Clinical Laboratory TechnologyHemodialysis Training
Section § 1247
This law is called the Hemodialysis Technician Training Act, which sets rules and requirements for training technicians who operate dialysis machines.
Section § 1247.2
This section defines key terms used in the context of dialysis treatment and supervision in California. It clarifies that "immediate supervision" requires overseeing dialysis treatment in the same room. The "Department" refers to the State Department of Public Health. A "Hemodialysis technician" is an unlicensed worker involved in direct patient care during dialysis, and those certified by the state are known as Certified Hemodialysis Technicians. Lastly, a "Standardized test" is an exam endorsed by the University of California to measure required knowledge effectively.
Section § 1247.3
This law explains what a hemodialysis technician can do when treating patients. They can insert needles into veins or arteries to start dialysis and give certain medicines like local anesthetics, heparin, and saline. These activities must follow rules set by the medical director and be directly supervised by a doctor or nurse. The painkillers can only be given just under the skin or on it directly. Technicians certified to work at patients' homes don't need direct supervision, but only until a past date of January 1, 1991.
Section § 1247.4
This law allows a department to create rules to make sure this article is followed properly.
Section § 1247.5
This law allows a hemodialysis clinic within a licensed medical facility to run training and testing programs for hemodialysis technicians. These programs need approval from the relevant department and must follow specific rules. The training has to cover local anesthetics, heparin, and sodium chloride solution administration.
Section § 1247.6
This law says that, with a couple of exceptions, you can't work as a hemodialysis technician without a special certification from the state. The exceptions include situations where you're training directly under someone else's supervision or cases covered by another specific section. Additionally, if you're a dialysis patient or helper who's been trained and certified to do dialysis at home, and you're not employed by a licensed facility, this rule doesn't apply to you.
Section § 1247.7
If someone is training to become a hemodialysis technician, they must be called a 'trainee' and be directly supervised by either a licensed doctor or nurse while working with patients.
Section § 1247.8
The law requires every hemodialysis unit or clinic to keep accessible records proving that their hemodialysis technicians fulfill certain qualifications, as described in another section. These records must be ready for inspection by department survey teams.
Section § 1247.9
This law states that only licensed chronic dialysis clinics or general acute care hospitals are allowed to offer dialysis services to patients. This means that any person or entity not properly licensed under these specific health code sections cannot legally provide chronic dialysis.
Section § 1247.61
To become a Certified Hemodialysis Technician (CHT) in California, you need a high school diploma or equivalent, or experience in dialysis. You must complete a training program approved by a hemodialysis clinic and overseen by a registered nurse. This program covers everything from operating dialysis machines to patient care and safety. If you've worked as a technician for over two years before a certain date in 2008 without formal training, you can meet the requirement by passing both a written exam and a skills checklist. You'll also need to pass a specific test on the training subjects. Starting in 2019, applicants must provide a taxpayer or social security number for certification, but their citizenship or immigration status won't affect their application.
Section § 1247.63
If you're a certified hemodialysis technician in California, your certification is good for four years. To renew it, you'll need to show proof of completing 30 hours of training or education related to dialysis or general healthcare. If your certification expires, you have two years to renew it by submitting a renewal application and proof of continued education.
Section § 1247.64
This section outlines where a hemodialysis technician can get the training or education they need. They can choose from courses at accredited colleges, courses through approved nursing education providers, courses from recognized health associations (if deemed acceptable), or employer-sponsored programs.
Section § 1247.66
The California Department of Public Health can deny, suspend, or revoke a hemodialysis technician's certification if they violate regulations. This includes engaging in unprofessional conduct like incompetence, fraud, or drug abuse. If a technician is convicted of a crime related to their work, or they lie on certification applications, they may also lose their certification. Abuse of patients or unsafe practices involving drugs or alcohol are specific examples of unprofessional conduct. If there's a case to remove a certification, it'll follow a set legal procedure.