<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s6264eabe-491f-4988-9d47-485f6457acf1P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s6264eabe-491f-4988-9d47-485f6457acf1C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s6264eabe-491f-4988-9d47-485f6457acf1C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s6264eabe-491f-4988-9d47-485f6457acf1C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s6264eabe-491f-4988-9d47-485f6457acf1C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s6264eabe-491f-4988-9d47-485f6457acf1000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s6264eabe-491f-4988-9d47-485f6457acf1P1 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: Times; font-size: 12pt; line-height: 108%; } </style></head><body><div><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.02:05"><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000000">20:48:04.02:05</span></a><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001">.  </span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001">Hemodialysis</span><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001"> tasks that may be delegated to dialysis technician.</span><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> The following </span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">hemodialysis</span><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> tasks may be delegated to a dialysis technician</span><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> in a stable nursing situation with direct supervision, as those terms are defined in § </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:01:01"><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">20:48:01:01</span></a><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">, and if</span><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> the delegation </span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">complies</span><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> with the general criteria for delegation and supervision set forth in §§ </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:01"><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">20:48:04.01:01</span></a><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> and </span><a href="https://sdlegislature.gov/Rules?Rule=20:48:04.01:02"><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">20:48:04.01:02</span></a><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">, respectively:</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (1)  Assemble any necessary supplies;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (2)  Rinse and prime dialyzer and attach and install all required tubing according to dialysis prescription and protocol. Test and set monitors and alarms according to protocol;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P1"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (3)  Obtain pre-dialysis vital signs, weight, and temperature and inform registered nurse of abnormal or unusual findings;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P1"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (4)  Inspect access site and report condition to registered nurse;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (5)  Perform venipuncture to initiate dialysis including the administration of local anesthetics by the intradermal, subcutaneous, or topical routes;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (6)  Obtain blood samples and blood cultures from </span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">extracorporeal circuit, fistula</span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">, or graft;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (7)  Administer heparin </span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">and normal saline in the course of a routine hemodialysis treatment according to prescribed protocol</span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (8)  Measure and adjust blood flow rates according to prescribed protocol;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (9)  Calculate, determine, and adjust fluid removal rates according to prescribed protocol;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (10)  Monitor and record dialysis treatment parameters and make treatment adjustments including dialysis equipment settings, client positioning, and the administration of normal saline, as directed by the registered nurse. Report all changes to the registered nurse;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (11)  Monitor equipment for safe and proper functioning, respond to alarms, and make appropriate adjustments;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (12)  Initiate cardiopulmonary resuscitation measures in the event of a cardiac and/or pulmonary emergency. Respond to dialysis-related emergencies immediately seeking assistance from the registered nurse;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (13)  Discontinue dialysis and establish hemostasis upon direction of the registered nurse;</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (14)  Inspect, clean, and dress access according to protocol, reporting any unusual finding or occurrence to the registered nurse; and</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    (15)  </span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">Prepare, test, and monitor water treatment and dialysate</span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">.</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    </span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001">Source:</span><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> 24 SDR 165, effective June 1, 1998</span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">; 49 SDR 1, effective July 6, 2022</span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">.</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    </span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001">General Authority:</span><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">36-9-21</span></a><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">.</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">    </span><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000001">Law Implemented:</span><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-3"><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">36-9-3</span></a><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">36-9-4</span></a><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-4"><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">36-9-4</span></a><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1C0">.1, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-9-21"><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0-000002">36-9-21</span></a><span class="s6264eabe-491f-4988-9d47-485f6457acf1C0">.</span></p><p dir="ltr" class="s6264eabe-491f-4988-9d47-485f6457acf1P0"><span xml:space="preserve" class="s6264eabe-491f-4988-9d47-485f6457acf1000003"> </span></p></div></body></html>