(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.
Statutory/Other Authority
ORS 688.635 & 688.665
Statutes/Other Implemented
ORS 688.635 & 688.665
History
PH 13-2023, amend filed 03/13/2023, effective 07/01/2023
OHD 2-2001, f. & cert. ef. 1-18-01