

Statutes/Other Implemented: ORS 688.635