4723-23-01 Definitions.

For purposes of this chapter the following definitions apply:

(A) “Certificate to practice” means the certificate issued by the board which authorizes an individual to provide dialysis care and to use the title Ohio certified dialysis technician.

(B) “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.

(C) “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.

(D) “Dialysis training program” means a program approved by the board in accordance with 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 theoretical instruction in a classroom setting; and

(2) A minimum of two hundred twenty clock hours of supervised clinical experience.

(E) “Discontinue” means to cease or stop.

(F) “Inactive status” means that a temporary certificate issued in accordance with section 4723.76 of the Revised Code, a certificate to practice as an Ohio certified dialysis technician issued in accordance with section 4723.75 of the Revised Code, or a certificate renewed in accordance with section 4723.77 of the Revised Code no longer authorizes the holder to provide dialysis care or represent that the holder is authorized to provide dialysis care because the individual provided written notification to the board of the intent not to practice as a dialysis technician in Ohio.

(G) “Initiate” means to start or to begin.

(H) “Monitor” means to collect objective and subjective data and observe the dialysis patient for signs or symptoms of any change in physiological or psychosocial status or complications related to dialysis, to check or regulate the performance of the machines used in performing dialysis, and to report any irregularity to the physician or licensed nurse as appropriate.

(I) “Ohio certified dialysis technician” or “OCDT” means an individual who holds a certificate to practice as a dialysis technician issued by the board in accordance with section 4723.75 of the Revised Code or a certificate renewed by the board in accordance with section 4723.77 of the Revised Code.

(J) “Site visit” means an announced or unannounced visit to a dialysis training program by a board representative to determine whether the program meets or maintains the minimum standards required by the board.

(K) “Supervise” or “supervision” means initial and ongoing direction, procedural guidance, observation, and evaluation; and, except when dialysis care is being performed in the patient’s home, requires a dialysis technician to be in the immediate presence of a physician or registered nurse.

(L) “Temporary certificate one” means the certificate issued by the board to:

(1) An applicant who has successfully completed a dialysis training program approved by the board. The certificate shall be current for not more than eighteen months; or

(2) An applicant who has experience as a dialysis technician in a jurisdiction that does not license or certify dialysis technicians and who has successfully completed a program that is substantially similar to a training program approved by the board. The certificate shall be current as follows:

(a) For an individual who worked as a dialysis technician for twelve full months or longer, the certificate shall be current for not more than six months; or

(b) For an individual who worked as a dialysis technician for less than twelve months, the certificate shall be current for not more than the number of months equal to eighteen months minus less the number of full months the individual worked as a dialysis technician; or.

(M) “Temporary certificate two” means the renewed certificate issued by the board to an applicant who did not pass the examination of a testing organization approved by the board while holding a temporary certificate one, and who shall be actively enrolled or re-enrolled at the time of expiration of certificate one or the effective date of temporary certificate two, in a dialysis training program approved by the board that has been modified to meet the learner’s needs. This certificate is not renewable and shall be current for not more than six months after the applicant re-enters a training program. The temporary certificate authorizes an individual to provide dialysis care in order to provide an opportunity for the certificate holder to gain the experience necessary to be able to pass the certification examination offered by a testing organization approved by the board.

(N) “Temporary certificate three” means a certificate issued by the board to an applicant who did not pass the examination of a testing organization approved by the board while holding a temporary certificate one followed by a temporary certificate two, and who has waited at least one year before entering or re-entering a dialysis training program approved by the board. This certificate shall be current for not more than six months after the applicant re-enters a training program. The temporary certificate authorizes an individual to provide dialysis care in order to provide an opportunity for the certificate holder to gain the experience necessary to be able to pass the certification examination offered by a testing organization approved by the board.

(O) “Lapsed certificate” means a certificate to practice as a dialysis technician to which the following apply:

(1) If the certificate was issued in accordance with section 4723.76 of the Revised Code, the holder has failed to renew the certificate as provided in division (C) of that section;

(2) If the certificate was issued in accordance with section 4723.75 of the Revised Code, the holder has failed to satisfy the renewal requirements set forth in section 4723.77 of the Revised Code and this chapter;

(3) The holder has not requested that the board place the certificate on inactive status in accordance with the provisions of this chapter.

Effective: 02/01/2006

R.C. 119.032 review dates: 10/14/2005 and 10/01/2010

Promulgated Under: 119.03

Statutory Authority: 4723.79

Rule Amplifies: 4723.71 to 4723.79

Prior Effective Dates: 10/1/2000, 2/1/2002