Washington Administrative Code
Title 246 - Health, Department of
PROFESSIONAL STANDARDS AND LICENSING
Chapter 246-827 - Medical assistants
MEDICAL ASSISTANT CREDENTIALS
Section 246-827-0500 - Medical assistant-hemodialysis technician - Qualifications and training
Universal Citation: WA Admin Code 246-827-0500
Current through Register Vol. 24-18, September 15, 2024
(1) Applicants for a medical assistant-hemodialysis technician credential must complete the following requirements:
(a) Proof of a high
school diploma or equivalent;
(b)
Basic math skills including the use of fractions and decimal points;
(c) Either:
(i) Complete a hemodialysis training program
as described in subsection (2) of this section; or
(ii) Have a national credential as a
hemodialysis technician which is substantially equivalent to the hemodialysis
training program described in subsection (2) of this section.
(2) The hemodialysis training program may be facility based or a state recognized training facility or institution of higher education specific to training hemodialysis technicians that meets the following requirements:
(a) The training program must:
(i) Be approved by the program or facility
medical director and governing body;
(ii) Be under the direction of a registered
nurse;
(iii) Be focused on the
operation of kidney dialysis equipment and machines;
(iv) Include interpersonal skills, including
patient sensitivity training and care of difficult patients; and
(v) Provide supervised clinical experience
opportunities for the application of theory and for the achievement of stated
objectives in a patient care setting. The training supervisor must be
physically accessible to the hemodialysis technician when the hemodialysis
technician is in the patient care area.
(b) The training program must cover the
following subjects:
(i) Principles of
dialysis and fluid management;
(ii)
Care of patients with kidney failure, including interpersonal skills;
(iii) Dialysis procedures and documentation,
including initiation, proper cannulation techniques, use of central catheters,
monitoring, and termination of dialysis;
(iv) Use and care of hemodialysis
accesses;
(v) Common laboratory
testing procedures and critical alert values;
(vi) Possible complications of dialysis and
dialysis emergencies;
(vii) Water
treatment and dialysate preparation;
(viii) Infection control;
(ix) Use of hazardous chemicals;
(x) Safety;
(xi) Dialyzer reprocessing, if applicable;
and
(xii) Use of medications used
in dialysis and their side effects.
(c) The medical assistant-hemodialysis
technician applicant, upon completion of the hemodialysis training program,
must demonstrate competency of the following:
(i) Dialysis procedures and documentation,
including initiation, proper cannulation techniques, central catheter
techniques, monitoring, and termination of dialysis;
(ii) Operation of hemodialysis
equipment;
(iii) Calculation of
patient fluid removal and replacement needs;
(iv) Preparation and mixture of additives to
hemodialysis concentrates as required by facility procedure based on patient
prescription;
(v) Preparation and
administration of heparin and sodium chloride solutions and intradermal,
subcutaneous, or topical administration of local anesthetics during treatment
in standard hemodialysis doses;
(vi) Provide initial response to patient
complications and emergencies prior to, during, and after treatment per
facility procedures including, but not limited to, the administration of normal
saline per facility protocol;
(vii)
Use and care of hemodialysis vascular accesses;
(viii) Administration of oxygen;
and
(ix) Initiation of
cardiopulmonary resuscitation.
(d) Technicians who perform monitoring and
testing of the water treatment system must complete a training program that has
been approved by the facility medical director and governing body.
(e) The training program may accept
documentation of a medical assistant-hemodialysis technician's successful
completion of training objectives in another dialysis facility or accredited
academic institution if it is substantially equivalent to the core competencies
described in this subsection. The dialysis facility that accepts the
documentation assumes responsibility for confirming the core competency of the
medical assistant-hemodialysis technician.
(f) Upon successful completion of the
hemodialysis training program, an authorized representative of the hemodialysis
training program will sign an attestation of completion of the training
described in this subsection. The attestation shall include documentation of
the satisfactory completion of a skills competency checklist equivalent to, or
exceeding the competencies required by these rules.
(g) Training programs that meet the
requirements described in this subsection are approved by the
secretary.
Statutory Authority: Chapter 18.360 RCW, RCW 43.70.280, and 2012 c 153 . 13-12-045, § 246-827-0500, filed 5/31/13, effective 7/1/13.
Disclaimer: These regulations may not be the most recent version. Washington may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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