[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.
(2) Supervised clinical
instruction which:
(a) Provides the dialysis technician trainee with the opportunity
to practice the cognitive, psychomotor, and affective skills required for the
safe performance of dialysis care by the dialysis technician;
(b) Meets the learning needs of each trainee;
(c) Meets the established program objectives or outcomes;
and
(d) Is provided concurrently with the related classroom theory
instruction.
(B) The program shall be administered by
a registered nurse who meets the following qualifications:
(1) Current, valid
licensure in Ohio to practice nursing as a registered nurse;
(2) At least thirty-six
months experience in the practice of nursing as a registered nurse, of which at
least twenty-four months has been in the care of renal patients, with at least
six of those months in dialysis care; and
(3) Education or
experience in adult education.
(C) The registered nurse who is
responsible for administering the program may utilize other health care
professionals to assist in conducting classroom and clinical portions of the
program in accordance with the professional's educational background and
applicable scope of practice as set forth in the appropriate sections of the
Revised Code.
(D) The registered nurse who is
responsible for administering the program shall:
(1) Assure that the
governing body of the training program establishes in writing the policies
required by paragraph (E) of this rule; and
(2) Implement the
policies as written.
(E) The program shall adopt and implement
policies that establish:
(1) Criteria for trainee
enrollment and continuation in the program that require, at a minimum, that the
individual be able to safely perform the essential functions of a dialysis
technician;
(2) Criteria for successful completion of
the program;
(3) A process for determining achievement
of the skills required for the safe performance of dialysis care which shall
include, at a minimum, written verification that the trainee has been taught
the required skills, signed by both a registered nurse and the
trainee;
(4) A process for maintaining trainee
records including but not limited to:
(a) The date the trainee began the program;
(b) The date the trainee completed the program; and
(c) Competency check lists for each trainee.
(5) An accurate, timely process for
providing written notice to the board regarding enrollment and program
completion that includes the dates of trainee enrollment and successful
completion, as determined by the nurse who is responsible for administering the
program.
(6) A process for monitoring the status
of the dialysis technician intern certificate a trainee may hold;
(7) A process for evaluation of the
program which includes, but is not limited to:
(a) Feedback from trainees enrolled in the program regarding the
program and the instructional personnel assisting with the
program;
(b) Feedback from the employers of the trainees who have
successfully completed the program; and
(c) A review of the trainees' level of achievement on the
national certification examination.
(8) Those individuals who have authority
to notify the board regarding trainee enrollment, re-enrollment, withdrawal
from, and completion of the program.
(9) A procedure in accordance with
paragraph (F) of this rule for dealing with the unexpected vacancy of the nurse
responsible for administering the program.
(10) For individuals with experience in
the armed forces of the United States, or in the national guard or in a reserve
component, the program shall have a process in place to:
(a) Review the individual's military education and skills
training;
(b) Determine whether any of the military education or skills
training is substantially equivalent to the curriculum established in Chapter
4723-23 of the Administrative Code; and
(c) Award credit to the individual for any substantially
equivalent military education or skills training.
(F) When the nurse responsible for
administering the program vacates the position or is replaced, the board shall
be informed in writing within forty-five days of the effective date of the
vacancy; and informed in writing within forty-five days of a new appointment,
including the name and qualifications of the new administrator. A training
program shall not initiate a new dialysis technician training course unless an
administrator who meets the requirements of paragraph (B) of this rule is in
place.
(G) When a decision is made to close a
training program, the board shall be notified in writing of the decision and
shall be provided with the following information:
(1) The tentative date of
the closing;
(2) The location of the
program's records, including but not limited to trainees' records;
and
(3) The name and address
of the custodian of the records.