reglab/statecodes huggingface dataset:
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-16 - Hearings › Section 4723-16-10 - Settlements

Current through all regulations passed and filed through July 1, 2024
(A) Any matter that
			 is the subject of an investigation may be settled at any time by the
			 board.
(B) A settlement shall be
			 authorized on behalf of the board by the supervising member for disciplinary
			 matters. In  cases
			 assigned for hearing, the parties may inform the board hearing committee or the
			 hearing examiner that a settlement has been
			 reached
								 in lieu of proceeding with the hearing, and the board hearing committee or hearing examiner may
			 continue the hearing pending ratification of the agreement by the
			 board.
(C) A settlement
			 agreement shall be in writing and shall be submitted for ratification to the
			 board.
(D) A settlement agreement
			 shall not be effective until the agreement is ratified by the board and signed
			 by respondent, respondent's legal counsel, in any, and the president of the
			 board.
Effective: 2/1/2015
Five Year Review (FYR) Dates:
				10/15/2014 and
				10/15/2019
Promulgated
				Under: 119.03
Statutory Authority: 4723.07
Rule
				Amplifies: 4723.28
Prior Effective Dates: 02/01/2000, 02/01/2003,
				02/09/2005, 02/01/2010
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-16 - Hearings › Section 4723-16-12 - Request to address the board regarding a hearing

Current through all regulations passed and filed through July 1, 2024
(A) A representative of record may be
			 permitted to address the board at the time of the board's consideration of the
			 report and recommendation, provided that prior to addressing the board, the
			 representative of record has filed a written request with the board not less
			 than seven days before the board meeting.
(B) If a representative of record addresses
			 the board, the opposing representative of record shall also be given an
			 opportunity to address the board. The representative of record who submitted a
			 request to address the board first shall make the initial presentation before
			 the board, and if both parties submit a request on the same date, the
			 respondent of record for the state of Ohio shall make the initial
			 presentation.
(C) Each
			 representative of record who addresses the board shall be given not more than
			 seven
			 minutes in which to do so. The representative of record may request that time
			 for rebuttal be deducted from their allotted time.
Effective: 2/1/2016
Five Year Review
				(FYR) Dates: 10/15/2019
Promulgated Under: 119.03
Statutory Authority:
				4723.07
Rule Amplifies: 4723.28
Prior Effective Dates:
				02/01/2000, 02/01/2001, 02/01/2003, 02/01/2005, 02/01/10,
				02/01/2015
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-18 - Practice Intervention and Improvement Program (PIIP) › Section 4723-18-01 - Definitions

Current through all regulations passed and filed through July 1, 2024
As used in this chapter:
(A) "Certificate holder" means an individual
			 holding a
			 current, valid certificate issued by the board to provide dialysis care as a
			 dialysis technician or dialysis technician intern.
(B)
			 "Educational intervention" means the following:
(1) One or more learning activities that meet
			 the requirements of rule
			 4723-18-06
			 of the Administrative Code, with content and objectives that address a
			 participant's prescribed learning needs;
(2) An activity with content and objectives
			 that meet a participant's prescribed learning needs provided by the
			 participant's employer through a registered nurse who meets the qualifications
			 set forth in rule
			 4723-18-06
			 of the Administrative Code.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-18 - Practice Intervention and Improvement Program (PIIP) › Section 4723-18-02 - Process and criteria to use when identifying an individual's practice deficiency

Current through all regulations passed and filed through July 1, 2024
(A) The board shall investigate,
			 according to section
			 4723.28 of the Revised Code,
			 evidence that appears to show that a licensee or certificate holder has failed
			 to practice in accordance with acceptable and
			 prevailing standards of safe care as set
			 forth in Chapter 4723-4 of the Administrative Code, Chapter 4723-8 of the Administrative Code, Chapter 4723-9 of
			 the Administrative Code, or Chapter 4723-23
								
			 of the Administrative Code.
(B) The
			 supervising member shall review the evidence obtained during the investigation
			 to determine whether the individual's identified practice
			 deficiency can be corrected through participation in the practice intervention
			 and improvement program (PIIP) rather than through formal disciplinary action.
			 Criteria to use when making this determination include, but are not limited to,
			 the following:
(1) Whether the public will be
			 adequately protected from unsafe practice if the individual enters PIIP;
(2) Whether the individual's practice deficiency resulted in harm or
			 other untoward outcome for the patient;
(3) The likelihood that the identified
			 practice deficiency at issue is a deficiency that can be corrected through
			 remediation;
(4) The extent of the
			 individual's cooperation with the board during the
			 investigation;
(5) Whether the
			 individual's identified practice deficiency
			 represented an intentional or willful commission or omission by the
			 individual;
(6) The frequency of the occurrence of the
			 identified practice deficiency;
(7)
			 The adverse impact of the identified practice deficiency on others;
(8) Whether the identified practice
			 deficiency affected a particularly vulnerable patient;
(9) Whether the individual is eligible for participation in PIIP
			 as specified in  rule
			 4723-18-03
			 of the Administrative Code; and
(10) Whether the individual has a mental or physical impairment that
			 contributed to the practice deficiency.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-18 - Practice Intervention and Improvement Program (PIIP) › Section 4723-18-03 - Eligibility requirements for participation in the practice intervention and improvement program (PIIP)

Current through all regulations passed and filed through July 1, 2024
An individual may participate in the practice intervention and
				improvement program if the supervising member determines that the public will
				be adequately protected from unsafe practice if the individual enters PIIP,
				and:
(A) The individual has not been
			 the subject of formal disciplinary action by any regulatory board or entity
			 located in Ohio or in another jurisdiction, unless the supervising member
			 determines that the previous disciplinary action was for a violation that
			 should not preclude participation in PIIP;
(B) The individual is not concurrently under
			 investigation by the board for a violation of Chapter 4723. of the Revised Code
			 or the rules of the board that does not constitute a practice deficiency;
(C) The supervising member
			 determines that the nature of the individual's identified practice deficiency
			 is such that it may be corrected through remediation;
(D) The individual holds a current valid,
			 license or certificate issued by the board;
(E) The individual is otherwise eligible to
			 renew the license or certificate issued by the board;
(F) At the time of PIIP eligibility
			 determination by the supervising member, the individual is working in a
			 position in the state of Ohio, whether as an employee or contractor, that
			 requires a nursing license, if the individual is a licensed nurse, or a
			 dialysis technician certificate, if the individual is a dialysis technician;
			 and
(G)
								
								The individual does not have any impairment as
			 defined in rule
			 4723-3-02
			 of the Administrative Code.
Effective: 2/1/2019
Five Year Review
				(FYR) Dates: 10/22/2018 and
				10/16/2023
Promulgated
				Under: 119.03
Statutory
				Authority: 4723.282, ORC
				4723.07
Rule
				Amplifies: ORC 4723.282
Prior
				Effective Dates: 02/01/2001, 02/01/2002, 02/01/2007, 02/01/2009,
				02/01/2014
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-18 - Practice Intervention and Improvement Program (PIIP) › Section 4723-18-05 - Grounds for termination from the practice intervention and improvement program (PIIP)

Current through all regulations passed and filed through July 1, 2024
(A) A participant
								 may be terminated from PIIP for
			 any of the following:
(1) Failure to comply
			 with any term of the participatory agreement entered into by the
			 participant;
(2) Receipt of
			 evidence from an
			 employer educational intervention provider
			  indicating that
			 the participant has failed to progress through or to successfully complete the
			 prescribed educational intervention in the manner and
			 during the time frame prescribed by the supervising member;
(3) Receipt of evidence from the workplace
			 monitor indicating that the participant has failed to incorporate learned
			 knowledge and skills into practice or has continued to demonstrate the practice
			 deficiency;
(4) Failure to complete
			 the remediation including the educational
			 intervention; or
(5) Failure
			 to maintain eligibility for PIIP.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-18 - Practice Intervention and Improvement Program (PIIP) › Section 4723-18-06 - Requirements for educational intervention

Current through all regulations passed and filed through July 1, 2024
(A) The practice intervention and improvement
			 program shall utilize educational interventions that contain content and
			 objectives that meet the participant's learning needs as prescribed by the
			 supervising member.
(B) An
			 educational intervention shall be one of the following:
(1) A continuing education activity that
			 meets the requirements of Chapter 4723-14 of the Administrative Code;
(2) An activity conducted by a national
			 certifying organization approved by the board according to section
			 4723.46 of the Revised
			 Code;
(3) A course provided by a
			 post-secondary educational institution that is approved, authorized or
			 registered by the board, the Ohio department of higher
			 education, the state board of career colleges and schools, or a
			 substantially similar authorizing body in another jurisdiction, for which
			 academic credit is awarded to the participant; or
(4) An activity that is provided by the
			 participant's employer through an employed or contracted registered nurse who
			 holds a master's degree and has at least two years experience in nursing
			 education or adult education.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-18 - Practice Intervention and Improvement Program (PIIP) › Section 4723-18-07 - Standards and procedures for remediation

Current through all regulations passed and filed through July 1, 2024
(A)
								An individual shall be
			 notified in writing of a determination by the supervising member
			  that
			 their
								 identified practice deficiency may be remediated
			 through participation in the practice intervention and improvement program.
(B) In
			 order to participate in PIIP, an eligible licensee or certificate holder shall
			 enter into the participatory agreement set forth in rule
			 4723-18-04
			 of the Administrative Code.
(C) The
			 participant shall  notify PIIP in writing of the educational
			 intervention selected within the time frame specified in the
			 participatory agreement. The written notification shall
			 include a copy of the learning activity's content and objectives that
			 demonstrate it meets the prescribed educational intervention
			 requirements.
(D)
								When
			 the participant's educational intervention is provided by an employer through
			 an employed or contracted registered nurse, the participant shall provide
			 the registered nurse with a copy of the
			 participatory agreement and provide PIIP with documentation of the
			 
								registered nurse's receipt of the
			 agreement.
(E)
								 The participant shall provide documentation acceptable
			 to PIIP that all educational interventions have been successfully completed
			 within the specified timeframe.
(F)
								
								According to rule
			 4723-18-08
			 of the Administrative Code, PIIP shall establish workplace monitoring
			 requirements that a participant must meet in order to demonstrate that the
			 learned knowledge and skills have been incorporated into the participant's
			 practice and shall notify the participant and the participant's workplace
			 monitor in writing of these requirements.
(G)
								 Upon receipt of evidence that the participant
			 has failed to successfully complete the remediation, PIIP shall immediately
			 notify the supervising member.
Five Year Review (FYR) Dates:
				10/22/2018 and
				10/22/2023
Promulgated
				Under: 119.03
Statutory
				Authority: ORC 4723.07,
				4723.282
Rule
				Amplifies: ORC 4723.282
Prior
				Effective Dates: 02/01/2001, 02/01/2007, 02/01/2009,
				02/01/2014
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-18 - Practice Intervention and Improvement Program (PIIP) › Section 4723-18-08 - Standards and procedures for workplace monitoring

Current through all regulations passed and filed through July 1, 2024
(A) A PIIP
			 participant shall be monitored by PIIP to determine whether the participant
			 satisfactorily demonstrates that the learned knowledge and skills have been
			 incorporated into the participant's practice.
(B) A participant, in collaboration with his
			 or her employer, shall identify one or more individuals who meet the
			 requirements of paragraph (D) of this rule who will act as a workplace monitor
			 of the participant's nursing or dialysis care.
(C) The workplace monitor shall:
(1) As directed by PIIP, observe specific
			 aspects of the participant's practice at the intervals identified by
			 PIIP;
(2) Evaluate specific aspects
			 of the participant's practice and report to PIIP whether that practice, with
			 respect to the identified practice deficiency, meets acceptable and prevailing
			 standards of safe nursing care set forth in Chapter 4723-4 of the
			 Administrative Code, Chapter 4723-8 of the Administrative Code or Chapter
			 4723-9 of the Administrative Code, or the acceptable and prevailing standards
			 of safe dialysis care set forth in Chapter 4723-23 of the Administrative
			 Code;
(3) Report the participant's
			 progress in remediation to PIIP at the intervals required by PIIP;
			 and
(4) Maintain the
			 confidentiality of the participant's participation in PIIP and of all records
			 associated with the participant's remediation.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-18 - Practice Intervention and Improvement Program (PIIP) › Section 4723-18-09 - Terms and conditions a participant must meet to successfully complete the practice intervention and improvement program (PIIP)

Current through all regulations passed and filed through July 1, 2024
(A) An individual
			 eligible for the practice intervention and improvement program shall enter into
			 a participatory agreement, as set forth in rule
			 4723-18-04
			 of the Administrative Code, and shall comply with all of the terms and
			 conditions set forth in the agreement.
(B) A participant shall provide or cause to
			 be provided all of the following to PIIP:
(1)
			 Written verification acceptable to PIIP that the participant has successfully
			 completed the educational intervention prescribed by the supervising member;
			 and
(2) Written verification from a
			 workplace monitor who meets the requirements set forth in rule
			 4723-18-08
			 of the Administrative Code that, at the time of verification with respect to
			 the identified practice deficiency, the participant's practice meets the
			 acceptable and prevailing standards of safe nursing care set forth in Chapter
			 4723-4 of the Administrative Code, Chapter 4723-8 of the Administrative Code,
			 or Chapter 4723-9 of the Administrative Code, or the acceptable and prevailing
			 standards of safe dialysis care set forth in Chapter 4723-23 of the
			 Administrative Code.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-18 - Practice Intervention and Improvement Program (PIIP) › Section 4723-18-10 - Confidentiality of records for the practice intervention and improvement program (PIIP)

Current through all regulations passed and filed through July 1, 2024
(A) Information and
			 records obtained by the practice intervention and improvement program
			 pursuant to an investigation conducted in accordance with
			 section
			 
								4723.28
								 of the Revised Code shall be
			 confidential and are not public records pursuant
			 to division (I) of section
			 4723.28 of the Revised
			 Code.
(B) All records regarding an
			 individual's participation in PIIP are confidential and
			 are not public records pursuant to division (I)
			 of section 4723.28 of the Revised Code and
			 division (D) of section
			 4723.282 of the Revised
			 Code.
(C) All
			 employers providing educational
			 intervention
								 and workplace monitors selected to
			 provide remediation by a participant in PIIP shall, as representatives of the
			 board, maintain the confidentiality of all records regarding the participant's
			 remediation.
(D) All PIIP records
			 maintained by the board shall be kept in a secure storage area
			 
								according to the board's record retention
			 schedule.
(E) Notwithstanding
			 paragraphs (A) and (B) of this rule, PIIP may prepare public reports
			  setting forth in general
			 terms statistical information regarding the
			 program as requested by the board.
Five Year Review (FYR) Dates:
				10/22/2018 and
				10/22/2023
Promulgated
				Under: 119.03
Statutory
				Authority: ORC 4723.07,
				4723.282
Rule
				Amplifies: ORC 4723.282
Prior
				Effective Dates: 02/01/2001, 02/01/2002, 02/01/2004,
				02/01/2014
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-20 - Prevention of Disease Transmission › Section 4723-20-01 - Definitions pertaining to prevention of disease transmission and infection control

Current through all regulations passed and filed through July 1, 2024
For the purposes of this chapter, the following definitions
				shall apply:
(A) "Aseptic technique"
			 means practices used to reduce or eliminate microorganisms.
(B) "Exposure-prone activity" means an
			 activity in which there is a risk of disease transmission by virtue of any of
			 the following:
(1) Direct contact with a
			 disease source that includes:
(a) Airborne
			 transmission or droplet;
(b) Eating
			 or drinking contaminated food or water;
(c) Being bitten by an insect or other
			 disease carrying agent;
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-20 - Prevention of Disease Transmission › Section 4723-20-02 - Practices to control infection and minimize exposure to disease

Current through all regulations passed and filed through July 1, 2024
During the delivery of healthcare, licensees and certificate
				holders shall be familiar with, observe, and rigorously adhere to the
				acceptable and prevailing standard precautions to minimize
				being exposed to or exposing others
								 to disease causing agents and
				prevent infection, including at least the following:
(A) Appropriate use of hand
			 hygiene;
(B) Appropriate use of
			 respiratory hygiene;
(C) Effective
			 disinfection and sterilization of equipment;
(D) Safe injection practices;
(E) Safe handling and disposal of needles and
			 other sharp instruments;
(F) Safe
			 handling and disposal of blood and body fluid; and
(G) Appropriate use of personal protective
			 equipment, including wearing and disposal of gloves and other protective
			 garments and devices.
Effective: 2/1/2019
Five Year Review
				(FYR) Dates: 10/22/2018 and
				10/16/2023
Promulgated
				Under: 119.03
Statutory
				Authority: ORC 4723.07(K)
Rule Amplifies: ORC
				4723.07(K)
Prior Effective Dates: 10/01/1993, 04/01/1999, 02/01/2001,
				02/01/2009
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-20 - Prevention of Disease Transmission › Section 4723-20-03 - Hand hygiene

Current through all regulations passed and filed through July 1, 2024
During the delivery of healthcare, licensees and certificate
				holders shall follow acceptable and prevailing standard precautions for hand
				hygiene, including but not limited to the following:
(A) Appropriate handwashing prior to
			 performing or participating in an exposure-prone activity and after performing
			 or participating in an exposure-prone activity;
(B) Washing the hands and other skin surfaces
			 immediately and thoroughly when hands have had contact with mucous membranes,
			 blood or body fluids, secretions or excretions, or after touching contaminated
			 items; and
(C) Washing the hands
			 immediately after the gloves are removed; and
(D) For the purposes of this chapter, hand
			 washing may include the use of alcohol-based waterless hand sanitizers or other
			 antimicrobial agents. If contact with spores, such as C. difficile or bacillus
			 anthracis, has likely occurred, the physical action of washing and rinsing
			 hands with antimicrobial soap and water is the recommended standard
			 precaution.
Effective: 2/1/2020
Five Year Review
				(FYR) Dates: 10/16/2023
Promulgated Under:
				119.03
Statutory
				Authority: ORC 4723.07
Rule
				Amplifies: ORC 4723.07
Prior
				Effective Dates: 10/01/1993, 04/01/1999, 02/01/2001, 02/01/2004, 02/01/2009,
				02/01/2014
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-20 - Prevention of Disease Transmission › Section 4723-20-04 - Disinfection and sterilization

Current through all regulations passed and filed through July 1, 2024
An instrument or other reusable equipment used by a licensee or
				certificate holder who performs or participates in an exposure-prone activity
				shall be appropriately disinfected and sterilized according to acceptable and
				prevailing standards for disinfection and sterilization which shall include at
				least the following:
(A)
								Single use items used in treating a patient, which have
			 become contaminated by blood or other body fluids, shall be discarded and not
			 reused, unless sterilized and reused in accordance with current guidelines
			 established by the FDA. Single use items being reused in treating a patient
			 shall be adequately cleaned and sterilized. Single use items shall not be
			 reused if the item's physical characteristics and quality have been adversely
			 affected or if the items are incapable of being reused safely and effectively
			 for their intended use;
(B) Equipment and
			 devices that enter a normally sterile area of the body shall be sterilized
			 before being used for each patient;
(C) Equipment and
			 devices that touch an intact mucous membrane but do not penetrate the
			 patient's body surfaces shall be sterilized when
			 possible, or undergo high-level disinfection if the equipment or device cannot
			 be sterilized before being used for each patient;
(D) A licensee or
			 certificate holder shall use aseptic technique, as appropriate.
Effective: 2/1/2019
Five Year Review
				(FYR) Dates: 10/22/2018 and
				10/16/2023
Promulgated
				Under: 119.03
Statutory
				Authority: ORC 4723.07(K)
Rule Amplifies: ORC
				4723.07(K)
Prior Effective Dates: 10/01/1993, 04/01/1999, 02/01/2001,
				02/01/2004, 02/01/2009
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-20 - Prevention of Disease Transmission › Section 4723-20-05 - Handling and disposal of a sharp or waste

Current through all regulations passed and filed through July 1, 2024
(A) To prevent injury, a licensee or
			 certificate holder performing or participating in an exposure-prone activity
			 shall not recap a needle, or purposely bend or break a needle or other sharp
			 instrument or item by hand.
(B)
			 After a licensee or certificate holder, who is performing or participating in
			 an exposure-prone activity, uses a disposable needle, syringe, scalpel blade or
			 other sharp item, the licensee or certificate holder shall place the disposable
			 sharp item used in a puncture-resistant container for disposal. The
			 puncture-resistant container shall be located as close as practicable to the
			 use area.
(C) In addition to the
			 requirements of this rule, any sharp instrument, needle or contaminated waste
			 shall be handled and disposed in accordance with all requirements established
			 by the licensee or certificate holder's employer, facilities or organizations
			 in which the licensee or certificate holder is providing care, and requirements
			 established for independent providers by  Ohio under Title 51 of
			 the Revised Code
								 for the delivery of home care.
Effective: 2/1/2019
Five Year Review
				(FYR) Dates: 10/22/2018 and
				10/16/2023
Promulgated
				Under: 119.03
Statutory
				Authority: ORC 4723.07(K)
Rule Amplifies: ORC
				4723.07(K)
Prior Effective Dates: 10/01/1993, 04/01/1999, 02/01/2001,
				02/01/2009
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-20 - Prevention of Disease Transmission › Section 4723-20-06 - Personal protective equipment

Current through all regulations passed and filed through July 1, 2024
During the delivery of healthcare, licensees and certificate
				holders shall follow acceptable and prevailing standards precautions regarding
				the use of personal protective equipment, including at least the
				following:
(A) Gloves:
(1) A licensee or certificate holder shall
			 wear disposable gloves when performing or participating in an exposure-prone
			 invasive procedure;
(2) The
			 licensee's or certificate holder's hands shall be washed when gloves are
			 removed;
(3) Before performing or
			 participating in an exposure-prone invasive procedure on another
			 patient, the licensee or certificate holder shall wash
			 hands and reglove with another pair of disposable gloves;
(4) If a glove is torn or a needlestick or
			 other injury occurs, the glove shall be removed and a new glove put on as
			 promptly as patient safety permits. The needle or instrument
			 involved in the incident shall be removed from the sterile field;
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-20 - Prevention of Disease Transmission › Section 4723-20-07 - Failure to use universal and standard precautions

Current through all regulations passed and filed through July 1, 2024
During the delivery of healthcare, a licensee or certificate
				holder who fails to follow universal and standard precautions when engaging in
				exposure-prone activity, as set forth in rules
				4723-20-01
				to
				4723-20-06
				of the Administrative Code, may be subject to disciplinary action according to
				section 4723.28 of the Revised
				Code.
Effective: 2/1/2020
Five Year Review
				(FYR) Dates: 10/22/2023
Promulgated Under:
				119.03
Statutory
				Authority: ORC 4723.07
Rule
				Amplifies: ORC 4723.07
Prior
				Effective Dates: 10/01/1993, 04/01/1999, 02/01/2001, 02/01/2009,
				02/01/2014
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-01 - Definitions

Current through all regulations passed and filed through July 1, 2024
For purposes of this chapter the following definitions
				apply:
(A) "Delegation" means the
			 transfer of responsibility for the performance of a selected task or activity
			 from a licensed health care professional authorized to perform the task or
			 activity to an individual who does not have the authority to perform the task
			 or activity.
(B) "Dialysis care"
			 means performing and monitoring dialysis procedures which include initiating or
			 discontinuing dialysis, drawing blood, administering medications authorized by
			 division (C) of section
			 4723.72 of the Revised Code, and
			 responding to complications that arise in conjunction with dialysis.
(C) "Dialysis technician" or "DT" means an
			 individual who is certified by the board according to section
			 4723.75 of the Revised
			 Code.
(D) "Dialysis technician
			 intern" or "DTI" means an individual who has not passed the dialysis technician
			 certification examination 
								required by section
			 4723.751 of the Revised Code,
			 but who has successfully completed a dialysis training program approved by the
			 board of nursing under section
			 4723.74 of the Revised Code
			 within the previous eighteen months.
(E) "Dialysis training program" means a
			 program approved by the board according to rule
			 4723-23-07 of the Administrative
			 Code that consists of not less than three hundred twenty clock hours of
			 instruction including both of the following:
(1) A minimum of one hundred clock hours of
			 faculty-interactive theoretical instruction, which may be on-line;
			 and
(2) A minimum of two hundred
			 twenty clock hours of supervised clinical experience.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-03 - Dialysis technician certificate

Current through all regulations passed and filed through July 1, 2024
[Comment: Information regarding the availability and effective
				date of the materials incorporated by reference in this rule can be found in
				paragraph (G) of rule
				4723-1-03 of the Administrative
				Code.]
(A) To obtain a certificate to
			 practice as an Ohio certified dialysis technician an applicant who meets the
			 qualifications set forth in section
			 4723.75 of the Revised Code
			 shall:
(1) Submit a "Dialysis Technician
			 Application";
(2) Submit an
			 application fee of thirty-five dollars; and
(3) As required by section
			 4723.75 of the Revised Code,
			 submit to a criminal records check completed by the bureau of criminal
			 identification and investigation the results of which indicate that the
			 individual has not been convicted of, pleaded guilty to, or had a judicial
			 finding of guilt for any violation set forth in section
			 4723.092 of the Revised
			 Code.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-04 - Dialysis technician certification by endorsement

Current through all regulations passed and filed through July 1, 2024
(A)
								An applicant for
			 dialysis technician certification by endorsement shall satisfy the
			 following:
(1)
									Submit a completed "Certified Dialysis Technician by
			 Endorsement Application" and the certification application fee as required by
			 section 4723.79 and Chapter 4796. of the
			 Revised Code;
(2)
									Submit to a criminal records check completed by the
			 bureau of criminal identification and investigation;
(3)
									The applicant has
			 not surrendered or had revoked a license, out-of-state occupational license, or
			 government certification because of negligence or intentional misconduct
			 related to the applicant's practice as a dialysis technican;
(4)
									The applicant has
			 not been convicted of, found guilty pursuant to a judicial finding of, or plead
			 guilty to a criminal offense for which a licensing authority may deny an
			 application for a license or government certification or that would otherwise
			 disqualify the applicant for the license or government certification under the
			 applicable law of this state governing the profession, occupation, or
			 occupational activity for which the applicant is applying;
(5)
									Submit any other
			 documentation required by the board.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-05 - Renewal of a certificate to practice as a dialysis technician

Current through all regulations passed and filed through July 1, 2024
[Comment: Information regarding the availability and effective
				date of the materials incorporated by reference in this rule can be found in
				paragraph (G) of rule
				4723-1-03
				of the Administrative Code.]
(A) The
			 board shall provide access to an on-line "Dialysis Technician Renewal
			 Application," for renewal to every holder of a current, valid dialysis
			 technician certificate, except when the board is aware that the individual may
			 be ineligible for renewal for any reason, including those reasons set forth in
			 section 4723.092 of the Revised
			 Code.
(B) To renew a dialysis
			 technician certificate, a holder of a current, valid certificate shall
			 complete the continuing education requirements set
			 forth in rule
			 4723-23-06
			 of the Administrative Code and submit:
(1) A completed "'Dialysis Technician Renewal
			 Application"; and
(2) A renewal fee of thirty-five
			 dollars,
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-06 - Continuing education requirements

Current through all regulations passed and filed through July 1, 2024
[Comment: Information regarding the
				availability and effective date of the materials incorporated by reference in
				this rule can be found in paragraph (G) of rule
				4723-1-03
				of the Administrative Code.]
(A)
			 Except in the case of the first renewal of 
								a dialysis technician certificate, in order to renew the applicant
			 must have completedfifteen contact hours of continuing education approved by the board in
			 accordance with Chapter 4723-14 of the Administrative Code and this rule. The
			 required fifteen contact hours shall include both of the following:
(1) At least ten hours directly related to
			 dialysis care; and
(2) At least one
			 hour directly related to the law and rules governing the provision of nursing
			 or dialysis care as set forth in Chapter 4723. of the Revised Code, and rules
			 adopted by the board.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-07 - Procedures for obtaining approval or reapproval as a dialysis technician training program

Current through all regulations passed and filed through July 1, 2024
[Comment: Information regarding the
				availability and effective date of the materials incorporated by reference in
				this rule can be found in paragraph (G) of rule
				4723-1-03
				of the Administrative Code.]
The board shall approve and reapprove dialysis technician
				training programs as follows:
(A) A
			 dialysis technician training program that seeks to be approved by the board
			 shall:
(1) Submit a
			 completed "Dialysis Technician Training Programs Application for Initial Board
			 Approval" form to the board  that includes
			 the following:
(a) Identifying
			 information;
(b) Information
			 regarding administrative processes of the program;
(c) A description of the record-keeping
			 system to be used by the training program to assure accurate reporting to the
			 board of individuals who have enrolled in and who did or did not successfully
			 complete the program;
(d) A copy of
			 the policies required by rule
			 4723-23-08
			 of the Administrative Code; and
(e) Any other information requested by the
			 board.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-08 - Requirements for a dialysis technician training program approved by the board

Current through all regulations passed and filed through July 1, 2024
[Comment: Information regarding
				the availability and effective date of the materials incorporated by reference
				in this rule can be found in paragraph (G) of rule
				4723-1-03
				of the Administrative Code.]
To be approved by the board a dialysis technician training
				program shall meet and maintain the following standards and
				requirements:
(A) In accordance with
			 paragraph (D) of rule
			 4723-23-01 of the
			 Administrative Code, an approved training program shall consist of not less
			 than three hundred twenty clock hours of instruction and shall include a
			 minimum of one hundred clock hours of faculty-interactive theoretical
			 instruction, and a minimum of two hundred twenty clock hours of supervised
			 clinical experience. The curriculum shall include content that ensures
			 sufficient preparation for safe and effective practice as a dialysis
			 technician. The curriculum shall include, but is not limited to, the following
			 content:
(1) Theoretical instruction that
			 includes:
(a) Completion of the "Dialysis
			 Technician Application";
(b) A
			 review of the relevant laws and rules regulating the practice of a dialysis
			 technician and appropriate program policies;
(c) Renal anatomy and physiology;
(d) Infection control and universal
			 precautions;
(e) Basic chemistry of
			 body fluids and electrolytes;
(f)
			 Manifestations of renal failure;
(g) Blood work and laboratory values related
			 to dialysis;
(h) Principles of
			 dialysis;
(i) Pharmacology of the
			 drugs commonly used during dialysis;
(j) Medication administration techniques
			 specific to the drugs used in dialysis;
(k) Management of the complications of
			 dialysis and renal failure;
(l) The
			 role of the dialysis technician in a dialysis setting including, but not
			 limited to, legal and ethical considerations and concepts of
			 delegation;
(m) Water treatment
			 relevant to dialysis;
(n)
			 Principles of patient education related to renal failure;
(o) Principles of and requirements for
			 documentation;
(p) Communication
			 and team work skills;
(q) Operation
			 of dialysis delivery systems that includes the machines, dialysate, and
			 dialyzer;
(r) Principles of safe
			 effective dialysis care;
(s)
			 Principles related to the nutritional considerations for patients receiving
			 dialysis;
(t) Psychosocial aspects
			 of renal disease;
(u) Principles of
			 dialyzer reprocessing;
(v)
			 Principles for initiating, monitoring, and discontinuing dialysis;
(w) Principles related to the adequacy of
			 dialysis; and
(x) Establishing and
			 maintaining professional boundaries with a patient.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-09 - Information required when attesting to the competence of an applicant for a certificate to practice as dialysis technician

Current through all regulations passed and filed through July 1, 2024
(A) The employer of an applicant, for
			  a dialysis technician certificate , or the employer's designee, shall provide written information
			 directly to the board when attesting to the competence to perform dialysis care
			 of the applicant.
(B) The
			 information required by this rule shall include a
			 statement that the employer, prior employer, or the employer or prior
			 employer's designee, in good faith affirms that the applicant has the
			 knowledge, skills, and ability to provide dialysis care in accordance with
			 acceptable and prevailing standards of safe dialysis care as set forth in
			 section 4723.72 of the Revised Code and
			 this chapter.
(C) The
			 employer or the employer's designee shall provide assurance that the
			 verification or statement required by paragraph (B) of this rule has been sent
			 directly to the board by the employer.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-10 - Requirements for approval and reapproval of a testing organization that conducts an examination of a dialysis technician candidate

Current through all regulations passed and filed through July 1, 2024
[Comment: Information regarding the availability and effective
				date of the materials incorporated by reference in this rule can be found in
				paragraph (G) of rule
				4723-1-03
				of the Administrative Code.]
(A) To be
			 approved by the board a testing organization that conducts an examination of a
			 dialysis technician candidate shall meet all of
			 the following requirements:
(1) Be national in
			 the scope of its testing and credentialing;
(2) Maintain files for each candidate who
			 passes the organization's examination for dialysis technicians;
(3) Issue a certificate to each individual
			 who passes the organization's examination for dialysis technicians;
(4) Periodically conduct an analysis of the
			 tasks, role delineation, skills, and knowledge required of a dialysis
			 technician with a minimum of six month's experience in providing dialysis care
			 and revise the examination as needed to reflect the findings of the
			 analysis;
(5) Require a minimum of
			 six months experience in dialysis care before the candidate is allowed to take
			 the examination;
(6) Provide a
			 formal process by which an affected individual may appeal the organization's
			 decision to revoke certification when the organization has such revocation
			 authority;
(7) Provide a mechanism
			 for assuring the security of the examination;
(8) Not be affiliated in any way with a
			 provider of dialysis care or with a dialysis technician training program;
			 and
(9) Include on the examination
			 material that comprehensively tests the following:
(a) Patient care activities that include but
			 are not limited to:
(i) Collection of
			 objective and subjective data about the patient's condition;
(ii) The patient's response to dialysis;
			 and
(iii) Appropriate interventions
			 when complications arise in conjunction with dialysis;
(b) Principles of dialysis delivery systems
			 and machine technology which include but are not limited to:
(i) Operation of the machines used in
			 dialysis;
(ii) Machine set-up; and
(iii) Machine evaluation;
(c) Principles of water treatment
			 systems which include but are not limited to:
(i) System components and design;
(ii) Maintenance of the water treatment
			 system;
(iii) Monitoring of the
			 water treatment system; and
(iv)
			 Evaluation of the system;
(d) Principles of dialyzer reprocessing
			 including but not limited to reprocessing procedures, testing, and evaluation;
			 and
(e) Responsibilities of the
			 dialysis technician with respect to documentation, patient education, and
			 professional development.
The board may also require a testing organization to
				demonstrate that the test administered by the organization is psychometrically
				sound.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-12 - Standards for medication administration by a dialysis technician

Current through all regulations passed and filed through July 1, 2024
(A) A dialysis
			 technician shall administer only the following medications:
(1) Intradermal lidocaine or another single
			 therapeutically equivalent local anesthetic for the purpose of initiating
			 dialysis treatment;
(2) Intravenous
			 heparin or other single therapeutically equivalent anticoagulant for the
			 purpose of initiating and maintaining dialysis treatment;
(3) Intravenous normal saline;
(4) Patient specific dialysate to which the
			 dialysis technician may add only electrolytes; and
(5) Oxygen, when the administration of the
			 oxygen has been delegated to the dialysis technician by a registered
			 nurse.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-13 - Standards and procedures for supervising a dialysis technician who provides dialysis care in the home

Current through all regulations passed and filed through July 1, 2024
(A) A dialysis technician may provide
			 dialysis care in the home of a patient only if the technician
			 holds a current, valid certificate issued by the board
			 to practice as a
								
			 dialysis technician.
(B) When
			 a
								 dialysis technician provides dialysis care in the home of a
			 patient a registered nurse shall supervise the care provided by the dialysis
			 technician. The registered nurse who is supervising the dialysis technician
			 shall meet the following requirements:
(1)
			 Hold a current, valid license to practice nursing as a registered nurse in
			 Ohio; and
(2) Be employed by or
			 under contract with a medicare-approved home dialysis program.
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-23 - Dialysis Technicians › Section 4723-23-14 - Standards for safe dialysis care

Current through all regulations passed and filed through July 1, 2024
(A) This rule sets forth the minimal
			 acceptable standards of safe and effective dialysis care and provides criteria
			 for the board to evaluate a dialysis technician's adherence to the acceptable
			 standards of safe dialysis care. For purposes of this rule, "dialysis
			 technician" means an individual holding a dialysis technician certificate or a
			 dialysis technician intern certificate.
(B) In accordance with section
			 4723.72 of the Revised Code and
			 this chapter, a dialysis technician shall provide dialysis care only when the
			 performance of the care is delegated to the dialysis technician by a physician
			 or registered nurse.
(C) A dialysis
			 technician shall demonstrate competence and accountability in all areas of
			 dialysis care in which the technician is engaged including, but not limited to,
			 the following:
(1) Consistent performance of
			 all aspects of dialysis care according to acceptable standards; and
(2) Appropriate recognition, referral,
			 consultation, or intervention when a complication arises in conjunction with
			 dialysis or when a change in patient status occurs;
Ohio Administrative Code › Title 4723 - Ohio Board of Nursing › Chapter 4723-25 - Nurse Education Grant Program › Section 4723-25-01 - Purpose of nurse education grant program

Current through all regulations passed and filed through July 1, 2024
The board shall award grants to nurse education programs that
				have partnerships with health care facilities, community health agencies,
				patient centered medical homes or other education
				programs to establish or support partnerships that will increase the enrollment
				capacity of the nurse education programs. Methods of increasing a program's
				enrollment capacity may include hiring faculty and instructional personnel or
				purchasing educational equipment and materials if the grant applicant can
				clearly demonstrate that additional faculty and instructional personnel, or
				equipment and materials, are directly related and necessary to increasing the
				enrollment capacity of the nurse education program.
Effective: 2/1/2015
Five Year Review (FYR) Dates:
				10/15/2014 and
				10/15/2019
Promulgated
				Under: 119.03
Statutory Authority: 4723.063
Rule
				Amplifies: 4723.063
Prior Effective Dates: 02/01/2005,
				02/01/2010