Rule 4723-23-13 | Standards and procedures for supervising a dialysis technician who provides dialysis care in the home.
(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.
(C) When a registered nurse is supervising the care provided by a dialysis technician in accordance with paragraph (B) of this rule the nurse shall:
(1) Visit the patient's home at least one time per month while the dialysis technician is providing dialysis care to the patient to determine whether the care is being provided in accordance with the standards for safe dialysis care as set forth in this chapter; and
(2) Assess the quality of the care provided by the dialysis technician and provide a written report of each visit to the medicare-approved home dialysis program.
(D) When a registered nurse determines that a dialysis technician is not providing care in accordance with the standards for safe dialysis care as set forth in this chapter, the nurse shall immediately notify the medicare-approved home dialysis program and take whatever additional steps are needed to assure the safety of the patient.