{"data":{"id":"us-il/225-ilcs-66-10","jurisdiction":"us-il","citation":"225 ILCS 66/10","heading":"Regulation of delegation in kidney disease treatment centers.","body":"(a) Notwithstanding any provision of the Nurse Practice Act or any rule of the Department to the contrary, an individual working in a kidney disease treatment center shall be considered a licensed individual for the purposes of delegation under Section 50-75 of the Nurse Practice Act.\n(b) Notwithstanding any provision of the Nurse Practice Act or any rule of the Department to the contrary, delegation under this Section, including, but not limited to, delegation of the performance of central venous catheter procedures in a kidney disease treatment center, shall only be allowed if the individual receiving delegation is a licensed practical nurse who has obtained the proper training, education, and experience or a certified dialysis technician who currently holds, or is in the process of acquiring, the necessary experience to apply for and obtain one of the following certifications:\n(1) certified clinical hemodialysis technician by the Nephrology Nursing Certification Commission; or\n(2) certified hemodialysis technologist/technician by the Board of Nephrology Examiners Nursing and Technology.\n(c) Notwithstanding any provision of the Nurse Practice Act or any rule of the Department to the contrary, delegation under this Section shall not include medication administration, except for the administration of heparin and saline for the purposes of performing dialysis treatments and flushing lines and the application of topical anesthetics. All patient care provided by a licensed practical nurse or a certified dialysis technician practicing under this Section shall be under the direct and immediate on-site supervision of a licensed physician, advanced practice registered nurse, physician assistant, or registered nurse. A certified dialysis technician shall not be permitted to administer heparin and saline to a patient with a central venous catheter.\nAdditionally, the following conditions must be present:\n(1) the RN or APRN must complete an assessment of the patient's nursing care needs prior to the delegation and make modifications to the patient's nursing care needs during the course of dialysis treatment to address any patient problems and complications;\n(2) the RN or APRN must have either instructed the certified dialysis technician or LPN in the delegated activity or verified the individual's competency to perform the activity; and\n(3) clinical competency of an individual delegated to under this Section shall be documented and available and verified at least annually by the individual's employer. If the delegating party is a physician or physician assistant, the physician or physician assistant shall act in a similar manner as required by the Medical Practice Act of 1987 and the Physician Assistant Practice Act of 1987.\n(d) Delegation under this Section shall comply with Section 50-75 of the Nurse Practice Act and any rules adopted under the Illinois Health Facilities Planning Act, the Nurse Practice Act, and any other Illinois statute or rule regarding the operation of a kidney disease treatment center as described by this Section.\n(e) Nothing in this Section shall be construed to apply to any other facility or practice setting. This Section shall not be construed as granting a license under the Nurse Practice Act and shall not allow individuals receiving delegation under this Section to use any title regulated by the Nurse Practice Act. Nothing in this Act shall be construed to limit the ability of a licensed physician to practice medicine in all its branches.","path":["CHAPTER 225 PROFESSIONS, OCCUPATIONS, AND BUSINESS OPERATIONS","Kidney Disease Treatment Delegation Act."],"source_url":"https://www.ilga.gov/legislation/ILCS/details?ActID=4698\u0026ChapterID=24\u0026ChapAct=FullText\u0026Print=True","current_through":"at least Public Act 104-790","vintage":"","retrieved_at":"2026-09-15T04:46:31Z","sha256":"4d13c2d1ce0b60e302f88866031020ec511da0878633c6a544572404e1ce0543","source_id":"us-il","stale":false,"prev":"us-il/225-ilcs-66-5","next":"us-il/225-ilcs-66-15"},"notice":"GroundRules: Original legal text. Not legal advice."}