Performance of the following acts by any dialysis technician who is not a licensed vocational nurse is prohibited:
  (1) initiation of patient education;
  (2) alteration of ordered treatment, including shortening of the treatment time;
  (3) initiation or discontinuation of dialysis via a central catheter, manipulation of a central catheter, or dressing changes for a central catheter;
  (4) administration of any medications other than normal saline, heparin, lidocaine, or oxygen, which may only be administered in the course of a routine dialysis treatment;
  (5) administration of blood or blood products;
  (6) performance of nonaccess site arterial puncture;
  (7) acceptance of physician orders;
  (8) provision of hemodialysis treatment to pediatric patients less than 35 kilograms;
  (9) alteration of the level of electrolytes in dialysate through the use of additive(s) ("spiking"); and
  (10) initiation or discontinuation of dialysis via an implantable port.

Source Note: The provisions of this §117.65 adopted to be effective July 6, 2010, 35 TexReg 5835