Delegation by a Nurse
A licensed nurse may delegate hemodialysis tasks to nursing assistants who have successfully completed a board-approved dialysis technician training program.
Tasks that may be delegated are listed in ARSD 20:48:04.02:05 (see below for central line tasks)
Nurses are required to follow rules on:
Nurses and employers are encouraged to use the Delegation Decision Making Algorithm to guide whether a specific nursing task may be delegated.
Dialysis Technician Qualifications
Dialysis technicians are required to meet the following qualifications (ARSD 2:48:04.02:04):
- Have a minimum of a high school diploma or equivalent;
- Completed a board-approved dialysis technician training program;
- Passed a nationally recognized, board-approved dialysis technician certification exam and hold current certification (or completed a board-approved training program within the last 18 months). Board approved national certification organizations:
- Certified Clinical Hemodialysis Technician (CCHT) offered through NNCC
- Board of Nephrology Examiners for Nursing and Technology (BONENT)
- Certified Clinical Nephrology Technician offered through NNCO
Dialysis Training Program Information
Delegation of Central Line Dialysis Tasks
A RN, with a minimum of one year of dialysis experience, may delegate central line hemodialysis tasks as allowed in ARSD 20:48:04.02:10 and according to facility policy, to a certified dialysis technician, in a stable nursing situation with direct RN supervision.
The dialysis technician must complete a board-approved central line hemodialysis training program, the following forms must be used:
- Central Line Training Program Application
- Central Line Skills Lab Checklist & RN Observation Form
- Direct Observation of Central Line Tasks Form
- Annual Skills Performance Direct Observation Checklist Form
Exam: the RN program instructor may contact the board office to request access to questions for use in developing a final exam.