LAC 48:I.8457. Treatment Services

A. The facility must provide outpatient dialysis services as well as adequate lab, social, and dietetic services to meet the needs of ESRD patients. The facility must provide one or both of the following services. 1. Hemodialysis—a method of dialysis in which blood from a patient's body is circulated through an external device or machine and then returned to the patient's bloodstream. 2. Peritoneal Dialysis—a procedure that introduces dialysate into the abdominal cavity to remove waste products through the peritoneum (a membrane which surrounds the intestines and other organs in the abdominal cavity). B. In addition, the following services may be provided by a facility: 1. home training—home visits, teaching, and professional guidance to teach patients to provide self-dialysis; 2. home support—provision of professional support to assist the patient who is performing self-dialysis. C. Dialyzer Reprocessing. Reuse shall meet the requirements of 42 CFR.§405.2150. Additionally, the facility shall: 1. develop, implement, and enforce procedures that eliminate or reduce the risk of patient care errors including, but not limited to, a patient receiving another patient's dialyzer, or a dialyzer that has failed performance checks; 2. develop procedures to communicate with staff and to respond immediately to market warnings, alerts, and recalls; 3. develop and utilize education programs that meet the needs of the patient and/or family members to make informed reuse decisions; and 4. be responsible for all facets of reprocessing, even if the facility participates in a centralized reprocessing program. D. Water treatment shall be in accordance with the American National Standard, Hemodialysis Systems published by the Association for the Advancement of Medical Instrumentation (AAMI Standards) and adopted by reference 42 CFR. §405.2140.