House of Representatives

HB 2359

dialysis technicians; standards; quality committee

Sponsors: Representatives Cannell, Huppenthal, Chase, et al

 

DPA

Committee on Health

DPA

Caucus and COW

DP

Third Read

 

X

As Transmitted To The Governor

 

HB 2359 requires dialysis technicians beginning April 1, 2003 to obtain national certification as a condition of employment.  Requires the Department of Health Services (DHS) to adopt rules for appropriate clinical practice restrictions for hemodialysis tehcnician trainees.

 

History

End-Stage Renal Disease (ESRD) occurs when a person’s kidney succumbs to an irreversible disease.   ESRD requires that a person either receive a kidney transplant or onging dialysis for treatment. 

 

According to the End-Stage Renal Dialysis Network, a non-profit corporation hired by the federal government to monitor dialysis statistics and quality of care issues, there are approximately 5,000 persons on dialysis in Arizona.  Of those, 91 percent receive dialysis treatment at dialysis centers while the remaining population uses home dialysis.   There are 71 for-profit, 11 non-profit dialysis and seven hospital-based dialysis facilities in Arizona.

 

Dialysis technicians are responsible for assisting, under supervision, in the care of patients undergoing dialysis treatment.   The National Kidney Foundation states that most dialysis technicians undergo a six to twelve week training program as a condition of employment.  The average salary for a dialysis technician may range from $5 – $10 at the entry level and $8 - $16 for experienced technicians. Most dialysis providers in Arizona conduct in-house training for technicians and some require them to become nationally certified.

 

The National Association of Nephrology Technicians/Technologists (NANT) endorses four different types of national certification for dialysis technicians.   To become certified, a technician must meet minimum education and training requirements and pass an examination.  The cost for an examination may range from $125 - $250.  Certification renewal requires the payment of a fee every two or four years.  Two of the certifications also require re-examination as a condition for renewal.

 

According to the Nephrology Nursing Certification Commission, as of October 4, 2001 there are five states that regulate dialysis technicians.  Dialysis technicians are typically regulated by licensure, registration or certification with oversight by a nursing board or state health department.

 

There are currently no requirements for certification and training of dialysis technicians in Arizona.  The Department of Health Services (DHS) licenses dialysis facilities.

 

HB 2359 requires that dialysis providers beginning on April 1, 2003 must use dialysis technicians who are nationally certified.

 

Provisions

·          Requires dialysis providers to use hemodialysis technicians that are certified by national organization.

·          Requires DHS to develop rules for appropriated clinical practice restrictions for dialysis technician trainees. 

·          Stipulates that a trainee may not provide dialysis in any facility if the trainee has not passed the national certification within two years of employment.

·          Specifies that employed dialysis technicians have two years after the April 1, 2003 implementation date to obtain national certification.

·          Provides a rule making exemption to DHS to adopt rules for appropriate clinical practice restrictions for dialysis technician trainees on or before March 31, 2003.

 

 

 

 

 

 

 

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45th Legislature                       

Second Regular Session            3          May 29, 2002

 

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