1. A. Purpose:

   1. (1) To establish standards for supervision and direction of the CHT, CHT I and CHT II.
   2. (2) To identify basic functions for the CHT, CHT I and CHT II.
   3. (3) To identify the authorized and prohibited functions for the CHT, CHT I and CHT II.
   4. (4) To identify the expanded role of the CHT II and CHT.

2. B. Authorized functions of the CHT I with supervision of a registered nurse:

   1. (1) perform arteriovenous punctures for dialysis access;
   2. (2) inject intradermal lidocaine in preparation for dialysis access;
   3. (3) administer a heparin bolus;
   4. (4) administer a fluid bolus of isotonic saline;
   5. (5) connect a dialysis access to isotonic saline or heparinized isotonic saline;
   6. (6) administer oxygen via nasal cannula or mask;
   7. (7) collect data for the nursing assessment;
   8. (8) initiate and discontinue treatment via arterio-venous access;
   9. (9) re-infusion of blood upon termination of treatment of central venous catheters.

3. C. Authorized functions of the CHT and CHT II with the supervision of a registered nurse:

   1. (1) perform arteriovenous punctures for dialysis access;
   2. (2) initiate, monitor, and discontinue dialysis via central venous catheter;
   3. (3) inject intradermal lidocaine in preparation for dialysis access;
   4. (4) administer a heparin bolus via intravenous route;
   5. (5) administer a fluid bolus of isotonic saline;
   6. (6) connect a dialysis access to isotonic saline or heparinized isotonic saline;
   7. (7) administer oxygen via nasal cannula or mask;
   8. (8) collect data for the nursing assessment;
   9. (9) initiate and discontinue treatment via arterio-venous access;
   10. (10) re-infusion of blood upon termination of treatment of central venous catheters;

4. D. Prohibited functions of the CHT, CHT I, and CHT II:

   1. (1) shall not administer medications by oral, intramuscular, intravenous or subcutaneous routes except those agents addressed in authorized functions of these rules;
   2. (2) shall not take orders for dialysis treatments;
   3. (3) shall not alter dialysis orders as prescribed by a health care provide
   4. (4) CHT I shall not initiate or discontinue via central venous catheters.
   5. (5) shall not perform hemodialysis treatments without direct supervision of a registered nurse.

[16.12.4.10 NMAC - Rp, 16.12.4.10 NMAC, 12/13/2022, A, 5/21/2024]