Chapter 60. Regulations Governing the Criteria for Certification of Dialysis Technicians
18VAC76-60-10. Definitions.
The following terms when used in this chapter shall have the following meanings unless the context clearly indicates otherwise:
"Dialysis patient care technician" or "dialysis care technician" means a person who has obtained certification from an organization approved by the director to provide, under the supervision of a licensed practitioner of medicine or a registered nurse, direct care to patients undergoing renal dialysis treatments in a Medicare-certified renal dialysis facility. Such direct care may include the administration of heparin, topical needle site anesthetics, dialysis solutions, sterile normal saline solution, and blood volumizers in accordance with the order of a licensed physician, nurse practitioner, or physician assistant.
"Director" means the Director of the Department of Health Professions.
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.
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.
18VAC76-60-30. Criteria for use of the titles of dialysis patient care technician or dialysis care technician.
In order to use the titles of dialysis patient care technician or dialysis care technician or administer medications in a Medicare-certified renal dialysis facility, a person shall hold one of the certifications approved by the director.
Statutory Authority
§§ 54.1-2410 and 54.1-2505 of the Code of Virginia.
Historical Notes
Derived from Virginia Register Volume 42, Issue 5, eff. November 19, 2025.