West Virginia Code of State Rules › Agency 19 - Registered Nurses, WV Board of › Title 19 - PROCEDURAL RULES WEST VIRGINIA BOARD OF EXAMINERS FOR REGISTERED PROFESSIONAL NURSES › Series 19-13 - Dialysis Technicians › Section 19-13-3 - Standards for Delegation of Safe Dialysis Care

Current through Register Vol. XLI, No. 28, July 12, 2024
3.1. The dialysis technician shall provide
				hemodialysis in accordance with W. Va. Code §
									30-7C-1 et
				seq. and the rules of the board which require the delegation of authority to
				the technician by a licensed physician or registered professional
				nurse.
3.2. The dialysis technician
				may not begin dialysis care until a registered professional nurse or physician
				has first assessed the patient upon entering the dialysis unit to assure that
				he or she is stable and then delegated dialysis care to the dialysis
				technician.;
3.3. The dialysis
				technician shall evaluate the patient pre-dialysis, including vital signs,
				volume assessment and evaluation of the vascular access, and report any
				abnormality to the responsible registered professional nurse or physician, who
				shall then further evaluate the patient problem before the dialysis technician
				proceeds with vascular access to begin the procedure.
3.4. The registered professional nurse may
				not delegate medication administration to the dialysis technician trainee until
				medication administration competencies have been validated.
3.5. The registered professional nurse who is
				delegating to the dialysis technician shall assure that:
3.5.a. The activity or task does not require
				the substantial, specialized knowledge, judgement, skill and decision making of
				a registered professional nurse;
3.5.b. The registered professional nurse has
				completed an assessment prior to delegating any nursing intervention in
				accordance with the standards outlined in the board's rule, Standards for
				Professional Nursing Practice, 19CSR10;
3.5.c. The nurse administrator has validated
				the dialysis technician's competency in performing the delegated
				task;
3.5.d. The registered
				professional nurse performs ongoing evaluation and assessment of the person
				receiving the care;
3.5.e. The
				staffing in the treatment facility provides for adequate supervision of the
				delegated tasks;
3.5.f. The
				dialysis technician maintains knowledge of the duties, responsibilities, and
				accountabilities of a dialysis technician and practices in accordance with the
				following:
3.5.f.1. The laws regulating the
				provision of dialysis care;
3.5.f.2. The rules of the board;
3.5.f.3. Any other applicable federal and
				state laws and rules; and,
3.5.f.4.
				Applicable standards .
3.5.g. The dialysis technician shall
				demonstrate competence and accountability in all areas of dialysis care in
				which the dialysis technician is engaged. The dialysis technician shall:
3.5.g.1. Consistently perform all aspects of
				dialysis care according to acceptable standards;
3.5.g.2. Appropriately recognize, refer, or
				consult and intervene when a complication arises in conjunction with dialysis
				or when a change in patient status occurs;
3.5.g.3. Accurately maintain any patient
				record or any other documents prepared in the course of or in conjunction with
				the provision of dialysis care;
3.5.g.4. Implement measures to provide a safe
				environment for the patient;
3.5.g.5. Establish and maintain professional
				boundaries with each patient;
3.5.g.6. Not engage in behavior that causes
				or may cause physical, verbal, mental, or emotional abuse to a patient, or in
				behavior that may reasonably be interpreted as physical, verbal, mental or
				emotional abuse;
3.5.g.7. Not
				misappropriate a patient's property, engage in behavior to seek or obtain
				personal gain at the patient's expense, or engage in behavior that constitutes
				inappropriate involvement in a patient's personal relationships. The patient is
				always presumed incapable of giving free, full, or informed consent to these
				behaviors;
3.5.g.8. Not engage in
				sexual misconduct or in conduct that may reasonably be interpreted as sexual or
				in any verbal behavior that is or may reasonably be interpreted as seductive or
				sexually demeaning to a patient. The patient is always presumed incapable of
				giving free, full or informed consent to these behaviors; and;
3.5.g.9. Treat each patient with courtesy,
				respect, and with full recognition of the dignity of each individual.
3.5.h. The dialysis technician
				shall timely:
3.5.h.1. Implement the
				prescribed dialysis care order for a patient, or clarify the order if the
				dialysis technician believes or should have reason to believe that the
				prescribed order is inaccurate, not properly authorized, not current or valid,
				harmful or potentially harmful to the patient, or contraindicated by other
				documented information. When clarifying the prescribed dialysis care order, the
				dialysis technician shall:
3.5.h.1.A. Timely
				consult with a physician or registered professional nurse; and,
3.5.h.1.B. Accurately, timely, and completely
				document and report to the appropriate practitioner all errors in or deviations
				from the prescribed dialysis care regimen; and
3.5.h.2. Initiate dialysis care after
				assuring that the equipment has been properly prepared and the environment is
				safe according to current state and federal requirements for dialysis
				facilities; and
3.5.i.
				The dialysis technician may not submit or cause to be submitted any false,
				misleading, or deceptive statements, information, or documentation to the
				board, to current employers, or to any future employers for positions requiring
				a certificate to practice dialysis care.