District of Columbia Administrative Code

9312 RESERVED SOURCE: Final Rulemaking published at 59 DCR 8359, 8368 (July 13, 2012). AUTHORITY: DC-DCMR Section 302(14) of the District of Columbia Health Occupations Revision Act of 1985, effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code 3-1203.02(14) (2016 Repl.)), …

9313 ASSIGNMENT AND DELEGATION OF NURSING CARE TASKS TO HOME HEALTH AIDES 9313.1 A licensed nurse or authorized health care professional may assign or delegate tasks to HHAs that are among the authorized tasks listed in § 9315. 9313.2 HHAs shall not practice independently but sha…

9314 RESERVED SOURCE: Final Rulemaking published at 59 DCR 8359, 8369 (July 13, 2012). AUTHORITY: DC-DCMR Section 302(14) of the District of Columbia Health Occupations Revision Act of 1985, effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code 3-1203.02(14) (2016 Repl.)), …

9315 HOME HEALTH AIDE AND PERSONAL CARE AIDE TASKS 9315.1 Under the supervision of a licensed nurse or other authorized licensed health care professional, when employed as a personal care aide (PCA), a person may perform the following tasks: Cueing or hands-on assistance with per…

9316 RESERVED SOURCE: Final Rulemaking published at 59 DCR 8359, 8370 (July 13, 2012). AUTHORITY: DC-DCMR Section 302(14) of the District of Columbia Health Occupations Revision Act of 1985, effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code 3-1203.02(14) (2016 Repl.)), …

9317 DISCIPLINE 9317.1 The Board of Nursing may revoke, suspend, or deny recertification of any HHA who is convicted, during a period of certification, of any of the crimes as listed in § 9303.4 or any act specified in D.C. Official Code § 3-1205.14 (2012 Supp.). 9317.2 In additi…

9318 RESERVED SOURCE: Final Rulemaking published at 59 DCR 8359, 8371 (July 13, 2012). AUTHORITY: DC-DCMR Section 302(14) of the District of Columbia Health Occupations Revision Act of 1985, effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code 3-1203.02(14) (2016 Repl.)), …

9319 RESERVED SOURCE: Final Rulemaking published at 59 DCR 8359, 8371 (July 13, 2012). AUTHORITY: DC-DCMR Section 302(14) of the District of Columbia Health Occupations Revision Act of 1985, effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code 3-1203.02(14) (2016 Repl.)), …

9320 STANDARDS FOR HOME HEALTH AIDE TRAINING PROGRAMS 9320.1 No institution shall provide HHA training in the District of Columbia unless its training program has been approved by the Board. 9320.2 The following types of institutions may apply for approval to provide HHA training…

9321 SUPERVISED PRACTICE OF HOME HEALTH AIDE TRAINEES 9321.1 An HHA trainee may practice only in accordance with the Act and this chapter. 9321.2 A trainee who is fulfilling educational requirements under this chapter may engage in supervised practice without a District of Columb…

9322 RESERVED SOURCE: Final Rulemaking published at 59 DCR 8359, 8372 (July 13, 2012). AUTHORITY: DC-DCMR Section 302(14) of the District of Columbia Health Occupations Revision Act of 1985, effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code 3-1203.02(14) (2016 Repl.)), …

9323 RESERVED SOURCE: Final Rulemaking published at 59 DCR 8359, 8372 (July 13, 2012). AUTHORITY: DC-DCMR Section 302(14) of the District of Columbia Health Occupations Revision Act of 1985, effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code 3-1203.02(14) (2016 Repl.)), …

9324 HOME HEALTH AIDE PROGRAM APPROVAL PROCEDURES 9324.1 Each institution applying for approval to provide HHA training shall do the following: At least ninety (90) days in advance of the scheduled starting date, submit to the Board a statement of intent to establish an HHA train…

9325 PERIODIC REVIEWS OF APPROVED PROGRAMS 9325.1 Programs approved by the Board to train HHAs shall submit to the Board an annual report and pay the fee in accordance with procedures set out by the Board. 9325.2 The Board shall re-evaluate HHA training programs at least once a y…

9326 RESERVED SOURCE: Final Rulemaking published at 59 DCR 8359, 8376 (July 13, 2012). AUTHORITY: DC-DCMR Section 302(14) of the District of Columbia Health Occupations Revision Act of 1985, effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code 3-1203.02(14) (2016 Repl.)), …

9327 HOME HEALTH AIDE TRAINING PROGRAM REQUIREMENTS 9327.1 Training programs shall use the Board approved home health aide model curriculum, as it may be amended from time to time. 9327.2 [REPEALED]. 9327.3 The training program shall be coordinated by a registered nurse who: Has …

9328 MINIMUM QUALIFICATIONS FOR HOME HEALTH AIDE TRAINEES 9328.1 Each trainee shall be required to take a Board-approved pre-admission examination to assess reading, writing, and math skills prior to enrollment in a training program. 9328.2 Each trainee shall be required to provi…

9329 RESERVED SOURCE: Final Rulemaking published at 59 DCR 8359, 8383 (July 13, 2012). AUTHORITY: DC-DCMR Section 302(14) of the District of Columbia Health Occupations Revision Act of 1985, effective March 15, 1986 (D.C. Law 6-99; D.C. Official Code 3-1203.02(14) (2016 Repl.)), …

9330 CLOSING OF EDUCATION AND TRAINING PROGRAMS 9330.1 Each HHA program that voluntarily closes shall: (a) As early as reasonably possible, notify the Board, in writing, of the intended closing, stating the reason(s) for and planned date of the intended closing; (b) Continue the …

9331 RECORDS RETENTION 9331.1 Each HHA training program shall maintain an accurate and appropriate system of record keeping. 9331.2 Each HHA training program shall ensure that administrative and personnel records are protected against loss, destruction, and unauthorized review. 9…

9332 RESOURCES, FACILITIES, AND SERVICES 9332.1 Each HHA training program shall maintain resources, facilities, and services which are adequate to accommodate the training program. The resources, facilities, and services shall include, but are not limited to: (a) Adequate tempera…

9399 DEFINITIONS 9399.1 As used in this chapter, the following terms shall have the meanings ascribed: Abuse - any willful or reckless act or omission that causes or is likely to cause or contribute to, or which caused or is likely to have caused or contributed to, physical or em…

9400 GENERAL PROVISIONS 9400.1 This chapter applies to applicants for, and holders of, a registration to practice as a dialysis technician (DT). 9400.2 Chapter 40 (Health Occupations: General Rules) and 41 (Health Occupations: Administrative Procedures) of this title apply to hol…

9401 REGISTRATION 9401.1 Pursuant to 42 CFR § 494.180(b)(5), no person shall practice as a DT in the District of Columbia longer than eighteen (18) months without being registered by the Board of Nursing (Board) as a DT. 9401.2 A DT shall be certified pursuant to § 9404.1(d) and …

9402 TERM OF REGISTRATION 9402.1 Subject to § 9401.1, a registration issued pursuant to this chapter shall expire at 11:59 p.m. on October 31 of each even-numbered year. 9402.2 The Director may modify the renewal system pursuant to § 4006.3 of Chapter 40 of this title and may mod…

9403 CRIMINAL BACKGROUND CHECK 9403.1 A person applying for registration (“an applicant”) as a DT shall undergo a criminal background check (CBC) prior to issuance of the registration. 9403.2 After issuance of an initial certification, the applicant shall undergo an additional CB…

9404 GENERAL REQUIREMENTS FOR DIALYSIS TECHNICIAN REGISTRATION 9404.1 An applicant for registration as a DT shall: Be at least eighteen (18) years of age; (b) Have graduated from high school or have a graduate equivalency diploma; (c) Submit an application and application fee; an…

9406 DIALYSIS TECHNICIAN REGISTRATION BY ENDORSEMENT 9406.1 An applicant currently working in another jurisdiction as a DT shall apply for registration as a DT by endorsement in order to work in the District of Columbia as a DT. 9406.2 An applicant for registration by endorsement…

9407 DIALYSIS TECHNICIAN REGISTRATION RENEWAL To qualify for the renewal of a registration, an applicant shall: (a) Have practiced for a minimum of one hundred (100) hours during the prior twenty-four (24) months as a dialysis technician under the supervision of a registered nurs…

9408 DIALYSIS TECHNICIAN INACTIVE STATUS AND REACTIVATION OF REGISTRATION 9408.1 A DT with an active certification may request to be placed on inactive status. 9408.2 While on inactive status, the individual shall not be subject to the renewal fee and shall not practice as a DT i…

9409 DIALYSIS TECHNICIAN REINSTATEMENT OF EXPIRED REGISTRATION 9409.1 If a DT fails to renew his or her registration, the Board shall reinstate the registration if the applicant: Applies to the Board for reinstatement of the registration within five (5) years after the registrati…

9413 ASSIGNMENT AND DELEGATION OF NURSING CARE TASKS TO DIALYSIS TECHNICIANS 9413.1 A registered nurse (RN) may delegate nursing care tasks to a DT. 9413.2 A DT shall not practice independently but shall work under the supervision of a RN. 9413.3 Dialysis tasks that may be delega…

9415 DIALYSIS TECHNICIAN TASKS 9415.1 A DT may perform the following tasks under the supervision of a registered nurse, nurse practitioner, or physician while utilizing effective communication and interpersonal skills: (a) Preparing and cannulating peripheral access sites; (b) In…

9417 DISCIPLINE 9417.1 The Board may revoke, suspend, or deny the registration of any DT who is convicted of any crime involving moral turpitude pursuant to D.C. Official Code § 3-1205.14(a)(4) (20126 Repl. & 2018 Supp.). 9417.2 In addition to any other disciplinary action it may…

9420 STANDARDS FOR DIALYSIS TECHNICIAN TRAINING PROGRAMS 9420.1 A medical director and nurse manager shall be responsible for patient care and outcomes in DT training programs. 9420.2 The medical director shall be accountable to the governing body of the dialysis facility for the…

9499 DEFINITIONS 9499.1 As used in this chapter, the following terms shall have the meanings ascribed: Abuse - any willful or reckless act or omission by a DT that causes or is likely to cause or contribute to, or which caused or is likely to have caused or contributed to, physic…

9500 GENERAL PROVISIONS 9500.1 This chapter applies to applicants for, and holders of, a certification to practice as a medication aide (MA-C). 9500.2 Chapter 40 (Health Occupations: General Rules) and 41 (Health Occupations: Administrative Procedures) of this title apply to hold…

9501 CERTIFICATION 9501.1 No person shall practice as an MA-C in the District of Columbia without being certified by the Board of Nursing (Board). SOURCE: Final Rulemaking published at 66 DCR 11404 (August 23, 2019). District of Columbia Municipal Regulations Business, Occupation…

9502 TERM OF CERTIFICATION 9502.1 Subject to § 9501.1, a certification issued pursuant to this chapter shall expire at 11:59 p.m. on October 31 of each odd-numbered year. 9502.2 The Director of the Department of Health (DOH) may modify the renewal system pursuant to § 4006.3 of C…

9503 CRIMINAL BACKGROUND CHECK 9503.1 A person applying for certification as an MA-C shall undergo a criminal background check (CBC) prior to issuance of the certification. 9503.2 After issuance of an initial certification, the applicant shall undergo an additional CBC in accorda…

9504 GENERAL REQUIREMENTS FOR MEDICATION AIDE CERTIFICATION 9504.1 An applicant for certification as an MA-C shall: (a) Be at least eighteen (18) years of age; (b) Provide evidence of having passed the National Council of Boards of Nursing (NCSBN) Medication Aide Certification Ex…

9505 REQUIREMENTS FOR MEDICATION AIDE CERTIFICATION BY EXAMINATION 9505.1 To qualify for certification by examination an applicant shall: Receive a passing score on the MACE; and (b) Meet requirements of this chapter. 9505.2 To apply for authorization to take an MA-C examination,…

9506 REQUIREMENTS FOR MEDICATION AIDE CERTIFICATION BY ENDORSEMENT 9506.1 An applicant currently working in another jurisdiction as an MA-C shall apply for MA-C by endorsement in order to work in the District of Columbia as an MA-C. 9506.2 An applicant for MA-C by endorsement sha…

9507 MEDICATION AIDE CERTIFICATION RENEWAL 9507.1 To qualify for the renewal of a certification, an applicant shall: (a) Have performed at least eight (8) hours of functions enumerated in § 9515.1(b), (e), (f), (g), (h), and (i) for compensation during the twelve (12) months prio…

9508 MEDICATION AIDE INACTIVE STATUS AND REACTIVATION OF CERTIFICATION 9508.1 An MA-C with an active certification may request to be placed on inactive status. 9508.2 While on inactive status, an MA-C shall not be subject to the renewal fee and shall not practice, attempt to prac…

9509 REINSTATEMENT OF EXPIRED CERTIFICATION 9509.1 If an MA-C fails to renew his or her certification, the Board shall reinstate the certification if the applicant: (a) Applies to the Board for reinstatement of the certification within five (5) years after the certification expir…

9513 ASSIGNMENT AND DELEGATION OF NURSING CARE TASKS TO MEDICATION AIDES 9513.1 An RN or LPN may assign or delegate tasks to an MA-C if the task is appropriate to the level of knowledge and skill of the MA-C and is within the scope of authorized tasks of the MA-C listed in § 9515…

9515 MEDICATION AIDE TASKS 9515.1 The MA-C may perform the following under the supervision of an RN or LPN: (a) Providing effective communication and interpersonal skills; (b) Administering epinephrine via an auto injector to treat severe allergic reactions to insect stings, bite…

9516 REPORTING REQUIREMENTS 9516.1 Based on agency or facility policies, the MA-C shall document which drugs have been administered and shall document whether drugs have been taken by the patient as ordered. 9516.2 The MA-C shall: Report the following to the supervising nurse: Si…

9517 DISCIPLINE 9517.1 The Board may revoke, suspend, or deny registration of any MA-C who is convicted of any crime involving moral turpitude pursuant to D.C. Official Code § 3-1205.14(a)(4) (2016 Repl. and 2018 Supp.). 9517.2 In addition to any other disciplinary action it may …