20 : 48 : 04.02 : 10 . Central line dialysis tasks that may be delegated -- Delegation requirements. A registered nurse who has at least one year of dialysis experience may delegate central line dialysis tasks in a stable nursing situation with direct supervision , as those terms are defined in § 20:48:01:01 , if the delegation complies with the general criteria for delegation and supervision set forth in §§ 20:48:04.01:01 and 20:48:04.01:02 , respectively, to a dialysis technician who holds current national certification as a dialysis technician and who has completed a training program that meets the requirements of § 20:48:04.02:11 . Consistent with the requirements of this section, a registered nurse may delegate :

1. (1) Initiating and monitoring routine dialysis treatment for stable patients according to institution policy, including:

   1. (a) Making adjustments to equipment settings, patient positioning, blood flow rates, and fluid removal rates;
   2. (b) Obtaining blood samples and blood cultures; and
   3. (c) Administering normal saline, heparin, and low concentration citrate;
2. (2) Discontinuing dialysis treatment; and
3. (3) Performing aseptic dressing change.

Source: 49 SDR 1 , effective July 6, 2022 .

General Authority: SDCL 36-9-21 .

Law Implemented: SDCL 36-9-3 , 36-9-21 .