NAC449.547. Self-dialysis: Provision of training and certain services.

     1. If a facility provides training to a patient of the facility concerning the performance of dialysis by the patient, a licensed nurse who has at least 12 months of experience in the applicable dialysis modality, including hemodialysis or peritoneal dialysis, must be responsible for training the patient and each member of the family of the patient who intends to assist the patient in conducting the dialysis. The licensed nurse shall supervise all other members of the staff of the facility who assist in providing that training.

     2. If a patient of a facility performs dialysis for himself or herself at the patient’s residence, the facility shall provide the following services to the patient:

     (a) A yearly physical examination;

     (b) Monthly communication from a member of the staff of the facility by:

          (1) Telephone;

          (2) Visits to the facility by the patient; or

          (3) Visits to the patient’s residence by a member of the staff;

     (c) A visit to the facility at least once every 3 months;

     (d) Communication with the appropriate member of the interdisciplinary team that is established for the patient pursuant to the provisions of NAC 449.541;

     (e) Routine laboratory work in accordance with the policy of the facility; and

     (f) A method by which the patient may contact a member of the staff of the facility, including the primary physician of the patient, at any time if an emergency concerning the condition of the patient occurs.

     3. If a patient of a facility performs hemodialysis for himself or herself at the patient’s residence, the facility shall provide the following services to the patient:

     (a) Surveillance of the patient’s home adaptation, including provisions for visits to his or her residence;

     (b) Consultation with a registered nurse, social worker and licensed dietitian;

     (c) A system for maintaining a record of treatment that ensures continuity of care for the patient;

     (d) Installation and maintenance of the equipment required to perform the hemodialysis;

     (e) Testing and appropriate treating of the water used for the hemodialysis; and

     (f) Ordering of supplies on a continual basis.

     (Added to NAC by Bd. of Health by R130-99, eff. 8-1-2001; A by R090-12, 12-20-2012)