Performance of the following acts by any dialysis technician who is not a licensed vocational nurse is prohibited:(1) initiation of patient education;(2) alteration of ordered treatment, including shortening of the treatment time;(3) initiation or discontinuation of dialysis via a central catheter, manipulation of a central catheter, or dressing changes for a central catheter;(4) administration of any medications other than normal saline, heparin, lidocaine, or oxygen, which may only be administered in the course of a routine dialysis treatment;(5) administration of blood or blood products;(6) performance of nonaccess site arterial puncture;(7) acceptance of physician orders;(8) provision of hemodialysis treatment to pediatric patients less than 35 kilograms;(9) alteration of the level of electrolytes in dialysate through the use of additive(s) ("spiking"); and(10) initiation or discontinuation of dialysis via an implantable port.