In addition to the written list required pursuant to the provisions of NAC 449.5745, if a dialysis technician who is enrolled in a course of training pursuant to the provisions of NAC 449.571 intends to cannulate a dialysis access of a patient of the facility or administer normal saline and heparin to that patient, each of the following activities must be completed satisfactorily by the dialysis technician:
1. Cannulation, including: (a) Inspecting the dialysis access of the patient for patency;(c) Using aseptic techniques;(d) Placing needles correctly;(e) Establishing blood access;(g) Recognizing the circumstances under which a call for assistance may be required; and2. The administration of heparin, including: (a) Checking the prescription of the patient;(c) Labeling the prepared syringe;(d) Administering the dose; and(e) Observing the patient for complications experienced by the patient;3. The administration of normal saline, including: (a) Understanding unit protocol;(b) Checking the prescription of the patient;(c) Recognizing signs of hypertension experienced by the patient;(d) Notifying the registered nurse;(e) Administering normal saline; and(f) Rechecking vital signs; and4. The administration of lidocaine, including: (a) Checking the prescription of the patient;(b) Identifying the correct vial of medication for the patient;(d) Administering the dose; and(e) Observing the patient for complications experienced by the patient.Nev. Admin. Code § 449.5765
Added to NAC by Bd. of Health by R130-99, eff. 8-1-2001