New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter C - State Hospital Code › Article 6 - Treatment Center and Diagnostic Center Operation › Part 757 - Chronic Renal Dialysis Services › Section 757.3 - Chronic renal dialysis service staffing

Current through Register Vol. 46, No. 28, July 10, 2024
(a) In addition to other requirements that
					 may be applicable to the operator as set forth in this Chapter, the operator of
					 chronic renal dialysis center shall ensure that the center is adequately
					 staffed with qualified personnel as described in and in accordance with this
					 section.
(1) Registered Professional Nurses.
					 All registered professional nurses (RNs) working in a chronic renal dialysis
					 center shall hold an active New York State license to practice in accordance
					 with Article 139 of the Education Law and its implementing regulations. At
					 least one RN shall be present, on duty, and available to provide nursing
					 services including nursing supervisory duties at all times when patients are
					 present at the center.
(2) Licensed
					 Practical Nurse. All licensed practical nurses (LPNs) working in a chronic
					 renal dialysis center shall hold an active New York State license to practice
					 in accordance with Article 139 of the Education Law and its implementing
					 regulations. LPN responsibilities shall be consistent with the authorization
					 and training provided by the center. In addition, LPNs practicing in a chronic
					 renal dialysis center who have received training and demonstrated the
					 competencies required by such chronic renal dialysis center may, if authorized
					 by the LPNs' supervising RN, access and provide care to patients with central
					 venous catheters. A supervising RN shall, in his or her sole discretion,
					 determine whether an LPN has received the appropriate training and demonstrated
					 competencies as required by the center to provide care to patients with central
					 venous catheters. All LPNs who are authorized to perform intravenous therapy
					 procedures shall perform such procedures in accordance with the provisions set
					 forth in Section
					 400.15 of this Title.
(3) Qualified Social Worker. The operator of
					 chronic renal dialysis center shall have on staff, a qualified social worker
					 who is licensed and registered by the New York State Education Department to
					 practice as a licensed master social worker (LMSW) or licensed clinical social
					 worker (LCSW) as defined in and in accordance with Article 154 of the Education
					 Law.
(4) Patient Care (Dialysis)
					 Technicians. The operator of a chronic renal dialysis center shall ensure that
					 all unlicensed staff who have responsibility for direct patient care meet or
					 exceed the center's written policies and procedures that define the minimum
					 experience and training qualifications of patient care technicians(PCTs) and
					 perform such patient care only under the direction of an RN. The operator of a
					 chronic renal dialysis center shall ensure that all PCTs that provide patient
					 care at its center are certified by a CMS approved national commercial dialysis
					 technician certification organization within 18 months post hire. Such PCTs
					 must, under the direction of an RN, complete a training program approved by the
					 medical director of the chronic renal dialysis center.