# COMAR Title 10 — Maryland Department of Health

## Subtitle 05 — Freestanding Ambulatory Care Facilities

### Chapter 04 — Freestanding Kidney Dialysis Centers

#### Regulation .13 In-Center Nocturnal Hemodialysis.

*COMAR 10.05.04.13*

Before performing in-center nocturnal hemodialysis, the facility’s interdisciplinary team shall:

A. Determine the patient’s appropriateness for in-center nocturnal hemodialysis by considering the patient’s:

  (1) Overall medical condition;

  (2) Expectations for care;

  (3) Response to in-center day-time hemodialysis; and

  (4) Availability of transportation;

B. Document the patient’s appropriateness for in-center nocturnal hemodialysis in the patient’s medical record; and

C. Obtain an order from a physician, nurse practitioner, or physician assistant for in-center nocturnal hemodialysis.