Current through Register Vol. 50, No. 9, September 20, 2024
A. Each employee
shall complete appropriate orientation to the facility and to his/her work
responsibilities prior to providing direct patient care/contact. The content of
the basic orientation provided to all employees at the time of
employment/annual review shall include:
1.
policies/procedures and objectives of the facility;
2. duties and responsibilities of the
employee;
3.
organizational/reporting relationships;
4. ethics and confidentiality;
5. patient's rights;
6. standards of conduct required by the
facility;
7. information on the
disease process and expected outcomes;
8. emergency procedures including the
disaster plan and evacuation procedures;
9. principals and practices of maintaining a
clean, healthy and safe environment;
10. specific information as appropriate to
the employee's job duties;
11.
universal precautions;
12. violent
behavior in the workplace;
13.
abuse/neglect and exploitation;
14.
overview of ESRD licensing standards; and
15. basic emergency care of ill or injured
persons until trained personnel can arrive.
B. In-service training is an educational
offering that shall assist the direct care/contact workers in providing current
treatment modalities, and serve as refresher for subjects covered in
orientation. Documentation of attendance for at least three in-services per
quarter is required. Additional educational programs are encouraged.
C. Patient Care Technician (PCT) or Dialysis
Technician. Training and orientation shall reflect the American Nephrology
Nurses Association (ANNA) standards of clinical practice, including but not
limited to:
1. anatomy and physiology of the
renal system;
2. principles of
water treatment;
3. dialyzer
reprocessing;
4. basics of
nutrition in renal failure;
5.
understanding of ethical issues impacting on nephrology practice;
6. communication and interpersonal
skills;
7. standard precautions, as
recommended by the Center for Disease Control;
8. concepts and principles of
hemodialysis;
9. arteriovenous
puncture for dialysis access techniques;
10. use of heparin in dialysis
procedures;
11. use of isotonic
saline in dialysis;
12. maintenance
of the delivery system:
a. integrity of extra
corporeal circuit;
b. pressure
monitor readings;
c. anticoagulant
delivery;
d. blood flow
rate;
e. alarm limits and/or
conditions;
13.
observation and reports of complications to the registered nurse;
14. post-treatment access care
guidelines;
15. disposal of
supplies in compliance with standard precautions; and
16. agency policy regarding the cleaning of
equipment and treatment area.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
46:153 and
R.S.
40:2117.4.
