OAR 333-275-0090: Scope of Practice of Hemodialysis Technician

(1) A CHDT who holds a full or provisional certificate by the Authority may, under the direct supervision of a physician, nurse practitioner, or a registered nurse : (a) Perform venipunctures for dialysis access; (b) Collect and communicate patient data, such as pre-weight, complaints, and vital signs, to the registered nurse; (c) Obtain lidocaine from a stock source and inject intradermal lidocaine in preparation for dialysis access; (d) Obtain heparin from a stock source and administer a heparin bolus; (e) Administer a bolus of normal saline; (f) Connect a dialysis access to normal saline or heparinized normal saline; (g) Initiate or discontinue dialysis treatment via central lines; and (h) Administer oxygen on the basis of standing orders, dialysis facility or center protocol, or at the direction of a physician, nurse practitioner, or registered nurse. (2) A CHDT who has been certified by the Authority is prohibited from: (a) Administering medications by oral, intramuscular, intravenous, or subcutaneous routes except as specified in section (1) of this rule; (b) Performing arterial punctures outside of dialysis access; (c) Determining the frequency or duration of dialysis treatments; (d) Administering blood or blood products; (e) Accepting verbal or telephone orders from a physician or a physician's representative or altering any treatment prescribed by a physician; or (f) Performing hemodialysis on a hospitalized intensive care unit patient. (3) A dialysis facility or center may elect to further limit the scope of practice of a CHDT working in the dialysis facility or center. If a dialysis facility or center limits the scope of practice of a CHDT, then the CHDT shall comply with that dialysis facility or center's limited scope.