N.M. Admin. Code § 16.12.4.10

Current through Register Vol. 35, No. 24, December 23, 2024

Section 16.12.4.10 - STANDARDS OF FUNCTION FOR THE CERTIFIED HEMODIALYSIS TECHNICIAN

A. Purpose:

(1) To establish standards for supervision and direction of the CHT, CHT I and CHT II.

(2) To identify basic functions for the CHT, CHT I and CHT II.

(3) To identify the authorized and prohibited functions for the CHT, CHT I and CHT II.

(4) To identify the expanded role of the CHT II and CHT.

B. Authorized functions of the CHT I with supervision of a registered nurse:

(1) perform arteriovenous punctures for dialysis access;

(2) inject intradermal lidocaine in preparation for dialysis access;

(3) administer a heparin bolus;

(4) administer a fluid bolus of isotonic saline;

(5) connect a dialysis access to isotonic saline or heparinized isotonic saline;

(6) administer oxygen via nasal cannula or mask;

(7) collect data for the nursing assessment;

(8) initiate and discontinue treatment via arterio-venous access;

(9) re-infusion of blood upon termination of treatment of central venous catheters.

C. Authorized functions of the CHT and CHT II with the supervision of a registered nurse:

(1) perform arteriovenous punctures for dialysis access;

(2) initiate, monitor, and discontinue dialysis via central venous catheter;

(3) inject intradermal lidocaine in preparation for dialysis access;

(4) administer a heparin bolus via intravenous route;

(5) administer a fluid bolus of isotonic saline;

(6) connect a dialysis access to isotonic saline or heparinized isotonic saline;

(7) administer oxygen via nasal cannula or mask;

(8) collect data for the nursing assessment;

(9) initiate and discontinue treatment via arterio-venous access;

(10) re-infusion of blood upon termination of treatment of central venous catheters;

D. Prohibited functions of the CHT, CHT I, and CHT II:

(1) shall not administer medications by oral, intramuscular, intravenous or subcutaneous routes except those agents addressed in authorized functions of these rules;

(2) shall not take orders for dialysis treatments;

(3) shall not alter dialysis orders as prescribed by a health care provide

(4) CHT I shall not initiate or discontinue via central venous catheters.

(5) shall not perform hemodialysis treatments without direct supervision of a registered nurse.

N.M. Admin. Code § 16.12.4.10

Adopted by New Mexico Register, Volume XXVII, Issue 17, September 15, 2016, eff. 10/1/2016, Adopted by New Mexico Register, Volume XXXIII, Issue 23, December 13, 2022, eff. 12/13/2022, Amended by New Mexico Register, Volume XXXV, Issue 10, May 21, 2024, eff. 5/21/2024