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Virginia Administrative Code
Title 18. Professional And Occupational Licensing
Agency 76. Department of Health Professions
Chapter 60. Regulations Governing the Criteria for Certification of Dialysis Technicians
1/14/2026

18VAC76-60-20. General provisions; scope of practice.

A. In accordance with Chapter 27.01 (§ 54.1-2729.1 et seq.) of Title 54.1 of the Code of Virginia and this chapter, only those persons who hold certification from an entity approved by the director as prescribed in 18VAC76-60-30 shall:

1. Provide direct patient care in a Medicare-certified renal dialysis facility.

2. Administer medications in accordance with § 54.1-3408 T of the Code of Virginia.

B. Dialysis patient care technicians or dialysis care technicians shall practice only under the supervision of a licensed practitioner of medicine or a registered nurse.

C. Dialysis patient care technicians or dialysis care technicians shall administer medications only under the orders of a licensed physician, nurse practitioner, or physician assistant and under the direct and immediate supervision of a registered nurse.

D. Persons who do not hold such certification shall not hold the restricted titles or use any other title or term that implies a minimum level of education, training, and competence. Unregulated persons shall only perform services relating to the technical elements of dialysis, such as equipment maintenance and preparation of dialyzers for reuse by the same patient.

Statutory Authority

Chapter 27.01 (§ 54.1-2729.1 et seq.) of Title 54.1 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 42, Issue 5, eff. November 19, 2025.

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