Florida Department of Education
Curriculum Framework 

Program Title: 	Hemodialysis Technician
Program Type: 	Career Preparatory
Career Cluster: 	Health Science

Career Certificate Program	
Program Number	H170207	
CIP Number	0351101100	
Grade Level	30, 31	
Program Length	600 hours	
Teacher Certification	Refer to the Program Structure section.	
CTSO	HOSA	
SOC Codes (all applicable)  	For program SOC codes, please see the Program and Course Tables section of the CTE Program Resources page linked below.	
CTE Program Resources 	http://www.fldoe.org/academics/career-adult-edu/career-tech-edu/program-resources.stml	
Basic Skills Level	Computation (Mathematics):	10	Communications (Reading and Language Arts):	10	

Purpose

This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Health Science career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of Health Science career cluster. 

The content includes but is not limited to communication and interpersonal skills, legal and ethical responsibilities, renal health-illness concepts, hemodialysis skills, emergency procedures including CPR and first aid, safety and security procedures, medical terminology, anatomy and physiology, and employability skills.

Additional Information relevant to this Career and Technical Education (CTE) program is provided at the end of this document.

Program Structure

This program is a planned sequence of instruction consisting of 2 occupational completion points.

This program is comprised of courses which have been assigned course numbers in the SCNS (Statewide Course Numbering System) in accordance with Section 1007.24 (1), F.S.  Career and Technical credit shall be awarded to the student on a transcript in accordance with Section 1001.44(3) (b), F.S.

To teach the courses listed below, instructors must hold at least one of the teacher certifications indicated for that course.

The following table illustrates the postsecondary program structure:

OCP	Course Number	Course Title	Teacher Certification	Length	
A	HSC0003	Basic Healthcare Worker	REG NURSE 7 G
HEMO TEC 7 G
PRAC NURSE @7  %7%G (Must be a Registered Nurse)	90 hours	

B	MLT0368	Dialysis Technician 1		255 hours	
	MLT0369	Dialysis Technician 2		255 hours	

Florida’s Career Readiness Skills for CTE Programs

Employability Skills	
01.0	Apply academic skills to workplace scenarios.	
01.01	Use reading skills.	
01.02	Use writing skills.	
01.03	Use mathematical strategies and procedures.	
01.04	Use scientific principles and procedures.	
02.0	Design a solution to an industry problem.	
02.01	Use critical thinking.	
02.02	Use creativity.	
02.03	Make sound decisions.	
02.04	Solve problems.	
02.05	Reason. 	
02.06	Plan and organize.	
03.0	Manage resources within an industry project	
03.01	Manage time.	
03.02	Manage money or resources.	
03.03	Manage materials.	
03.04	Manage personnel.	
04.0	Oversee the subcomponents, operations and output of a technical or organizational system.	
04.01	Manage systems.	
04.02	Monitor systems.	
04.03	Improve systems.	
05.0	Use information for decision making.	
05.01	Locate information.	
05.02	Organize information.	
05.03	Use information.	
05.04	Analyze information.	
05.05	Communicate information.	
06.0	Apply relevant technology to workplace scenarios to aid productivity.	
06.01	Use technology.	
07.0	Interpret and express interpersonal communication.	
07.01	Communicate verbally.	
07.02	Listen actively.	
07.03	Comprehend written material.	
07.04	Convey information in writing.	
07.05	Communicate nonverbally.	
07.06	Interpret nonverbal communication.	
08.0	Interact with others to accomplish workplace goals.	
08.01	Collaborate with others in a team.	
08.02	Respond to customer needs.	
08.03	Exercise leadership.	
08.04	Negotiate to resolve conflict.	
08.05	Respect others.	
09.0	Manage personal behavior to maximize productivity and professional growth.	
09.01	Demonstrate responsibility and self-discipline.	
09.02	Adapt and show flexibility.	
09.03	Work independently.	
09.04	Demonstrate a willingness to learn.	
09.05	Demonstrate integrity.	
09.06	Demonstrate professionalism.	
09.07	Take initiative.	
09.08	Display positive attitude.	
09.09	Take responsibility for professional growth.	
Job Attainment	
10.0	Find, assess and apply to job opportunities.	
10.01	Identify online job posts relevant to his or her career aspirations.	
10.02	Compare and contrast the job posts’ required qualifications, job duties, compensation, benefits and employers. 	
10.03	Define what information, documentation and writing prompts are required for the positions.	
11.0	Communicate personal competence, character and fit for a job opportunity.	
11.01	Develop a resume.	
11.02	Write a cover letter.	
11.03	Curate a professional portfolio that includes work products.	
11.04	Prepare for and experience a mock job interview.	
12.0	Cultivate and leverage relationships to professionally advance.	
12.01	Request a signed reference letter, letter of recommendation and/or an online skill/professionalism endorsement. 	
12.02	Develop a plan to cultivate a professional digital footprint.	
12.03	Develop a networking plan for a specific industry of interest.	

Standards

After successfully completing this program, the student will be able to perform the following:

01.0	Demonstrate knowledge of the healthcare delivery system and health occupations.
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively.
03.0	Demonstrate legal and ethical responsibilities.
04.0	Demonstrate an understanding of and apply wellness and disease concepts.
05.0	Recognize and practice safety and security procedures.
06.0	Recognize and respond to emergency situations.
07.0	Recognize and practice infection control procedures.
08.0	Demonstrate an understanding of information technology applications in healthcare.
09.0	Demonstrate employability skills.
10.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS.
11.0	Apply basic math and science skills. 
12.0	Demonstrate accepted professional, communication and interpersonal skills specific to the dialysis setting.
13.0	Identify normal and abnormal anatomic structure and function of body systems in relation to services performed by a Hemodialysis Technician.
14.0	Practice infection control following universal precautions.
15.0	Recognize and demonstrate knowledge of how to utilize equipment and supplies specific to dialysis.
16.0	Demonstrate skills and knowledge necessary to perform dialysis technician duties.
17.0	Practice accepted procedures of transporting specimens.
18.0	Practice quality assurance and safety.
19.0	Demonstrate emergency planning and response. 
20.0	

Florida Department of Education
Student Performance Standards

Program Title: 	Hemodialysis Technician
Career Certificate Program Number: 	H17207

The Basic Health Care Worker (HSC0003) is referred to as the Health Science Core and is the first OCP in the majority of the Career Certificate Program health science programs. Secondary and Postsecondary students completing the health science core will not have to repeat the core in any other health science program in which it is a part.  When the recommended sequence is followed, the structure allows students to complete at specified points for employment or remain for advanced training or cross-training.

Course Number:  HSC0003
Occupational Completion Point:  A 
Basic Healthcare Worker – 90 Hours	
 
To ensure consistency whenever these courses are offered, the health science core standards (1-11) and benchmarks have been placed in a separate document. To access this document, visit this link: 
https://www.fldoe.org/file/20894/health-sci-core-psav-cc-2627.rtf

Course Number: MLT0368
Occupational Completion Point: B
Dialysis Technician 1 – 255 Hours	
12.0	Demonstrate accepted professional, communication, and interpersonal skills specific to the dialysis setting.  The student will be able to:	
12.01	Demonstrate knowledge of correct medical terminology related to dialysis.	
12.02	Demonstrate ability to work as a member of the hemodialysis team.	
12.03	Demonstrate knowledge of various professional organizations related to hemodialysis.  	
12.04	Recognize the importance of continuing education and renewal of certification.	
12.05	Recognize and respond appropriately to request from or to other departments or health care team members.	
12.06	Describe the role of other health team members who interact with the dialysis team.	
13.0	Identify normal and abnormal anatomic structure and function of body systems in relation to services performed by a hemodialysis technician.  The student will be able to:	
13.01	Demonstrate knowledge of basic structure of the kidney.	
13.02	Demonstrate knowledge of basic physiology of the kidney including but not limited to filtration, diffusion, osmosis, and electrolyte interchange.	
13.03	Recognize function of endocrine system as related to the kidney.	
13.04	Describe interaction of other body systems related to dialysis.	
13.05	Discuss diseases, including diagnosis, treatment, and signs and symptoms, which may lead to kidney failure and need for dialysis.	
14.0	Practice infection control following standard precautions.  The student will be able to:	
14.01	Demonstrate knowledge of how (when) to utilize personal protection equipment (PPE).	
14.02	Demonstrate ability to recognize biohazardous waste storage and disposal, including, but not limited to isolation room waste.	
14.03	Follow standard precautions, clean techniques and OSHA regulations appropriately 	
14.04	Label biohazardous waste correctly including date and location.	
15.0	Recognize and demonstrate knowledge of how to utilize equipment and supplies specific to dialysis.  The student will be able to:	
15.01	Demonstrate use of water quality instrumentation including, but not limited to pH meter, conductivity meter and chloramine meter.	
15.02	Recognize supplies needed to conduct the hemodialysis treatment.	
15.03	Demonstrate ability to conduct daily inventory of hemodialysis supplies including, but not limited to dialysis, blood lines, and sodium chloride.	
15.04	Recognize necessity of keeping areas stocked for each staff.	
	
Course Number: MLT0369
Occupational Completion Point: B
Dialysis Technician 2 – 255 Hours 	
16.0	Demonstrate skills and knowledge necessary to perform dialysis technician duties.  The student will be able to:	
16.01	Demonstrate accurate documentation, machine troubleshooting, and follow-up of whole patient hemodialysis treatment.	
16.02	Recognize any visual changes in patient’s behavior, hemodialysis machines and water room.	
16.03	Demonstrate knowledge of the purpose of water softeners, carbon tank, reverse osmosis, and deionization, follow the monitoring guidelines for water purification equipment, distribution Systems and dialysate.	
16.04	Demonstrate ability to cannulate, assess and confirm blood flow direction in patient's access; including, but not limited to signs of infection and patency.	
17.0	Practice accepted procedures of transporting specimens.  The student will be able to:	
17.01	Collect blood specimens utilizing correct drawing techniques, refrigeration, packing, and transportation.	
17.02	Follow laboratory's policy and procedures (P and P) from collection of specimens to separation of blood form elements.	
18.0	Practice quality assurance and safety.  The student will be able to:	
18.01	Demonstrate how to follow-up physician's medical orders, including, but not limited to treatment length, blood flow rates, dialysis type and concentration. 	
18.02	Assist with maintenance of appropriate aseptic techniques (clean and/or sterile) during cannulation.	
18.03	Recognize patient's target weight (TW) importance, and maximum ultra-filtration rate possible.	
18.04	Describe patient's probable prognosis when dry weight is not reached.	
18.05	Demonstrate patient safety practices as related to permanent monitor patient - machine.	
18.06	Identify appropriate procedures and protocols to manage and correct common complications, including but not limited to, intradialytic hypotension, air embolisms, exsanguination (mass blood loss) and hemolysis.	
19.0	Demonstrate emergency planning and response.  The students will be able to: 	
19.01	Demonstrate ability to follow the steps of emergency preparedness, including regulations, oversights and threat levels. 	
19.02	Demonstrate the ability to perform rapid and safe patient disconnection in the event of an emergency situation. 	

Additional Information

Laboratory Activities

Laboratory investigations that include scientific inquiry, research, measurement, problem solving, emerging technologies, tools and equipment, as well as, experimental, quality, and safety procedures are an integral part of this career and technical program/course. Laboratory investigations benefit all students by developing an understanding of the complexity and ambiguity of empirical work, as well as the skills required to manage, operate, calibrate and troubleshoot equipment/tools used to make observations. Students understand measurement error; and have the skills to aggregate, interpret, and present the resulting data. Equipment and supplies should be provided to enhance hands-on experiences for students.

Hands on clinical experience should be provided as part of the program of study. Refer to specific certification exam eligibility requirements in relation to clinical experience. 

Special Notes

This program meets the Department of Health’s education requirements for HIV/AIDS, Domestic Violence and Prevention of Medical Errors.  Although not a requirement for initial licensure, it is a requirement for renewal, therefore the instructor may provide a certificate for renewal purposes to the student verifying these requirements have been met.

If students in this program are seeking a licensure, certificate or registration through the Department of Health, please refer to 456.0635, F.S. for more information on disqualification for a license, certificate, or registration through the Department of Health. 
State or Industry certification examinations are now part of the Centers of Medicare and Medicaid Services' (CMS) requirements and are available through several state and independent professional certification agencies:
 Nephrology Nursing Certification Commission (NNCC) http://www.nncc-exam.org 
 The Board of Nephrology Examiners Nursing and Technology (BONENT) https://bonent.org/exams-certifications/

The Core should be taken first in the program. Following the successful completion of the core, the student is eligible to take the National Health Care Foundation Skill Standards Assessment with instructor approval and the completion of a portfolio.

Career and Technical Student Organization (CTSO)

CTSOs are co-curricular career and technical student organizations providing leadership training and reinforcing specific career and technical skills. Career and Technical Student Organizations provide activities for students as an integral part of the instruction offered. Other CTSOs not listed in this curriculum framework or recognized by the Florida Department of Education are permissible provided they support student mastery over the standards and benchmarks of this curriculum framework.

Cooperative Training – OJT

On-the-job training is appropriate but not required for this program.  Whenever offered, the rules, guidelines, and requirements specified in the OJT framework apply. 

Basic Skills 

In Career Certificate programs offered for 450 hours or more, in accordance with Rule 6A-10.040, F.A.C., the minimum basic skills grade levels required for postsecondary adult career and technical students to complete this program are:  Computation (Mathematics) and Communications (Reading and Language Arts). These grade level numbers correspond to a grade equivalent score obtained on a state designated basic skills examination.

Adult students with disabilities, as defined in Section 1004.02, Florida Statutes, may be exempted from meeting the Basic Skills requirements (Rule 6A-10.040).  Students served in exceptional student education (except gifted) as defined in s. 1003.01, F.S., may also be exempted from meeting the Basic Skills requirement.  Each school district and Florida College System Institution must adopt a policy addressing procedures for exempting eligible students with disabilities from the Basic Skills requirement as permitted in Section 1004.91, F.S.

Accommodations

Federal and state legislation requires the provision of accommodations for students with disabilities to meet individual needs and ensure equal access. Postsecondary students with disabilities must self-identify, present documentation, request accommodations if needed, and develop a plan with their counselor and/or instructors. Accommodations received in postsecondary education may differ from those received in secondary education. Accommodations change the way the student is instructed. Students with disabilities may need accommodations in such areas as instructional methods and materials, assignments and assessments, time demands and schedules, learning environment, assistive technology and special communication systems. Documentation of the accommodations requested and provided should be maintained in a confidential file.

Note: postsecondary curriculum and regulated secondary programs cannot be modified.