LEGAL PROTECTION FOR PROFESSIONAL NURSES WORKING IN HEMODIALYSIS ROOMS

Abstract

In providing services within the hemodialysis unit, doctors, nurses, and hospitals must be prepared to assume responsibility for all related activities. Nurses, in particular, must receive appropriate protection when undertaking actions beyond their authority, such as collaborative tasks. This research investigates: (1) the procedure for delegating authority from doctors to nurses in the hemodialysis room; (2) the responsibilities of nurses working in the hospital hemodialysis unit; and (3) the policies related to legal protection for nurses in this context. The study employs a normative juridical approach, specifically focusing on statutory regulations, and utilizes secondary data, including primary, secondary, and tertiary legal materials. The findings reveal that the delegation of authority from doctors to nurses in the hemodialysis unit involves several stages. Initially, the implementing doctor must ensure that the delegation is documented in writing, that the nurse possesses the requisite competence, and that the nurse is willing to accept the authority, with hemodialysis being performed under the implementing doctor’s supervision. If these conditions are met, the delegation can proceed. The delegation of authority, based on the nurse’s vocational skills and professional qualifications, is ideally executed on a mandate basis with active oversight by the implementing doctor. The research also highlights that nurses' responsibilities in the hemodialysis room are governed by various legal and professional provisions, including criminal, civil, and administrative regulations. Legal protection for nurses is primarily linked to their competence, as stipulated by the Regulation of the Minister of Health concerning the Implementation of Dialysis Services. However, Standard Operating Procedures (SOPs) for hemodialysis services are determined by individual hospital policies.