20 : 48 : 04.02 : 11 . Central line dialysis technician training. An institution or individual desiring to offer a training program for the delegation of central line tasks listed in § 20:48:04.02:10 must submit an application for approval to the board. The board shall approve a training program application if the board determines the applicant has provided proof that the program:

1. (1) Is taught by a registered nurse who is licensed or has a privilege to practice in South Dakota and has at least two years of dialysis experience;

2. (2) Provides a four-hour theoretical course that includes content on:

   1. (a) The roles and responsibilities of the dialysis technician and the nurse;
   2. (b) Infection control;
   3. (c) Documentation;
   4. (d) The basic principles of central line catheter placement and functions;
   5. (e) The initiation and discontinuation of dialysis through a central line catheter;
   6. (f) Monitoring hemodialysis treatment, troubleshooting, and when to report to the registered nurse;
   7. (g) The locking of central catheter devices;
   8. (h) The administration of normal saline, heparin, or low concentration citrate during the routine course of dialysis treatment and discontinuation of treatment;
   9. (i) Aseptic central line dressing changes; and
   10. (j) Identifying and responding to complications;
3. (3) Provides a skills lab for the purpose of demonstrating central line dialysis tasks. A skills performance evaluation must be conducted utilizing a board-approved competency checklist to evaluate individual competence. A 1:1 faculty-to-student ratio is required for skills performance evaluation;
4. (4) Administers a test. A passing score of 85% is required on the test with an opportunity to retake the test one time. If a student fails on retake, additional instruction is required before further testing is allowed; and

5. (5) Requires the dialysis technician to observe a registered nurse perform each central line dialysis task a minimum of three times in the clinical setting. Following observation, the dialysis technician must perform each delegated task successfully a minimum of ten times under the direct observation of a registered nurse before performing the central line task without direct observation.

   A registered nurse shall conduct an annual review of the dialysis technician’s competence to perform the central line tasks using a board-approved checklist.

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

General Authority: SDCL 36-9-21 .

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