West Virginia Code
As used in this article:
(1) "Approved dialysis technician training program" means any board approved program used to train dialysis technicians including, but not limited to, a Board approved dialysis facility-sponsored training program or another state approved program.
(2) "Board" means the West Virginia Board of Examiners for Registered Professional Nurses.
(3) "Dialysis care" means performing and monitoring dialysis procedures which includes initiating and discontinuing dialysis, drawing blood, and administering medications authorized under section seven of this article.
(4) "Dialysis technician trainee" means an individual enrolled in an approved dialysis technician program.
(5) "Direct supervision" means initial and ongoing direction, procedural guidance, observation and evaluation, and the on-site presence of a registered nurse or physician.
(6) "Facility" means any entity that is certified by the Office of Health Facilities Licensure and Certification to provide dialysis services.
(7) "West Virginia dialysis technician or dialysis technician" means an individual certified by the board who has successfully completed an approved dialysis technician training program and who has achieved national certification as a dialysis technician, or an individual who meets the requirements set forth in subsection (b), section three of this article.
(a) A registered professional nurse licensed under the provisions of article seven of this chapter may delegate dialysis care to a dialysis technician if:
(1) The dialysis technician has completed the requirements set forth in this article and established by the board by legislative rule;
(2) The registered professional nurse considers the dialysis technician to be competent; and
(3) The dialysis technician provides the care under the direct supervision of the registered professional nurse.
(b) A registered professional nurse licensed under the provisions of article seven of this chapter may not delegate dialysis care to an individual who is listed on the nurse aide abuse registry with a substantiated finding of abuse, neglect or misappropriation of property.
(c) Nothing in this article may be construed to prohibit a dialysis technician trainee from performing dialysis care as a part of and within the scope of the clinical skills instruction segment of an approved dialysis technician training program.
(a) To be certified by the board as a dialysis technician, an individual shall demonstrate that he or she:
(1) Is of good moral character;
(2) Has acquired at least a high school diploma, general equivalency diploma or equivalent;
(3) Has successfully completed an approved dialysis technician training program;
(4) Has achieved national certification as a dialysis technician; and
(5) Has met such other qualifications required by the board by legislative rule.
(b) An applicant for certification shall file with the board an application as established by the board demonstrating that he or she has met the qualifications set forth in this section, and pay an application fee as established by legislative rule.
(c) (1) The board may, upon receipt of a completed application and fee in accordance with legislative rule, issue a temporary permit to practice as a dialysis technician to any applicant who has completed a board approved dialysis technician training program.
(2) A temporary permit is effective from the date of issuance until three days after the receipt by the applicant and the board of the results of the certification examination or after eighteen months whichever is sooner, unless the board revokes the temporary permit prior to its expiration.
(3) A temporary permit may be renewed one time for an additional eighteen months from the renewal date unless the board revokes the temporary permit prior to its expiration, under the following circumstances:
(A) The national certification has lapsed, and
(B) A dialysis technician is required to work to qualify for recertification.
(d) A dialysis technician previously licensed under this article is continued to be licensed and is eligible to renew.
(a) An individual certified by the board as a dialysis technician pursuant to the provisions of this article shal1 be known as a West Virginia dialysis technician or dialysis technician and may use the initials "D.T." after his or her name. After June 30, 2005, no other individual may use the title, abbreviation or any other words, letters, figures, signs or devices to indicate that he or she is a dialysis technician.
(b) An individual enrolled in an approved dialysis technician training program shall use the title dialysis technician trainee. A dialysis technician trainee shall adhere to the standards for dialysis technicians and is subject to disciplinary action by the board as provided in the board’s rules.
A dialysis technician is authorized to perform the following, under the direct supervision of a registered professional nurse or a licensed physician:
(1) Preparation and initiation of dialysis access sites;
(2) Initiating, delivering or discontinuing dialysis care; and
(3) Administration of the following medications only:
(A) Heparin to prime the pump, initiate treatment or for administration throughout the treatment, in an amount prescribed by a physician or other authorized practitioner. This may be done intravenously, peripherally via a fistula needle or in another clinically acceptable manner;
(B) Normal saline via the dialysis extra corporeal circuit as needed throughout the dialysis procedure; and
(C) Intradermal anesthetic in an amount prescribed by a physician or other authorized practitioner;
(4) Obtaining a blood specimen via the dialysis extra corporeal circuit or a peripheral access site;
(5) Reporting changes that arise in conjunction with dialysis care to the registered nurse or physician; and
(6) Engaging in other acts as delegated by the registered nurse or physician in order to provide dialysis care.
(a) The Board shall prescribe standards for approved dialysis technician training programs, and prescribe testing standards and requirements, by legislative rule.
(b) Persons and organizations providing training programs and testing services must be approved by the board.
(c) Approval may be denied or withdrawn for failure to meet the standards set out in code or rule.
(a) The Board may:
(1) Adopt and amend rules consistent with this article necessary to enable it to carry into effect the provisions of this article, including disciplinary rules;
(2) Prescribe standards for preparing individuals for the role of dialysis technician under this article;
(3) Provide for standards for approved dialysis technician training programs;
(4) Accredit educational programs for the preparation of dialysis technicians that meet the requirements of this article;
(5) Provide surveys of educational programs when the board considers it necessary;
(6) Approve, reapprove and prescribe standards for testing organizations and the tests offered by organizations for dialysis technicians;
(7) Deny or withdraw approval of testing organizations;
(8) Prescribe standards for dialysis technician trainees;
(9) Issue, renew or revoke temporary permits, endorsements and certifications for dialysis technicians;
(10) Deny or withdraw accreditation of approved dialysis technician training programs for failure to meet or maintain prescribed standards required by this article and by the board;
(11) Conduct hearings upon charges calling for discipline of a dialysis technician;
(12) Keep a record of all proceedings of the board; and
(13) Further regulate, as necessary, dialysis technicians: Provided, That the board is not authorized to establish staffing ratios.
(b) The Board shall propose rules for legislative approval in accordance with the provisions of article three, chapter twenty-nine-a of the code to:
(1) Prescribe standards for training programs;
(2) Prescribe testing standards and requirements;
(3) Prescribe requirements for persons and organizations providing training programs and testing services;
(4) Assess fees for the certification of dialysis technicians, approval of training programs, tests and providers of training programs and testing services, and other services performed by the board; and
(5) Provide for any other requirements necessary to carry out the purposes of this article.
(c) The Board may promulgate emergency rules pursuant to the provisions of section fifteen, article three, chapter twenty-nine-a of this code for the purposes set forth in this section. Notwithstanding the provisions of section fifteen, article three, chapter twenty-nine-a of this code to the contrary, the legislative rule proposed by the board of Registered Professional Nurses entitled "Dialysis Technicians", [19CSR13] and authorized as an emergency rule by the Secretary of State on August 5, 2005, shall continue in full force and effect as an emergency rule until July 1, 2007, unless disapproved or authorized as a legislative rule, or otherwise amended by an Act of the Legislature.
All fees and other moneys collected by the board pursuant to the provisions of this article shall be kept in a separate special fund called the Dialysis Technician Fund to be established for the board in the state Treasury and shall be used for the administration of this article. No part of this special fund reverts to the General Fund of this state. The costs and all expenses incurred under this article are to be paid from this special fund. No compensation or expense incurred under this article is a charge against the General Fund of this state.
(a) The Board may, in accordance with rules promulgated under the provisions of article three, chapter twenty-nine-a of this code, refuse to approve a dialysis technician.
(b) The Board may deny, revoke or suspend its certification of a dialysis technician in accordance with the provisions of this article, or to otherwise impose discipline upon proof that he or she:
(1) Is or was guilty of fraud or deceit in procuring or attempting to procure approval to be a dialysis technician;
(2) Has been convicted of a felony;
(3) Is unfit or incompetent by reason of negligence, habits or other causes;
(4) Is habitually intemperate or is addicted to the use of alcohol or habit-forming drugs;
(5) Is mentally incompetent;
(6) Is guilty of conduct derogatory to the morals or standing of the practice;
(7) Is practicing or attempting to practice as a dialysis technician without Board approval; or
(8) Has willfully or repeatedly violated any of the provisions of this article.
(c) After following procedures to be determined by the board in rules, the discipline may include any of the following:
(1) Summary suspension of the right to practice or reprimand of the dialysis technician;
(2) Probation of the dialysis technician for a specified period of time, with or without limitations and conditions;
(3) Suspension of the dialysis technician for a specified period of time; or
(4) Permanent revocation of dialysis technician privileges.
(d) The Board may establish a committee that has the authority to resolve disciplinary matters through a formal consent agreement with a licensee, permitting the licensee to voluntarily agree to disciplinary action in lieu of a formal evidentiary hearing.
(a) No individual, firm, corporation, facility or association of individuals may:
(1) Sell or fraudulently obtain or furnish any national dialysis technician certification credential or documentation of successful completion of a dialysis technician training program or aid or abet therein;
(2) Act as a dialysis technician unless authorized by the provisions of this article;
(3) Use in connection with his or her name any designation tending to imply that he or she is a dialysis technician unless authorized by the provisions of this article; or
(4) Otherwise violate any provision of this article.
(b) An individual violating a provision of subsection (a) of this section is guilty of a misdemeanor and, upon conviction thereof, shall be fined not less than five hundred nor more than $1,000.
(c) It is unlawful for any individual to practice as a dialysis technician who is listed on the nurse aide abuse registry with a substantiated finding of abuse, neglect or misappropriation of property.
(a) Any individual, firm, corporation, facility or association of individuals adversely affected by a decision of the board rendered after a hearing held in accordance with the provisions of this article is entitled to a judicial review of the decision. All of the pertinent provisions of section four, article five, chapter twenty-nine-a of this code apply to and govern the judicial review with like effect as if the provisions of section four of this article were set forth in this section.
(b) The judgment of the circuit court is final unless reversed, vacated or modified on appeal to the Supreme Court of Appeals in accordance with the provisions of section one, article six, chapter twenty-nine of this code.
(a) The practice of dialysis technician by an individual who has not met the requirements of this article is declared to be inimical to the public health and welfare and to be a public nuisance.
(b) Whenever, in the judgment of the board, an individual has engaged in, is engaging in, or is about to engage in, the practice of dialysis technician without holding a valid certification under this article, or has engaged, is engaging or is about to engage in any act which constitutes, or will constitute, a violation of this article, the board may make application to the appropriate court having equity jurisdiction for an order enjoining the practices or acts, and upon a showing that the individual has engaged, is engaging or is about to engage, in any such practices or acts, an injunction, restraining order, or other order as the court considers appropriate shall be entered by the court.
(c) The remedy provided in this section is in addition to, and not in lieu of, all other penalties and remedies provided in this article.