1. (1) A dialysis facility or center may provide an abbreviated training program or extended training program if the program complies with the requirements specified in this rule and by March 1, 2024 is approved by the Authority.

   1. (a) An abbreviated training program is a program designed to train a CHDT with previous experience or assess the clinical competencies of an experienced CHDT;
   2. (b) An extended training program is a program designed for the minimally experienced or inexperienced trainee hemodialysis technician to gain the skills necessary to become a CHDT.
2. (2) An abbreviated training program and extended training program must include the core curriculum criteria identified in Appendix A, "Approved Core Curriculum for Abbreviated and Extended Training Programs."
3. (3) An abbreviated training program must include at a minimum, 16 hours of theory or supervised clinical learning experiences related to hemodialysis, as it is performed in a hemodialysis facility or center.

4. (4) An extended training program must include at a minimum:

   1. (a) 80 hours of classroom study; and
   2. (b) 160 hours of supervised clinical experience.

5. (5) An abbreviated training program or extended training program shall be conducted by a nurse educator or hemodialysis technician educator meeting the following requirements:

   1. (a) A nurse educator shall:

      1. (A) Be a registered nurse whose license is unencumbered;
      2. (B) Have at least two years of nursing practice experience including at least one year of nursing experience in dialysis. Previous nursing experience in critical care and nursing education is desirable; and
      3. (C) Have a minimum of nine hours of continuing education annually in nephrology or hold a current national certification.

   2. (b) A hemodialysis technician educator must:

      1. (A) Work under the supervision of a nurse educator;
      2. (B) Possess a current national certification;
      3. (C) Have at least two years' experience in hemodialysis services; and
      4. (D) Hold a current Oregon CHDT certificate.
6. (6) A CHDT under direct supervision of a nurse educator may be assigned to assist with the clinical experience or orientation of a hemodialysis technician trainee.
7. (7) A dialysis facility or center with an abbreviated training program or extended training program must document the requirements specified in section (5) of this rule for each educator.

8. (8) An abbreviated or extended training program must meet the following minimum standards:

   1. (a) Administration and Organization: The hemodialysis technician training program shall employ a nurse educator to administer the training program who shall be responsible for the development, implementation, and evaluation of the training program, arrangements for and supervision of trainee hemodialysis technicians' clinical experiences, and communications with the Authority.
   2. (b) Objectives: There shall be written objectives for the training program, which serve as the basis for planning, implementing, and evaluating the program. The training program faculty shall develop the objectives. The training program objectives shall describe the knowledge and skills expected of a CHDT, and shall be consistent with the authorized functions of a CHDT and the required core curriculum criteria identified in Appendix A.
   3. (c) Evaluation: The training program’s nurse educator shall develop a written systematic plan for curriculum and program evaluation.

   4. (d) Training Program Record Retention Requirements:

      1. (A) The dialysis facility or center shall maintain an employee orientation checklist and any appropriate certification documentation in each employee's personnel file as part of the permanent file.
      2. (B) The nurse educator shall submit the objectives of each training program, the names and qualifications of the nurse educator(s) and hemodialysis technician educator(s), the program curriculum, the program schedule, and the program evaluation plan to the Authority upon request.

   5. (e) Curriculum:

      1. (A) The curriculum shall extend over a period of time sufficient to provide essential, sequenced learning experiences, which enable the trainee hemodialysis technician to develop competence and shall show evidence of an organized pattern of instruction consistent with principles of learning and sound educational practices.
      2. (B) Supervised clinical experience shall provide opportunities for the application of theory and for the achievement of stated objectives in a patient care setting and shall include clinical learning experiences to develop the skills required by technicians to provide safe patient care. The nurse educator must be physically present and accessible to the trainee hemodialysis technician when the trainee is in the patient care area.

9. (9) A dialysis facility or center licensed on or before July 1, 2023 that offers an abbreviated or extended training program must submit the curriculum standards identified in section (8) of this rule for Authority review no later than January 1, 2024.

   1. (a) The Authority will review the material submitted and provide notification of approval or preliminary approval.

   2. (b) Approval is based only on the material submitted for review and which the Authority approves. Any substantive changes to the material must be resubmitted to the Authority for review and approval.

      NOTE: Appendices referenced in this rule are available at: healthoregon.org/hflc.

      [ED. NOTE: To view attachments referenced in rule text, click here for PDF copy.]

Statutory/Other Authority

ORS 688.640, 688.650 & 688.665

Statutes/Other Implemented

ORS 688.640 & 688.650

History

PH 13-2023, amend filed 03/13/2023, effective 07/01/2023
OHD 2-2001, f. & cert. ef. 1-18-01