Performance of the following acts by any dialysis technician who is not a licensed vocational nurse is prohibited: (1) initiation of patient education; (2) alteration of ordered treatment, including shortening of the treatment time; (3) initiation or discontinuation of dialysis via a central catheter, manipulation of a central catheter, or dressing changes for a central catheter; (4) administration of any medications other than normal saline, heparin, lidocaine, or oxygen, which may only be administered in the course of a routine dialysis treatment; (5) administration of blood or blood products; (6) performance of nonaccess site arterial puncture; (7) acceptance of physician orders; (8) provision of hemodialysis treatment to pediatric patients less than 35 kilograms; (9) alteration of the level of electrolytes in dialysate through the use of additive(s) ("spiking"); and (10) initiation or discontinuation of dialysis via an implantable port. |
