California Code of Regulations
Title 22 - Social Security
Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 1 - General Acute Care Hospitals
Article 6 - Supplemental Services
Section 70445 - Chronic Dialysis Service Staff

Universal Citation: 22 CA Code of Regs 70445

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) A physician shall have overall responsibility for the service. This physician shall be certified or eligible for certification by the American Board of Internal Medicine or the American Board of Pediatrics and shall have a minimum of one year's training or experience in the care of patients with end-stage renal disease.

(b) Surgeons performing the vascular access procedures shall be certified or eligible for certification by the American Board of Surgery and shall have a minimum of one year's training or experience in vascular surgery.

(c) Children being treated for end-stage renal disease shall be under the care of a physician who is certified or eligible for certification by the American Board of Pediatrics.

(d) Where appropriate, the hospital shall provide timely evaluation and consultation by the following specialists:

(1) Physicians certified or eligible for certification in cardiology, endocrinology, infectious disease or hematology by the American Board of Internal Medicine.

(2) A physician certified or eligible for certification in neurology by the American Board of Psychiatry and Neurology.

(3) A physician certified or eligible for certification in psychiatry by the American Board of Psychiatry and Neurology.

(4) A physician certified or eligible for certification in orthopaedic surgery by the American Board of Orthopaedic Surgery.

(5) A physician certified or eligible for certification by the American Board of Pathology.

(6) A physician certified or eligible for certification by the American Board of Urology.

(e) There shall be a registered nurse responsible for the nursing service who has had at least 12 months' general nursing experience or six months' experience in the care of patients with end-stage renal disease.

(f) There shall be sufficient other licensed nurses and skilled personnel to provide the required patient care.

(g) A dietitian shall provide diet management and counseling to meet the needs of patients with end-stage renal disease.

(h) A social worker shall provide social service and counseling to meet the needs of patients with end-stage renal disease.

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