(1) A UAP working in a dialysis unit may receive delegation of advanced nursing tasks identified in this rule if:

(a) the delegation is made in an out-patient dialysis unit;

(b) the delegation is for an established adult dialysis patient who has been on dialysis for more than 30 days; and

(c) the UAP is:

(i) under the immediate supervision of the delegating nurse; and

(ii) is currently certified as a certified dialysis technician by either the:

(A) Nephrology Nursing Certification Commission (NNCC) ; or

(B) Board of Nephrology Examiners - Nursing and Technology (BONENT) .

(2) The UAP working in the dialysis unit may receive delegation of the following advanced nursing tasks:

(a) preparing dialysate according to established procedures and the dialysis prescription;

(b) assembling and preparing the dialysis extracorporeal circuit according to protocol and dialysis prescription;

(c) preparing and cannulating of mature fistula/graft. Maturity/stability of the graft will be established by a nurse prior to cannulation;

(d) initiating, delivering or discontinuing the dialysis treatment;

(e) obtaining a blood specimen via a dialysis line or a fistula/graft site; and

(f) administering the following medications under the immediate supervision of an RN:

(i) heparin, only in concentrations of 1:1000 units or less, in an amount prescribed by an individual authorized by Montana statute to so prescribe:

(A) to prime the extracorporeal circuit;

(B) to initiate treatment; and/or

(C) for routine administration throughout the treatment;

(ii) normal saline via the dialysis machine to correct dialysis-induced hypotension;

(iii) intradermal anesthetics, in an amount prescribed by an individual authorized by Montana statute to so prescribe, as an integral part of the vascular access cannulation procedure; and

(iv) oxygen by nasal cannula.