The registered nurse shall be accountable and responsible for the development and initiation of the health teaching plan and for health counseling of the patient. The nurse shall be accountable and responsible for facilitating and promoting: Patient education; and Participation of the patient and significant others in implementation of health goals. Certified dialysis technicians given instruction and direction by the nurse may supplement the health teaching by providing standardized information to the patient. The certified dialysis technician is responsible and accountable for reporting information to the nurse regarding the patient's: Request for information; and Response to teaching provided by the nurse or reinforcement provided by the certified dialysis technician.