9413. ASSIGNMENT AND DELEGATION OF NURSING CARE TASKS TO DIALYSIS TECHNICIANS

9413 ASSIGNMENT AND DELEGATION OF NURSING CARE TASKS TO DIALYSIS TECHNICIANS 9413.1 A registered nurse (RN) may delegate nursing care tasks to a DT. 9413.2 A DT shall not practice independently but shall work under the supervision of a RN. 9413.3 Dialysis tasks that may be delegated to a DT shall comply with the standards for delegation listed in 17 DCMR § 5415 and be determined by: The knowledge and skills of the DT; Verification of the clinical competence of the DT by the employing agency; The stability of the patient’s condition that involves predictability, absence of risk of complication, and rate of change; The variables in each health care setting which include, but are not limited to: (1) The accessible resources and established policies, procedures, practices and channels of communication that lend support to the type of dialysis tasks, functions, or activities being delegated to a DT; (2) The complexity and frequency of care needed by a given client population; (3) The proximity of clients to staff; (4) The number and qualifications of staff; and (5) The accessibility of the registered nurse or other licensed health professionals. 9413.4 Dialysis that inherently involves on-going assessment, interpretation or decision making that cannot be logically separated from the procedure(s) shall not be delegated to a DT. SOURCE: Final Rulemaking published at 66 DCR 11404 (August 23, 2019). District of Columbia Municipal Regulations Business, Occupations, and Professionals 17 DCMR § 9413