reglab/statecodes huggingface dataset:
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.080 - Commission—Order of removal—Vacancy.

RCW 18.79.080
Commission—Order of removal—Vacancy.
The governor may remove a member of the *commission for neglect of duty, misconduct, malfeasance or misfeasance in office, or for incompetency or unprofessional conduct as defined in chapter 18.130 RCW. Whenever the governor is satisfied that a member of the *commission has been guilty of neglect of duty, misconduct, malfeasance or misfeasance in office, or of incompetency or unprofessional conduct, the governor shall file with the secretary of state a statement of the causes for and the order of removal from office, and the secretary shall forthwith send a certified copy of the statement of causes and order of removal to the last known post office address of the member. If a vacancy occurs on the *commission, the governor shall appoint a replacement member to fill the remainder of the unexpired term.
[ 1994 sp.s. c 9 § 408.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.090 - Commission—Compensation.

RCW 18.79.090
Commission—Compensation.
Each *commission member shall be compensated in accordance with RCW 43.03.265 and shall be paid travel expenses when away from home in accordance with RCW 43.03.050 and 43.03.060.
[ 1999 c 366 § 5; 1994 sp.s. c 9 § 409.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.100 - Commission—Officers—Meetings.

RCW 18.79.100
Commission—Officers—Meetings.
The *commission shall annually elect officers from among its members. The *commission shall meet at least quarterly at times and places it designates. It shall hold such other meetings during the year as may be deemed necessary to transact its business. A majority of the *commission members appointed and serving constitutes a quorum at a meeting. All meetings of the *commission must be open and public, except that the *commission may hold executive sessions to the extent permitted by chapter 42.30 RCW.
Carrying a motion or resolution, adopting a rule, or passing a measure requires the affirmative vote of a majority of a quorum of the *commission. The *commission may appoint panels consisting of at least three members. A quorum for transaction of any business by a panel is a minimum of three members. A majority vote of a quorum of the panel is required to transact business delegated to it by the *commission.
[ 1994 sp.s. c 9 § 410.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.120 - Application of Uniform Disciplinary Act.

RCW 18.79.120
Application of Uniform Disciplinary Act.
The Uniform Disciplinary Act, chapter 18.130 RCW, governs unlicensed practice, the issuance and denial of licenses, and the discipline of licensees under this chapter.
[ 1994 sp.s. c 9 § 412.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.140 - Executive director—Qualifications.

RCW 18.79.140
Executive director—Qualifications.
The executive director must be a graduate of a college or university, with a masters' degree.
[ 2022 c 240 § 33; 1994 sp.s. c 9 § 414.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.150 - Schools and programs—Requirements—Approval.

RCW 18.79.150
Schools and programs—Requirements—Approval.
An institution desiring to conduct a school of registered nursing or a school or program of practical nursing, or both, shall apply to the *commission and submit evidence satisfactory to the *commission that:
(1) It is prepared to carry out the curriculum approved by the *commission for basic registered nursing or practical nursing, or both; and
(2) It is prepared to meet other standards established by law and by the *commission.
The *commission shall make, or cause to be made, such surveys of the schools and programs, and of institutions and agencies to be used by the schools and programs, as it determines are necessary. If in the opinion of the *commission, the requirements for an approved school of registered nursing or a school or program of practical nursing, or both, are met, the *commission shall approve the school or program. The *nursing commission may grant approval to baccalaureate nursing education programs where the nurse administrator holds a graduate degree with a major in nursing and has sufficient experience as a registered nurse but does not hold a doctoral degree.
[ 2023 c 126 § 7; 1994 sp.s. c 9 § 415.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
Findings—2023 c 126: See note following RCW 28B.50.800.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.160 - Applicants—Required documentation—Criteria—Rules.

RCW 18.79.160
Applicants—Required documentation—Criteria—Rules.
(1) An applicant for a license to practice as a registered nurse shall submit to the *commission:
(a) An attested written application on a department form;
(b) An official transcript demonstrating graduation and successful completion of an approved program of nursing; and
(c) Any other official records specified by the *commission.
(2) An applicant for a license to practice as an advanced registered nurse practitioner shall submit to the *commission:
(a) An attested written application on a department form;
(b) An official transcript demonstrating graduation and successful completion of an advanced registered nurse practitioner program meeting criteria established by the *commission; and
(c) Any other official records specified by the *commission.
(3) An applicant for a license to practice as a licensed practical nurse shall submit to the *commission:
(a) An attested written application on a department form;
(b) Written official evidence that the applicant is over the age of eighteen;
(c) An official transcript demonstrating graduation and successful completion of an approved practical nursing program, or its equivalent; and
(d) Any other official records specified by the *commission.
(4) At the time of submission of the application, the applicant for a license to practice as a registered nurse, advanced registered nurse practitioner, or licensed practical nurse must not be in violation of chapter 18.130 RCW or this chapter.
(5) The *commission shall establish by rule the criteria for evaluating the education of all applicants.
[ 2004 c 262 § 6; 1994 sp.s. c 9 § 416.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
Findings—2004 c 262: See note following RCW 18.06.050.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.170 - Examination—Rules.

RCW 18.79.170
Examination—Rules.
An applicant for a license to practice as a registered nurse, advanced registered nurse practitioner, or licensed practical nurse must pass an examination in subjects determined by the *commission. The examination may be supplemented by an oral or practical examination. The *commission shall establish by rule the requirements for applicants who have failed the examination to qualify for reexamination.
[ 1994 sp.s. c 9 § 417.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.180 - Interim permits—License—Expiration upon failure.

RCW 18.79.180
Interim permits—License—Expiration upon failure.
When authorized by the *commission, the department shall issue an interim permit authorizing the applicant to practice registered nursing, advanced registered nursing, or licensed practical nursing, as appropriate, from the time of verification of the completion of the school or training program until notification of the results of the examination. Upon the applicant passing the examination, and if all other requirements established by the *commission for licensing are met, the department shall issue the applicant a license to practice registered nursing, advanced registered nursing, or licensed practical nursing, as appropriate. If the applicant fails the examination, the interim permit expires upon notification to the applicant, and is not renewable. The holder of an interim permit is subject to chapter 18.130 RCW.
[ 1994 sp.s. c 9 § 418.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.190 - Reciprocity—Foreign programs—Examination.

RCW 18.79.190
Reciprocity—Foreign programs—Examination.
Upon approval of the application by the *commission, the department shall issue a license by endorsement without examination to practice as a registered nurse or as a licensed practical nurse to a person who is licensed as a registered nurse or licensed practical nurse under the laws of another state, territory, or possession of the United States, and who meets all other qualifications for licensing.
An applicant who has graduated from a school or program of nursing outside the United States and is licensed as a registered nurse or licensed practical nurse, or their equivalents, outside the United States must meet all qualifications required by this chapter and pass examinations as determined by the *commission.
[ 1994 sp.s. c 9 § 419.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.200 - License procedures, requirements, fees.

RCW 18.79.200
License procedures, requirements, fees.
An applicant for a license to practice as a registered nurse, advanced registered nurse practitioner, or licensed practical nurse shall comply with administrative procedures, administrative requirements, and fees as determined under RCW 43.70.250 and 43.70.280.
[ 1996 c 191 § 62; 1994 sp.s. c 9 § 420.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.210 - License renewal—Procedures, requirements, fees.

RCW 18.79.210
License renewal—Procedures, requirements, fees.
A license issued under this chapter must be renewed, except as provided in this chapter. The licensee shall comply with administrative procedures, administrative requirements, and fees as determined under RCW 43.70.250 and 43.70.280.
[ 1996 c 191 § 63; 1994 sp.s. c 9 § 421.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.230 - Temporary retirement—Renewal—Fee—Qualification.

RCW 18.79.230
Temporary retirement—Renewal—Fee—Qualification.
A person licensed under this chapter who desires to retire temporarily from registered nursing practice, advanced registered nursing practice, or licensed practical nursing practice in this state shall send a written notice to the secretary.
Upon receipt of the notice the department shall place the name of the person on inactive status. While remaining on this status the person shall not practice in this state any form of nursing provided for in this chapter. When the person desires to resume practice, the person shall apply to the *commission for renewal of the license and pay a renewal fee to the state treasurer. Persons on inactive status for three years or more must provide evidence of knowledge and skill of current practice as required by the *commission or as provided in this chapter.
[ 1994 sp.s. c 9 § 423.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.250 - Advanced registered nurse practitioner—Activities allowed.

RCW 18.79.250
Advanced registered nurse practitioner—Activities allowed.
An advanced registered nurse practitioner under his or her license may perform for compensation nursing care, as that term is usually understood, of the ill, injured, or infirm, and in the course thereof, she or he may do the following things that shall not be done by a person not so licensed, except as provided in RCW 18.79.260 and 18.79.270:
(1) Perform specialized and advanced levels of nursing as recognized jointly by the medical and nursing professions, as defined by the *commission;
(2) Prescribe legend drugs and Schedule V controlled substances, as defined in the Uniform Controlled Substances Act, chapter 69.50 RCW, and Schedules II through IV subject to RCW 18.79.240(1) (r) or (s) within the scope of practice defined by the *commission;
(3) Perform all acts provided in RCW 18.79.260;
(4) Hold herself or himself out to the public or designate herself or himself as an advanced registered nurse practitioner or as a nurse practitioner.
[ 2000 c 64 § 4; 1994 sp.s. c 9 § 425.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
Severability—2000 c 64: See note following RCW 18.79.050.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.256 - Advanced registered nurse practitioner—Scope of practice—Document attestation.

RCW 18.79.256
Advanced registered nurse practitioner—Scope of practice—Document attestation.
An advanced registered nurse practitioner may sign and attest to any certificates, cards, forms, or other required documentation that a physician may sign, so long as it is within the advanced registered nurse practitioner's scope of practice.
[ 2015 c 104 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.270 - Licensed practical nurse—Activities allowed.

RCW 18.79.270
Licensed practical nurse—Activities allowed.
A licensed practical nurse under his or her license may perform nursing care, as that term is usually understood, of the ill, injured, or infirm, and in the course thereof may, under the direction of a licensed physician and surgeon, osteopathic physician and surgeon, dentist, naturopathic physician, podiatric physician and surgeon, physician assistant, advanced registered nurse practitioner, or midwife acting under the scope of his or her license, or at the direction and under the supervision of a registered nurse, administer drugs, medications, treatments, tests, injections, and inoculations, whether or not the piercing of tissues is involved and whether or not a degree of independent judgment and skill is required, when selected to do so by one of the licensed practitioners designated in this section, or by a registered nurse who need not be physically present; if the order given is reduced to writing within a reasonable time and made a part of the patient's record. Such direction must be for acts within the scope of licensed practical nurse practice.
[ 2020 c 80 § 19; 2012 c 13 § 4; 1995 c 295 § 2; 1994 sp.s. c 9 § 427.]
NOTES:
Effective date—2020 c 80 §§ 12-59: See note following RCW 7.68.030.
Intent—2020 c 80: See note following RCW 18.71A.010.
Effective date—1995 c 295: See note following RCW 18.79.260.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.280 - Medication, tests, treatments allowed.

RCW 18.79.280
Medication, tests, treatments allowed.
It is not a violation of chapter 18.71 RCW or of chapter 18.57 RCW for a registered nurse, at or under the general direction of a licensed physician and surgeon, or osteopathic physician and surgeon, to administer prescribed drugs, injections, inoculations, tests, or treatment whether or not the piercing of tissues is involved.
[ 1994 sp.s. c 9 § 428.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.290 - Catheterization of students—Rules.

RCW 18.79.290
Catheterization of students—Rules.
(1) In accordance with rules adopted by the *commission, public school districts and private schools that offer classes for any of grades kindergarten through twelve may provide for clean, intermittent bladder catheterization of students or assisted self-catheterization of students who are in the custody of the school district or private school at the time. After consultation with staff of the superintendent of public instruction, the *commission shall adopt rules in accordance with chapter 34.05 RCW, that provide for the following and such other matters as the *commission deems necessary to the proper implementation of this section:
(a) A requirement for a written, current, and unexpired request from a parent, legal guardian, or other person having legal control over the student that the school district or private school provide for the catheterization of the student;
(b) A requirement for a written, current, and unexpired request from a physician licensed under chapter 18.71 or 18.57 RCW, that catheterization of the student be provided for during the hours when school is in session or the hours when the student is under the supervision of school officials;
(c) A requirement for written, current, and unexpired instructions from an advanced registered nurse practitioner or a registered nurse licensed under this chapter regarding catheterization that include (i) a designation of the school district or private school employee or employees who may provide for the catheterization, and (ii) a description of the nature and extent of any required supervision; and
(d) The nature and extent of acceptable training that shall (i) be provided by a physician, advanced registered nurse practitioner, or registered nurse licensed under chapter 18.71 or 18.57 RCW, or this chapter, and (ii) be required of school district or private school employees who provide for the catheterization of a student under this section, except that a licensed practical nurse licensed under this chapter is exempt from training.
(2) This section does not require school districts to provide intermittent bladder catheterization of students.
[ 1994 sp.s. c 9 § 429.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
Catheterization of public and private school students: RCW 28A.210.280 and 28A.210.290.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.300 - Department—Rules for administration.

RCW 18.79.300
Department—Rules for administration.
The department, subject to chapter 34.05 RCW, the Washington Administrative Procedure Act, may adopt such reasonable rules as may be necessary to carry out the duties imposed upon it in the administration of this chapter.
[ 1994 sp.s. c 9 § 430.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.310 - Rules, regulations, decisions of previous boards—Effect.

RCW 18.79.310
Rules, regulations, decisions of previous boards—Effect.
As of July 1, 1994, all rules, regulations, decisions, and orders of the board of nursing under *chapter 18.88 RCW or the board of practical nursing under *chapter 18.78 RCW continue to be in effect under the **commission, until the **commission acts to modify the rules, regulations, decisions, or orders.
[ 1994 sp.s. c 9 § 431.]
NOTES:
Reviser's note: *(1) Chapters 18.88 and 18.78 RCW were repealed by 1994 sp.s. c 9 § 433, effective July 1, 1994.
**(2) The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.330 - Finding.

RCW 18.79.330
Finding.
The legislature finds a need to provide additional work-related opportunities for nursing students. Nursing students enrolled in bachelor of science programs or associate degree programs, working within the limits of their education, gain valuable judgment and knowledge through expanded work opportunities.
[ 2003 c 258 § 1.]
NOTES:
Severability—2003 c 258: "If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected." [ 2003 c 258 § 11.]
Effective date—2003 c 258: "This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect immediately [May 12, 2003]." [ 2003 c 258 § 12.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.340 - Nursing technicians.

RCW 18.79.340
Nursing technicians.
(1) "Nursing technician" means a nursing student employed in a hospital licensed under chapter 70.41 RCW, a clinic, or a nursing home licensed under chapter 18.51 RCW, who:
(a) Is currently enrolled in good standing in a nursing program approved by the *commission and has not graduated; or
(b) Is a graduate of a nursing program approved by the *commission who graduated:
(i) Within the past thirty days; or
(ii) Within the past sixty days and has received a determination from the secretary that there is good cause to continue the registration period, as defined by the secretary in rule.
(2) No person may practice or represent oneself as a nursing technician by use of any title or description of services without being registered under this chapter, unless otherwise exempted by this chapter.
(3) The *commission may adopt rules to implement chapter 258, Laws of 2003.
[ 2012 c 153 § 13; 2003 c 258 § 2.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
Rules—2012 c 153: See note following RCW 18.360.005.
Severability—Effective date—2003 c 258: See notes following RCW 18.79.330.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.350 - Nursing technicians—Nursing functions.

RCW 18.79.350
Nursing technicians—Nursing functions.
(1) Nursing technicians are authorized to perform specific nursing functions within the limits of their education, up to their skill and knowledge, but they may not:
(a) Administer chemotherapy, blood or blood products, intravenous medications, or scheduled drugs, or carry out procedures on central lines;
(b) Assume ongoing responsibility for assessments, planning, implementation, or evaluation of the care of patients;
(c) Function independently, act as a supervisor, or delegate tasks to licensed practical nurses, nursing assistants, or unlicensed personnel; or
(d) Perform or attempt to perform nursing techniques or procedures for which the nursing technician lacks the appropriate knowledge, experience, and education.
(2) Nursing technicians may function only under the direct supervision of a registered nurse who agrees to act as supervisor and is immediately available to the nursing technician. The supervising registered nurse must have an unrestricted license with at least two years of clinical practice in the setting where the nursing technician works.
(3) Nursing technicians may only perform specific nursing functions based upon and limited to their education and when they have demonstrated the ability and been verified to safely perform these functions by the nursing program in which the nurse technician is enrolled. The nursing program providing verification is immune from liability for any nursing function performed or not performed by the nursing technician.
(4) Nursing technicians are responsible and accountable for their specific nursing functions.
[ 2003 c 258 § 3.]
NOTES:
Severability—Effective date—2003 c 258: See notes following RCW 18.79.330.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.360 - Applications for registration as a nursing technician—Fee.

RCW 18.79.360
Applications for registration as a nursing technician—Fee.
(1) Applications for registration must be submitted on forms provided by the secretary. The secretary may require any information and documentation that reasonably relates to the need to determine whether the applicant meets the criteria for registration provided for in chapter 18.130 RCW. Each applicant shall pay a fee determined by the secretary under RCW 43.70.250. The fee must accompany the application.
(2) An applicant for registration as a nursing technician shall submit:
(a) A signed statement from the applicant's nursing program verifying enrollment in, or graduation from, the nursing program; and
(b) A signed statement from the applicant's employer certifying that the employer understands the role of the nursing technician and agrees to meet the requirements of subsection (4) of this section.
(3) The secretary shall issue a registration to an applicant who has met the requirements for registration or deny a registration to an applicant who does not meet the requirements, except that proceedings concerning the denial of registration based on unprofessional conduct or impairment are governed by the uniform disciplinary act, chapter 18.130 RCW.
(4) The employer:
(a) Shall not require the nursing technician to work beyond his or her education and training;
(b) Shall verify that the nursing technician continues to qualify as a nursing technician as described in RCW 18.79.340;
(c) Shall advise the department and nursing program of any practice-related action taken against the nursing technician;
(d) Shall maintain documentation of the specific nursing functions the nursing technician is authorized to perform; and
(e) Shall provide training regarding the provisions of chapter 258, Laws of 2003, including procedures for filing a complaint with the department of health or the department of social and health services concerning violations of chapter 258, Laws of 2003, to all nursing technicians and registered nurses who shall supervise nursing technicians and document the training and make it available for any inspection or survey.
[ 2003 c 258 § 4.]
NOTES:
Severability—Effective date—2003 c 258: See notes following RCW 18.79.330.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.370 - Nursing technicians—Registration renewal.

RCW 18.79.370
Nursing technicians—Registration renewal.
The secretary shall establish by rule the procedural requirements and fees for renewal of the registration. Failure to renew invalidates the registration and all privileges granted by the registration. For renewal of registration, a nursing technician must attest that he or she continues to qualify as a nursing technician as described in RCW 18.79.340.
[ 2003 c 258 § 5.]
NOTES:
Severability—Effective date—2003 c 258: See notes following RCW 18.79.330.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.400 - Pain management rules—Criteria for new rules.

RCW 18.79.400
Pain management rules—Criteria for new rules.
(1) By June 30, 2011, the *commission shall adopt new rules on chronic, noncancer pain management that contain the following elements:
(a)(i) Dosing criteria, including:
(A) A dosage amount that must not be exceeded unless an advanced registered nurse practitioner or certified registered nurse anesthetist first consults with a practitioner specializing in pain management; and
(B) Exigent or special circumstances under which the dosage amount may be exceeded without consultation with a practitioner specializing in pain management.
(ii) The rules regarding consultation with a practitioner specializing in pain management must, to the extent practicable, take into account:
(A) Circumstances under which repeated consultations would not be necessary or appropriate for a patient undergoing a stable, ongoing course of treatment for pain management;
(B) Minimum training and experience that is sufficient to exempt an advanced registered nurse practitioner or certified registered nurse anesthetist from the specialty consultation requirement;
(C) Methods for enhancing the availability of consultations;
(D) Allowing the efficient use of resources; and
(E) Minimizing the burden on practitioners and patients;
(b) Guidance on when to seek specialty consultation and ways in which electronic specialty consultations may be sought;
(c) Guidance on tracking clinical progress by using assessment tools focusing on pain interference, physical function, and overall risk for poor outcome; and
(d) Guidance on tracking the use of opioids, particularly in the emergency department.
(2) The *commission shall consult with the agency medical directors' group, the department of health, the University of Washington, and the largest professional associations for advanced registered nurse practitioners and certified registered nurse anesthetists in the state.
(3) The rules adopted under this section do not apply:
(a) To the provision of palliative, hospice, or other end-of-life care; or
(b) To the management of acute pain caused by an injury or a surgical procedure.
[ 2010 c 209 § 7.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.410 - Commission—Information to legislature.

RCW 18.79.410
Commission—Information to legislature.
In addition to the authority provided in RCW 42.52.804, the *commission, its members, or staff as directed by the *commission, may communicate, present information requested, volunteer information, testify before legislative committees, and educate the legislature, as the *commission may from time to time see fit.
[ 2013 c 81 § 6.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
Effective date—2013 c 81: See note following RCW 18.25.0167.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.420 - Down syndrome—Parent information.

RCW 18.79.420
Down syndrome—Parent information.
A nurse who provides a parent with a positive prenatal or postnatal diagnosis of Down syndrome shall provide the parent with the information prepared by the department under RCW 43.70.738 at the time the nurse provides the parent with the Down syndrome diagnosis.
[ 2016 c 70 § 7.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.430 - Student nurse preceptor grant program—Report.

RCW 18.79.430
Student nurse preceptor grant program—Report.
(1) Subject to the availability of amounts appropriated for this specific purpose, the legislature intends to expand the student nurse preceptor grant program to help reduce the shortage of health care training settings for students and increase the numbers of nurses in the workforce.
(2)(a) The grant program shall provide incentive pay for individuals serving as clinical supervisors to nursing candidates with a focus on acute shortage areas including those in rural and underserved communities and long-term care facilities. The desired outcomes of the grant program include increased clinical opportunities for nursing students. In part, increased clinical opportunities shall be achieved through reducing the required number of qualifying hours of precepting clinical instruction per student from 100 to 80. The *commission shall consult with collective bargaining representatives of nurses who serve as clinical supervisors in the development of the grant program.
(b) The *commission shall submit a report, in accordance with RCW 43.01.036, to the office of financial management and the appropriate committees of the legislature by September 30, 2025, on the outcomes of the grant program. The report must include:
(i) A description of the mechanism for incentivizing supervisor pay and other strategies;
(ii) The number of supervisors that received bonus pay and the number of sites used;
(iii) The number of students that received supervision at each site;
(iv) The number of supervision hours provided at each site;
(v) Initial reporting on the number of students who received supervision through the programs that moved into a permanent position with the program at the end of their supervision; and
(vi) Recommendations to scale up the program or otherwise recruit nurse preceptors in shortage areas.
[ 2023 c 126 § 9.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
Findings—2023 c 126: See note following RCW 28B.50.800.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.435 - Rural workforce pilot projects.

RCW 18.79.435
Rural workforce pilot projects. (Expires July 1, 2026.)
(1) Subject to the availability of amounts appropriated for this specific purpose, the *commission, in collaboration with rural hospitals, relevant employer and exclusive bargaining unit partnerships, nursing assistant-certified training programs, the department of health, and the department of labor and industries, shall establish at least two pilot projects for rural hospitals to utilize high school students who are training to become nursing assistant-certified or high school students who are nursing assistant-certified to help address the workforce shortages and promote nursing careers in rural hospitals. As part of the program, students must receive information about related careers and educational and training opportunities including certified medical assistants, licensed practical nurses, and registered nurses.
(2) At least one of the rural hospitals participating in the pilot projects must be east of the crest of the Cascade mountains and at least one of the rural hospitals participating in the pilot projects must be west of the crest of the Cascade mountains.
(3) The pilot projects shall prioritize using the nursing assistant-certified high school students to their full scope of practice and identify any barriers to doing this.
(4) The *commission may contract with an employer and exclusive bargaining unit partnership, nursing consultant, and health services consultant to assist with establishing and supporting the pilot project, including identifying participants, coordinating with the groups and agencies as referenced in subsection (1) of this section and other stakeholders, and preparing reports to the legislature.
(5) The *commission shall submit a report, in accordance with RCW 43.01.036, to the health care committees of the legislature by December 1, 2024, and December 1, 2025, with the status of the pilot projects and any findings and recommendations.
(6) This section expires July 1, 2026.
[ 2023 c 126 § 11.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
Findings—2023 c 126: See note following RCW 28B.50.800.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.450 - Multistate license.

RCW 18.79.450
Multistate license.
A person seeking to practice as a registered nurse or licensed practical nurse in this state may choose to apply for a license issued under this chapter or a multistate license issued under chapter 18.80 RCW.
[ 2023 c 123 § 15.]
NOTES:
Short title—2023 c 123: See RCW 18.80.900.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.460 - Multistate license—Background checks.

RCW 18.79.460
Multistate license—Background checks.
(1) In screening applicants to obtain or retain a multistate license under RCW 18.80.020, the board shall:
(a) Obtain fingerprints from each applicant for a multistate license;
(b) Submit the fingerprints through the state patrol to the federal bureau of investigation for a national criminal history background check;
(c) Receive the results of the federal bureau of investigation national criminal history background check; and
(d) Use the results in making multistate licensure decisions.
(2) The results of the federal bureau of investigation national criminal history background check are confidential. The board shall not release the results to the public, the interstate commission of nurse licensure compact administrators, or the licensing board of any other state.
(3) Nothing in chapter 123, Laws of 2023 shall be construed to authorize the board to participate in the federal bureau of investigation service, known as rap back, which identifies changes in criminal history record information against retained fingerprints.
(4) For purposes of this section, "multistate license" means the same as defined in RCW 18.80.010.
[ 2023 c 123 § 14.]
NOTES:
Short title—2023 c 123: See RCW 18.80.900.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.470 - Multistate license—Publication on website.

RCW 18.79.470
Multistate license—Publication on website.
The board shall publish on its website:
(1) All rules and requirements associated with the passage of the interstate nurse licensure compact, chapter 18.80 RCW;
(2) An annually updated summary of the key differences in each state's nursing practice act; and
(3) All meeting details, including meeting dates and times, locations, and methods of participation and sharing of comments for the compact administrator meetings.
[ 2023 c 123 § 16.]
NOTES:
Short title—2023 c 123: See RCW 18.80.900.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.480 - Multistate license—Rule making.

RCW 18.79.480
Multistate license—Rule making.
The board may adopt rules to implement chapter 123, Laws of 2023.
[ 2023 c 123 § 13.]
NOTES:
Short title—2023 c 123: See RCW 18.80.900.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.800 - Opioid drug prescribing rules—Adoption.

RCW 18.79.800
Opioid drug prescribing rules—Adoption.
(1) By January 1, 2019, the *commission must adopt rules establishing requirements for prescribing opioid drugs. The rules may contain exemptions based on education, training, amount of opioids prescribed, patient panel, and practice environment.
(2) In developing the rules, the *commission must consider the agency medical directors' group and centers for disease control guidelines, and may consult with the department of health, the University of Washington, and the largest professional associations for advanced registered nurse practitioners and certified registered nurse anesthetists in the state.
[ 2017 c 297 § 8.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
Findings—Intent—2017 c 297: See note following RCW 18.22.800.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.810 - Opioid drugs—Right to refuse.

RCW 18.79.810
Opioid drugs—Right to refuse.
By January 1, 2020, the *commission must adopt or amend its rules to require advanced registered nurse practitioners who prescribe opioids to inform patients of their right to refuse an opioid prescription or order for any reason. If a patient indicates a desire to not receive an opioid, the advanced registered nurse practitioner must document the patient's request and avoid prescribing or ordering opioids, unless the request is revoked by the patient.
[ 2019 c 314 § 10.]
NOTES:
*Reviser's note: The reference to "nursing care quality assurance commission" was changed to "board of nursing" by 2023 c 123.
Declaration—2019 c 314: See note following RCW 18.22.810.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.900 - Severability—1994 sp.s. c 9.

RCW 18.79.900
Severability—1994 sp.s. c 9.
If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected.
[ 1994 sp.s. c 9 § 904.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.901 - Headings and captions not law—1994 sp.s. c 9.

RCW 18.79.901
Headings and captions not law—1994 sp.s. c 9.
Headings and captions used in this act constitute no part of the law.
[ 1994 sp.s. c 9 § 905.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.79 - Nursing Care. › 18.79.902 - Effective date—1994 sp.s. c 9.

RCW 18.79.902
Effective date—1994 sp.s. c 9.
This act takes effect July 1, 1994.
[ 1994 sp.s. c 9 § 906.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.80 - Interstate Nurse Licensure Compact. › 18.80.005 - Findings—Purpose.

RCW 18.80.005
Findings—Purpose.
(1) The legislature finds that:
(a) The health and safety of the public are affected by the degree of compliance with and the effectiveness of enforcement activities related to state nurse licensure laws;
(b) Violations of nurse licensure and other laws regulating the practice of nursing may result in injury or harm to the public;
(c) The expanded mobility of nurses and the use of advanced communication technologies as part of our nation's health care delivery system require greater coordination and cooperation among states in the areas of nurse licensure and regulation;
(d) New practice modalities and technology make compliance with individual state nurse licensure laws difficult and complex;
(e) The current system of duplicative licensure for nurses practicing in multiple states is cumbersome and redundant for both nurses and states; and
(f) Uniformity of nurse licensure requirements throughout the states promotes public safety and public health benefits.
(2) The general purposes of this compact are to:
(a) Facilitate the states' responsibility to protect the public's health and safety;
(b) Ensure and encourage the cooperation of party states in the areas of nurse licensure and regulation;
(c) Facilitate the exchange of information between party states in the areas of nurse regulation, investigation, and adverse actions;
(d) Promote compliance with the laws governing the practice of nursing in each jurisdiction;
(e) Invest all party states with the authority to hold a nurse accountable for meeting all state practice laws in the state in which the patient is located at the time care is rendered through the mutual recognition of party state licenses;
(f) Decrease redundancies in the consideration and issuance of nurse licenses; and
(g) Provide opportunities for interstate practice by nurses who meet uniform licensure requirements.
[ 2023 c 123 § 2.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.80 - Interstate Nurse Licensure Compact. › 18.80.030 - Application for licensure in a party state.

RCW 18.80.030
Application for licensure in a party state.
(1) Upon application for a multistate license, the licensing board in the issuing party state shall ascertain, through the coordinated licensure information system, whether the applicant has ever held, or is the holder of, a license issued by any other state, whether there are any encumbrances on any license or multistate licensure privilege held by the applicant, whether any adverse action has been taken against any license or multistate licensure privilege held by the applicant, and whether the applicant is currently participating in an alternative program.
(2) A nurse may hold a multistate license, issued by the home state, in only one party state at a time.
(3) If a nurse changes primary state of residence by moving between two party states, the nurse must apply for licensure in the new home state, and the multistate license issued by the prior home state will be deactivated in accordance with applicable rules adopted by the interstate commission.
(a) The nurse may apply for licensure in advance of a change in primary state of residence.
(b) A multistate license shall not be issued by the new home state until the nurse provides satisfactory evidence of a change in primary state of residence to the new home state and satisfies all applicable requirements to obtain a multistate license from the new home state.
(4) If a nurse changes primary state of residence by moving from a party state to a nonparty state, the multistate license issued by the prior home state will convert to a single-state license, valid only in the former home state.
[ 2023 c 123 § 5.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.80 - Interstate Nurse Licensure Compact. › 18.80.050 - Coordinated licensure information system—Exchange of information.

RCW 18.80.050
Coordinated licensure information system—Exchange of information.
(1) All party states shall participate in a coordinated licensure information system of all licensed registered nurses, and licensed practical or vocational nurses. This system will include information on the licensure and disciplinary history of each nurse, as submitted by party states, to assist in the coordination of nurse licensure and enforcement efforts.
(2) The interstate commission, in consultation with the administrator of the coordinated licensure information system, shall formulate necessary and proper procedures for the identification, collection, and exchange of information under this compact.
(3) All licensing boards shall promptly report to the coordinated licensure information system any adverse action, any current significant investigative information, denials of applications, the reasons for such denials, and nurse participation in alternative programs known to the licensing board regardless of whether such participation is deemed nonpublic or confidential under state law.
(4) Current significant investigative information and participation in nonpublic or confidential alternative programs shall be transmitted through the coordinated licensure information system only to party state licensing boards.
(5) Notwithstanding any other provision of law, all party state licensing boards contributing information to the coordinated licensure information system may designate information that may not be shared with nonparty states or disclosed to other entities or individuals without the express permission of the contributing state.
(6) Any personally identifiable information obtained from the coordinated licensure information system by a party state licensing board shall not be shared with nonparty states or disclosed to other entities or individuals except to the extent permitted by the laws of the party state contributing the information.
(7) Any information contributed to the coordinated licensure information system that is subsequently required to be expunged by the laws of the party state contributing that information shall also be expunged from the coordinated licensure information system.
(8) The compact administrator of each party state shall furnish a uniform data set to the compact administrator of each other party state, which shall include, at a minimum:
(a) Identifying information;
(b) Licensure data;
(c) Information related to alternative program participation; and
(d) Other information that may facilitate the administration of this compact, as determined by interstate commission rules.
(9) The compact administrator of a party state shall provide all investigative documents and information requested by another party state.
[ 2023 c 123 § 7.]