<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".13" citation="COMAR 10.05.04.13" title_num="10" subtitle_num="05" chapter_num="04" heading="In-Center Nocturnal Hemodialysis.">
  <text>Before performing in-center nocturnal hemodialysis, the facility’s interdisciplinary team shall:</text>
  <paragraph num="A.">
    <text>Determine the patient’s appropriateness for in-center nocturnal hemodialysis by considering the patient’s:</text>
    <paragraph num="(1)">
      <text>Overall medical condition;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Expectations for care;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Response to in-center day-time hemodialysis; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Availability of transportation;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Document the patient’s appropriateness for in-center nocturnal hemodialysis in the patient’s medical record; and</text>
  </paragraph>
  <paragraph num="C.">
    <text>Obtain an order from a physician, nurse practitioner, or physician assistant for in-center nocturnal hemodialysis.</text>
  </paragraph>
</regulation>