4723-23-12 Standards for medication administration by a dialysis technician.

 

 

 

4723-23-12                  Standards      for    medication       administration       by    a                     dialysis technician.

 

 

 

(A)  A dialysis technician shall administer only the following medications:

 

(1)      Intradermal lidocaine or another single therapeutically equivalent local anesthetic for the purpose of initiating dialysis treatment;

 

(2)   Intravenous heparin or other single therapeutically equivalent anticoagulant for the purpose of initiating and maintaining dialysis treatment;

 

(3)   Intravenous normal saline;

 

(4)     Patient specific dialysate to which the dialysis technician may add only electrolytes; and

 

(5)    Oxygen, when the administration of the oxygen has been delegated to the dialysis technician by a registered nurse.

 

(B)    When administering the medications set forth in paragraph (A) of this rule, the dialysis technician shall:

 

(1)   Assure that the right dose of the right medication is given to the right individual through the right route of administration at the right time;

 

(2)   Accurately and timely document the administration of the medication and notify a physician or licensed nurse of the patient's response to the medication as appropriate;

 

(3)   Consult with an appropriate licensed practitioner when the dialysis technician believes or has reason to believe that a prescribed medication is inaccurate, not properly authorized, harmful or potentially harmful to a patient, or contraindicated by other documented information; and

 

(4)   Take any other action needed to assure the safety of the patient.

 

(C)   A dialysis technician shall administer the medications authorized by this rule only if the task has been delegated to the dialysis technician by a registered nurse in accordance with Chapter 4723-13 of the Administrative Code or by a licensed physician.

 

(D)   The dialysis technician shall be in the immediate presence of a registered nurse or

 

 

physician when administering medications.

(E)    Notwithstanding paragraph (D) of this rule, when a dialysis technician administers medications while providing dialysis care in the patient's home as the patient's partner a registered nurse shall supervise the technician in accordance with rule 4723-23-13 of the Administrative Code.

Effective:   Five Year Review (FYR) Dates:	02/01/2016   10/15/2015 and 10/15/2020
CERTIFIED ELECTRONICALLY
Certification
12/30/2015
Date
Promulgated Under:	119.03
Statutory Authority:	4723.79
Rule Amplifies:	4723.72
Prior Effective Dates:	10/01/2000, 02/01/2003, 02/01/2006