1. (1) A medical assistant-hemodialysis technician trained by a federally approved end-stage renal disease facility may perform the following dialysis tasks:

   1. (a) Venipuncture for blood withdrawal;
   2. (b) Administration of oxygen as necessary by cannula or mask;
   3. (c) Venipuncture for placement of fistula needles;
   4. (d) Connection to vascular catheter for hemodialysis;
   5. (e) Intravenous administration of heparin and sodium chloride solutions as an integral part of dialysis treatment;
   6. (f) Intradermal, subcutaneous or topical administration of local anesthetics in conjunction with placement of fistula needles; and
   7. (g) Intraperitoneal administration of sterile electrolyte solutions and heparin for peritoneal dialysis.

2. (2) A medical assistant-hemodialysis technician may perform the dialysis tasks described in subsection (1) of this section, under the following supervision:

   1. (a) In a renal dialysis center under immediate supervision of a registered nurse; or
   2. (b) In the patient's home if a physician and a registered nurse are available for consultation during the dialysis.

[Statutory Authority: Chapter 18.360 RCW, RCW 43.70.280, and 2012 c 153. WSR 13-12-045, § 246-827-0520, filed 5/31/13, effective 7/1/13.]