1. (a) An individual shall not act as a dialysis technician unless that individual is trained and competent as described in this subchapter.
2. (b) A trainee shall identify themselves as a trainee during any time spent in the patient treatment area.
3. (c) Until a trainee successfully completes the competency evaluation, a trainee may provide patient care only as part of a training program and under the immediate supervision of a registered nurse or an assigned preceptor. A preceptor shall be a licensed nurse or dialysis technician who has one year of experience in hemodialysis obtained within the last 24 months, a recommendation by the supervising nurse to be a preceptor, and a current competency skills checklist on file in the facility.
4. (d) A facility shall have written physician standing orders specific to that facility authorizing delegation of responsibilities for a dialysis technician, as determined by the medical director and the facility.

5. (e) A facility allowing a dialysis technician who is not a licensed vocational nurse to initiate or discontinue dialysis via a central venous catheter or manipulate a central venous catheter shall adopt, implement, and enforce policies and procedures that require:

   1. (1) the dialysis technician to be certified as a Certified Clinical Hemodialysis Technician (CCHT);
   2. (2) the dialysis technician to take the training described in §507.72(c)(3) of this subchapter (relating to Training Curricula and Instructors);
   3. (3) the dialysis technician to pass the competency evaluation described in §507.72(f) of this subchapter; and
   4. (4) a nurse to supervise the dialysis technician and ensure the dialysis technician follows all facility policies and procedures.

Source Note:The provisions of this §507.71 adopted to be effective December 23, 2025, 50 TexReg 8289.