Texas Administrative Code
Title 25 - HEALTH SERVICES
Part 1 - DEPARTMENT OF STATE HEALTH SERVICES
Chapter 117 - END STAGE RENAL DISEASE FACILITIES
Subchapter E - DIALYSIS TECHNICIANS
Section 117.65 - Prohibited Acts
Current through Reg. 49, No. 38; September 20, 2024
Performance of the following acts by any dialysis technician who is not a licensed vocational nurse is prohibited:
(1) initiation of patient education;
(2) alteration of ordered treatment, including shortening of the treatment time;
(3) initiation or discontinuation of dialysis via a central catheter, manipulation of a central catheter, or dressing changes for a central catheter;
(4) administration of any medications other than normal saline, heparin, lidocaine, or oxygen, which may only be administered in the course of a routine dialysis treatment;
(5) administration of blood or blood products;
(6) performance of nonaccess site arterial puncture;
(7) acceptance of physician orders;
(8) provision of hemodialysis treatment to pediatric patients less than 35 kilograms;
(9) alteration of the level of electrolytes in dialysate through the use of additive(s) ("spiking"); and
(10) initiation or discontinuation of dialysis via an implantable port.
