reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING TECHNICIANS › Section 246-840-905 - How to register as a nursing technician

Current through Register Vol. 24-14, July 15, 2024
(1) An individual shall complete an
				  application for registration on an application form prepared and provided by
				  the secretary of the department of health. This application shall be submitted
				  to P.O. Box 47864, Olympia, Washington, 98504-7864.
(2) Every applicant shall provide:
(a) The application fee under WAC
				  246-840-990.
(b) A signed statement from the applicant's
				  nursing program verifying enrollment in, or graduation from, the nursing
				  program. If the applicant has not yet graduated, this statement will include
				  the anticipated graduation date.
(c) A signed statement from the applicant's
				  employer or prospective employer certifying that the employer understands the
				  role of the nursing technician and agrees to meet the requirements of
				  RCW
				  18.79.360(4).
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › DELEGATION OF NURSING CARE TASKS IN COMMUNITY-BASED AND IN-HOME CARE SETTINGS › Section 246-840-910 - Purpose

Current through Register Vol. 24-14, July 15, 2024
This rule defines a consistent standard of nursing care
					 with the delegation of nursing tasks to nursing assistants. The registered
					 nurse delegator makes independent professional decisions of the delegation of a
					 nursing task. A licensed registered nurse may delegate specific nursing care
					 tasks to nursing assistants meeting certain requirements and providing care to
					 individuals in a community-based care setting defined by
					 RCW
					 18.79.260(3)(e)(i) and to
					 individuals in an in-home care setting defined by
					 RCW
					 18.79.260(3)(e)(ii). Before
					 delegating a task, the registered nurse delegator determines that specific
					 criteria are met and the patient is in a stable and predictable condition.
					 Registered nurses delegating tasks are accountable to the Washington state
					 nursing care quality assurance commission. The registered nurse delegator and
					 nursing assistant are accountable for their own individual actions in the
					 delegation process. No person may coerce a registered nurse into compromising
					 patient safety by requiring the registered nurse to delegate. Registered nurse
					 delegators shall not delegate the following care tasks:
(1) Administration of medications by
				  injection (by intramuscular, intradermal, subcutaneous, intraosseous,
				  intravenous, or otherwise) with the exception of insulin injections.
(2) Sterile procedures.
(3) Central line maintenance.
(4) Acts that require nursing
				  judgment.
Statutory Authority:
						RCW
						18.79.110,
						18.79.260, 18.88A 060
						[18.88A.060], and 18.88A.210. WSR 09-06-006, § 246-840-910, filed 2/18/09,
						effective 3/21/09. Statutory Authority:
						RCW
						18.79.110,
						18.79.260(3)(f),
						18.88A.210, 2003 c 140. WSR
						04-14-065, § 246-840-910, filed 7/2/04, effective 7/2/04. Statutory
						Authority: Chapters 18.79 and 18.88A RCW. WSR 02-02-047, § 246-840-910,
						filed 12/27/01, effective 1/27/02. Statutory Authority: Chapter 18.79 RCW. WSR
						96-05-060, § 246-840-910, filed 2/19/96, effective
						3/21/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › DELEGATION OF NURSING CARE TASKS IN COMMUNITY-BASED AND IN-HOME CARE SETTINGS › Section 246-840-920 - Definitions

Current through Register Vol. 24-14, July 15, 2024
For the purposes of this chapter, the definitions in this
					 section apply.
(1) "Authorized
				  representative" means a person allowed to provide written consent for health
				  care on behalf of a patient who is not competent to consent. Such person shall
				  be a member of one of the classes of persons as directed in
				  RCW
				  7.70.065.
(2) "Coercion" means to force or compel
				  another, by authority, to do something that he/she would not otherwise choose
				  to do.
(3) "Complex task" means
				  that a nursing task may become more complicated because of:
(a) The patient's condition;
(b) The setting;
(c) The nursing care task(s) and involved
				  risks; and
(d) The skill level
				  required to perform the task.
The registered nurse delegator identifies and facilitates
					 additional training of the nursing assistant prior to delegation in these
					 situations. The registered nurse delegator decides if the task is not
					 delegable. In no case, may administration of medications by injection with the
					 exception of insulin injections, sterile procedures and central line
					 maintenance be delegated.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › DELEGATION OF NURSING CARE TASKS IN COMMUNITY-BASED AND IN-HOME CARE SETTINGS › Section 246-840-930 - Criteria for delegation

Current through Register Vol. 24-14, July 15, 2024
(1) In
				  community-based and in-home care settings, before delegating a nursing task,
				  the registered nurse delegator shall decide if a task is appropriate to
				  delegate based on the elements of the nursing process: ASSESS, PLAN, IMPLEMENT,
				  EVALUATE.
ASSESS
(2) The setting allows delegation because it
				  is a community-based care setting as defined by
				  RCW
				  18.79.260 (3)(e)(i) or an
				  in-home care setting as defined by
				  RCW
				  18.79.260
				  (3)(e)(ii).
(3) Assess the patient's nursing care needs
				  and determine the patient's condition is stable and predictable. A patient may
				  be stable and predictable with an order for sliding scale insulin or terminal
				  condition.
(4) Determine the task
				  to be delegated is within the delegating nurse's area of
				  responsibility.
(5) Determine the
				  task to be delegated can be properly and safely performed by the nursing
				  assistant or home care aide. The registered nurse delegator assesses the
				  potential risk of harm for the individual patient.
(6) Analyze the complexity of the nursing
				  task and determine the required training or additional training needed by the
				  nursing assistant or home care aide to competently accomplish the task. The
				  registered nurse delegator identifies and facilitates any additional training
				  of the nursing assistant or home care aide needed prior to delegation. The
				  registered nurse delegator ensures the task to be delegated can be properly and
				  safely performed by the nursing assistant or home care aide.
(7) Assess the level of interaction required.
				  Consider language or cultural diversity affecting communication or the ability
				  to accomplish the task and to facilitate the interaction.
(8) Verify that the nursing assistant or home
				  care aide:
(a) Is currently registered or
				  certified as a nursing assistant or home care aide in Washington state without
				  restriction;
(b) Has completed both
				  the basic caregiver training and core delegation training before performing any
				  delegated task;
(c) Has evidence as
				  required by the department of social and health services of successful
				  completion of nurse delegation core training;
(d) Has evidence as required by the
				  department of social and health services of successful completion of nurse
				  delegation special focus on diabetes training when providing insulin injections
				  to a diabetic client; and
(e) Is
				  willing and able to perform the task in the absence of direct or immediate
				  nurse supervision and accept responsibility for their actions.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › DELEGATION OF NURSING CARE TASKS IN COMMUNITY-BASED AND IN-HOME CARE SETTINGS › Section 246-840-935 - Nurse delegation-Blood glucose monitoring and testing in community-based and in-home care settings

Current through Register Vol. 24-14, July 15, 2024
In community-based and in-home care settings, the
					 registered nurse delegator may delegate blood glucose monitoring and testing
					 only to registered or certified nursing assistants under chapter 18.88A RCW or
					 to home care aides certified under chapter 18.88B RCW following the criteria
					 for the setting defined in
					 RCW
					 18.79.260.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › DELEGATION OF NURSING CARE TASKS IN COMMUNITY-BASED AND IN-HOME CARE SETTINGS › Section 246-840-950 - How to make changes to the delegated tasks

Current through Register Vol. 24-14, July 15, 2024
(1)
Medication.
The registered
				  nurse delegator discusses with the nursing assistant the process for
				  continuing, rescinding, or adding medications to the delegation list when the
				  changes occur:
(a) The registered nurse
				  delegator verifies the change in medication or a new medication order with the
				  health care provider;
(b) If the
				  medication dosage or type of medication changes or for the same problem (i.e.,
				  one medication is deleted and another is substituted) and the patient remains
				  in a stable and predictable condition, delegation continues at the registered
				  nurse delegator's discretion; and
(c) If a new medication is added, the
				  registered nurse delegator reviews the criteria and process for delegation
				  prior to delegating the administration of the new medication to the nursing
				  assistant. The registered nurse delegator maintains the authority to decide if
				  the new medication can be delegated immediately, if a site visit is warranted
				  prior to delegation, or if delegation is no longer appropriate. If delegation
				  is rescinded, the registered nurse delegator initiates and participates in
				  developing an alternative plan to meet the needs of the patient.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › DELEGATION OF NURSING CARE TASKS IN COMMUNITY-BASED AND IN-HOME CARE SETTINGS › Section 246-840-960 - Rescinding delegation

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  registered nurse delegator may rescind delegation of the nursing task based on
				  the following circumstances which may include, but are not limited to:
(a) The registered nurse delegator believes
				  patient safety is being compromised;
(b) The patient's condition is no longer
				  stable and predictable;
(c) When
				  the frequency of staff turnover makes delegation impractical to continue in the
				  setting;
(d) A change in the
				  nursing assistant's willingness or competency to do the task;
(e) When the task is not being performed
				  correctly;
(f) When the patient or
				  authorized representative requests rescinding the delegation;
(g) When the facility's license lapsed;
				  or
(h) When caregivers are not
				  currently registered, certified, or have restrictions to practice.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › DELEGATION OF NURSING CARE TASKS IN COMMUNITY-BASED AND IN-HOME CARE SETTINGS › Section 246-840-970 - Accountability, liability, and coercion

Current through Register Vol. 24-14, July 15, 2024
(1)
				  The registered nurse delegator and nursing assistant are accountable for their
				  own individual actions in the delegation process. While the delegated task
				  becomes the responsibility of the nursing assistant, the registered nurse
				  delegator retains overall accountability for the nursing care of the
				  patient.
(2) Under
				  RCW
				  18.79.260(3)(d)(iv),
				  delegating nurses acting within their delegation authority shall be immune from
				  liability for any action performed in the course of their delegation
				  duties.
(3) Under
				  RCW
				  18.88A.230(1), nursing
				  assistants following written delegation instructions from registered nurse
				  delegators for delegated tasks shall be immune from liability.
(4) Complaints regarding delegation of
				  nursing tasks may be reported to the aging and adult services administration of
				  the department of social and health services or via a toll-free telephone
				  number.
(5) All complaints related
				  to registered nurse delegators shall be referred to the nursing care quality
				  assurance commission.
(6) All
				  complaints related to nursing assistants performing delegated tasks shall be
				  referred to the secretary of health.
(7) Under
				  RCW
				  18.79.260(3)(c), no person
				  may coerce the registered nurse delegator into compromising patient safety by
				  requiring the nurse to delegate if the registered nurse delegator determines it
				  is inappropriate to do so. Registered nurse delegators shall not be subject to
				  any employer reprisal or disciplinary action by the Washington nursing care
				  quality assurance commission for refusing to delegate tasks or refusing to
				  provide the required training for delegation if the nurse determines delegation
				  may compromise patient safety.
(8)
				  Under RCW
				  18.88A.230(2), nursing
				  assistants shall not be subject to any employer reprisal or disciplinary action
				  by the secretary for refusing to accept delegation of a nursing task based on
				  patient safety issues.
Statutory Authority:
						RCW
						18.79.110,
						18.79.260, 18.88A 060
						[18.88A.060], and 18.88A.210. WSR 09-06-006, § 246-840-970, filed 2/18/09,
						effective 3/21/09. Statutory Authority: Chapters 18.79 and 18.88A RCW. WSR
						02-02-047, § 246-840-970, filed 12/27/01, effective 1/27/02. Statutory
						Authority: Chapter 18.79 RCW. WSR 96-05-060, § 246-840-970, filed 2/19/96,
						effective 3/21/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-400

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-400, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-23-077 (Order 214B), §
					 246-841-400, filed 11/19/91, effective 12/20/91; 91-07-049 (Order 116B),
					 recodified as § 246-841-400, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-210, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-405

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.79.110,
					 18.79.260, 18.88A 060
					 [18.88A.060], and 18.88A.210. 09-06-006, § 246-841-405, filed 2/18/09,
					 effective 3/21/09. Statutory Authority:
					 RCW
					 18.88A.060 and 2003 c 140. 04-14-064, §
					 246-841-405, filed 7/2/04, effective 7/2/04. Statutory Authority: Chapter
					 18.88A RCW. 96-06-029, § 246-841-405, filed 2/28/96, effective
					 3/30/96.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-410

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-410, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-23-077 (Order 214B), §
					 246-841-410, filed 11/19/91, effective 12/20/91; 91-07-049 (Order 116B),
					 recodified as § 246-841-410, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-220, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-420

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-420, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-07-049 (Order 116B),
					 recodified as § 246-841-420, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-230, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-430

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-430, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-23-077 (Order 214B), §
					 246-841-430, filed 11/19/91, effective 12/20/91; 91-07-049 (Order 116B),
					 recodified as § 246-841-430, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-240, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-440

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-440, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-23-077 (Order 214B), §
					 246-841-440, filed 11/19/91, effective 12/20/91; 91-07-049 (Order 116B),
					 recodified as § 246-841-440, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-245, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-450

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-450, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-07-049 (Order 116B),
					 recodified as § 246-841-450, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-250, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-460

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-460, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-07-049 (Order 116B),
					 recodified as § 246-841-460, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-255, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-470

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-470, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-23-077 (Order 214B), §
					 246-841-470, filed 11/19/91, effective 12/20/91; 91-07-049 (Order 116B),
					 recodified as § 246-841-470, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-260, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-490

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-490, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-23-077 (Order 214B), §
					 246-841-490, filed 11/19/91, effective 12/20/91; 91-07-049 (Order 116B),
					 recodified as § 246-841-490, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-270, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-500

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-500, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-07-049 (Order 116B),
					 recodified as § 246-841-500, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-275, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-510

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.060(1) and
					 18.88A.030(5).
					 08-06-100, § 246-841-510, filed 3/5/08, effective 4/5/08. Statutory
					 Authority:
					 RCW
					 18.88A.060. 91-07-049 (Order 116B),
					 recodified as § 246-841-510, filed 3/18/91, effective 4/18/91. Statutory
					 Authority: RCW 18.88.080. 90-20-018 (Order 091), § 308-173-280, filed
					 9/21/90, effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-520

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 43.70.280. 98-05-060, § 246-841-520,
					 filed 2/13/98, effective 3/16/98.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-530

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-530, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-535

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-535, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-545

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-545, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-550

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-550, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-555

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-555, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-560

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-560, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-570

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-570, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-573

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-573, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-575

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-575, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-578

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-578, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-585

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.88A.087 and
					 18.88A.060. 11-16-042, §
					 246-841-585, filed 7/27/11, effective
					 8/27/11.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-720

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						18.88A.050,
						18.130.050 and
						18.130.080. 92-02-018 (Order 224),
						§ 246-841-720, filed 12/23/91, effective 1/23/92. Statutory Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-841-720, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						18.130.070. 89-14-092 (Order PM 842), §
						308-173-020, filed 6/30/89.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841 › Section 246-841-990

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						2012 c
						208, 2012 c 23,
						2012 c
						137, 2012 c 153,
						RCW
						43.70.110, and
						43.70.250. 12-24-015, §
						246-841-990, filed 11/27/12, effective 7/1/13. Statutory Authority:
						RCW
						43.70.110,
						43.70.250, and 2010 c 37 .
						10-19-071, § 246-841-990, filed 9/16/10, effective 10/15/10. Statutory
						Authority:
						RCW
						43.70.110,
						43.70.250, 2008 c 329. 08-15-014,
						§ 246-841-990, filed 7/7/08, effective 7/7/08. Statutory Authority:
						RCW
						43.70.250, [43.70.]280 and43.70.110 .
						05-12-012, § 246-841-990, filed 5/20/05, effective 7/1/05. Statutory
						Authority:
						RCW
						18.88A.050(1). 99-24-062,
						§ 246-841-990, filed 11/29/99, effective 12/30/99. Statutory Authority:
						RCW
						43.70.280. 98-05-060, § 246-841-990,
						filed 2/13/98, effective 3/16/98. Statutory Authority: Chapter 18.88A RCW.
						96-03-051, § 246-841-990, filed 1/12/96, effective 3/1/96. Statutory
						Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-841-990, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						43.70.250. 90-04-094 (Order 029), §
						308-173-130, filed 2/7/90, effective 3/10/90. Statutory Authority:
						RCW
						43.24.086. 88-20-075 (Order 783), §
						308-173-130, filed 10/5/88.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › NURSING ASSISTANT SCOPE AND STANDARDS OF PRACTICE › Section 246-841A-400 - Standards of practice and competencies for nursing assistants

Current through Register Vol. 24-14, July 15, 2024
Competencies and standards of practice are statements of
					 knowledge, skills, and behaviors. They are written as descriptions of
					 observable, measurable actions. All nursing assistant competencies are
					 performed under the direction and supervision of a licensed registered nurse or
					 licensed practical nurse as required by
					 RCW
					 18.88A.030. The following competencies are
					 considered standards of practice for both nursing assistant-certified and
					 nursing assistant-registered:
(1) The
				  nursing assistant role and knowledge of rules and regulations.
(a) A nursing assistant demonstrates
				  competency in providing holistic, person-centered care that supports the human
				  needs of diverse individuals. The nursing assistant:
(i) Identifies the holistic needs of clients
				  or residents.
(ii) Provides care to
				  support holistic needs in accordance with nursing assistant competencies and
				  clients' or residents' plans of care.
(iii) Provides person-centered care by
				  adjusting care approaches to accommodate the unique needs and preferences of
				  clients or residents.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › NURSING ASSISTANT SCOPE AND STANDARDS OF PRACTICE › Section 246-841A-403 - Care settings where nursing assistants may work and registration and certification requirements of students

Current through Register Vol. 24-14, July 15, 2024
(1) Nursing assistants work in health care
				  facilities as identified in
				  RCW
				  18.88A.020. These include nursing homes,
				  hospitals, hospice care facilities, and agencies and home health
				  agencies.
(2) In addition, nursing
				  assistants may work for other entities delivering health care services where
				  licensed nurses supervise nursing assistants performing within the nursing
				  assistant scope. Examples include, but are not limited to: Adult family homes,
				  assisted living communities, residential treatment facilities, and correctional
				  facilities.
(3) Nursing assistant
				  students shall apply for a nursing assistant registration within three days of
				  hire at a nursing home. Students working as nursing assistants-registered in a
				  nursing home must become certified within the timeline required by federal
				  regulations.
(4) Nursing assistant
				  students shall meet other registration and certification timelines as required
				  by the care setting.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › NURSING ASSISTANT SCOPE AND STANDARDS OF PRACTICE › Section 246-841A-405 - Registered nurse delegation to nursing assistants

Current through Register Vol. 24-14, July 15, 2024
In addition to the competencies identified in WAC
					 246-841A-400, nursing assistants
					 may perform additional delegated tasks under the supervision of a registered
					 nurse in accordance with
					 RCW
					 18.79.260.
(1)
										RCW
				  18.79.260 addresses general requirements for
				  registered nurse delegation as well as requirements specific to certain care
				  entities and settings, including home health or hospice agencies and
				  community-based or in-home care settings, as defined in the statute.
(2) General requirements for registered
				  nursing delegation that apply in all care settings include:
(a) In accordance with
				  RCW
				  18.79.260 (3)(f), registered
				  nurse delegation may include glucose monitoring and testing as a general
				  allowance, including in hospitals and nursing homes.
(b) Delegated nursing care tasks described in
				  this section are only for the specific patient receiving delegation.
(c) A nursing assistant may consent or refuse
				  to consent to perform a delegated nursing care task. The nursing assistant is
				  responsible for their own actions with the decision to consent or refuse to
				  consent and the performance of the delegated nursing care task.
(d) Nursing assistants shall not accept
				  delegation of, or perform, the following nursing care tasks:
(i) Administration of medication by
				  injection, except for insulin injections as authorized in
				  RCW
				  18.79.260 (3)(e);
(ii) Sterile procedures;
(iii) Central line maintenance;
(iv) Except as authorized in
				  RCW
				  18.79.260 (3)(e) and (f),
				  piercing or severing of tissues and acts requiring substantial skill;
				  and
(v) Acts requiring nursing
				  judgment.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › NURSING ASSISTANT SCOPE AND STANDARDS OF PRACTICE › Section 246-841A-407 - Medication assistant certification endorsement

Current through Register Vol. 24-14, July 15, 2024
Nursing assistants-certified with the required experience,
					 training, and successful completion of competency evaluation as described in
					 WAC 246-841A-586 through
					 246-841A-595 may apply for a
					 medication assistant certification endorsement.
This endorsement expands the scope of the nursing
					 assistant-certified working in a nursing home setting, allowing the nursing
					 assistant-certified to perform certain medication administration tasks and
					 prescriber ordered treatments under the direct supervision of a designated
					 registered nurse.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-409 - Types of nursing assistant training programs

Current through Register Vol. 24-14, July 15, 2024
(1) This chapter addresses four types of
				  nursing assistant training programs:
(a)
				  Traditional nursing assistant training programs, which provide the complete
				  training required for competency evaluation and career entry as a nursing
				  assistant-certified.
(b) Home care
				  aide-certified alternative training programs, which recognize prior training
				  and certification as a home care aide and provide the additional education
				  required to qualify for competency evaluation and career progression to a
				  nursing assistant-certified.
(c)
				  Medical assistant-certified alternative training programs, which recognize
				  prior training and certification as a medical assistant and provide the
				  additional education required to qualify for competency evaluation and career
				  progression to a nursing assistant-certified.
(d) Medication assistant certification
				  endorsement training, which provides the additional education required of
				  experienced nursing assistants-certified to qualify for competency evaluation
				  to earn a medication assistant endorsement.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-410 - Purpose of the review and approval of nursing assistant training programs

Current through Register Vol. 24-14, July 15, 2024
The commission reviews and approves nursing assistant
					 training programs to ensure preparation for safe practice of nursing assistants
					 by requiring nursing assistant training programs to meet minimum
					 standards.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-423 - Initial approval of nursing assistant training programs

Current through Register Vol. 24-14, July 15, 2024
The commission will grant initial approval status for one
					 year to a nursing assistant training program applicant demonstrating the
					 ability to meet program standards.
(1)
				  The commission will monitor the nursing assistant training program for the
				  first year and then complete a program evaluation to verify the program has
				  continued to meet program standards. Following the program evaluation, the
				  commission may:
(a) Change the program's
				  status to full approval if program standards have been met consistently;
				  or
(b) Extend a program's initial
				  approval for up to one additional year with an evaluation at the end of the
				  second year to verify program standards have been met consistently;
				  or
(c) Withdraw initial approval if
				  a nursing assistant training program demonstrates deficiencies in or violations
				  of program standards.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-425 - Full approval of nursing assistant training programs

Current through Register Vol. 24-14, July 15, 2024
The commission will grant full approval status to initially
					 approved nursing assistant training programs demonstrating they have
					 consistently met program standards during the initial approval
					 period.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-427 - Approval status of existing programs on the effective date of these rules

Current through Register Vol. 24-14, July 15, 2024
(1) Existing
				  nursing assistant training programs with full approval status retain full
				  approval status on the date these rules take effect.
(2) Existing nursing assistant training
				  programs with conditional approval status retain conditional approval status on
				  the date these rules take effect.
(3) Existing nursing assistant training
				  programs are subject to approval status changes under the rules of this chapter
				  upon the effective date.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-430 - Program directors and instructors in approved nursing assistant training programs

Current through Register Vol. 24-14, July 15, 2024
(1) The program
				  director must hold an active license in good standing as a registered nurse
				  (RN) in the state of Washington.
(a) The
				  commission may deny or withdraw a program director's approval if there is or
				  has been any action taken against the director which disqualifies them from
				  working with vulnerable populations.
(b) Directing a nursing assistant training
				  program constitutes the practice of nursing. Any unprofessional conduct by a
				  program director, as defined in the Uniform Disciplinary Act, chapter 18.130
				  RCW, may subject the program director to license discipline under that
				  act.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-440 - Common curriculum in approved nursing assistant training programs

Current through Register Vol. 24-14, July 15, 2024
(1) Common
				  curriculum. Approved programs must implement the common curriculum as developed
				  and described in materials provided by the commission in accordance with the
				  transition timelines established by the commission in (a) through (c) of this
				  subsection. The common curriculum includes the complete specialty curricula on
				  the topics of developmental disabilities, mental health, and dementia as
				  developed by the department of social and health services.
(a) Approved programs must apply for approval
				  to implement the first nine units of the common curriculum within six months of
				  the effective date of these rules and begin implementation by September 1,
				  2024.
(b) Until they transition to
				  the common curriculum, approved programs may continue to implement their
				  existing curriculum as approved under previous rules; however, subsections (5)
				  through (8) of this section are effective with the effective date of these
				  rules.
(c) Approved programs must
				  implement the specialty curricula as units 10, 11, and 12 of the common
				  curriculum for all students graduating on or after September 1, 2025.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-450 - Physical and electronic resources required for approved nursing assistant training programs

Current through Register Vol. 24-14, July 15, 2024
(1) Classroom,
				  skills lab, and clinical facilities used by the program must provide adequate
				  space, lighting, comfort, privacy, safety, and cleanliness for effective
				  teaching and learning.
(2) Adequate
				  classroom resources, such as a white board or other writing device,
				  audio-visual materials, and written materials must be available. Audio-visual
				  materials include a computer with internet and projection capability in order
				  to access and implement the common curriculum.
(3) Online classrooms used by the program
				  must provide browser-based platforms and mixed media capability such as
				  captioning, video, and audio-text to enhance accessibility. Online classrooms
				  must have a method for providing private and secure methods of evaluation,
				  submitting grades, and providing feedback.
(4) The program must provide the equipment
				  and supplies necessary to teach skills lab and allow students to practice and
				  gain competency as nursing assistants in accordance with WAC
				  246-841A-400.
(a) A list of required equipment and supplies
				  for all nursing assistant training programs is provided by the
				  commission.
(b) The program will
				  maintain the safety and proper working condition of equipment and
				  supplies.
(c) The program will
				  ensure that equipment and supplies used by the program reflect current practice
				  and are sufficient in quantity for effective teaching and learning for
				  students.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-455 - Administrative procedures for approved nursing assistant training programs

Current through Register Vol. 24-14, July 15, 2024
(1) The program
				  must establish and maintain a file for each student enrolled and demonstrate
				  measures for safe, secure storage of all paper and electronic files. Each
				  student's file must include:
(a) Dates of
				  enrollment, attendance, and completion of the program, including multiple
				  attempts to successfully complete the program;
(b) A record of the student's performance in
				  relationship to all passing criteria for the class, including: Quizzes, tests,
				  and other required assignments; evaluation of skills lab performance; and
				  evaluation of clinical performance.
(i)
				  Skills lab evaluations use a checklist that shows the skills evaluated, the
				  date(s) of skills evaluation, the printed name(s), signature(s), and date(s) of
				  evaluating instructor(s);
(ii)
				  Clinical evaluations document performance in relation to each student's
				  competency as a nursing assistant as identified in WAC
				  246-841A-400;
(c) Documentation of successful completion of
				  the course, or documentation of the course outcome.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-460 - Competency evaluation and pass rates

Current through Register Vol. 24-14, July 15, 2024
Students who successfully complete an approved nursing
					 assistant training program or the equivalent in an approved nursing education
					 program may apply to take the state certification exam (also called competency
					 evaluation). The competency evaluation includes a knowledge exam and a skills
					 exam. Students must pass both exams before their certification application can
					 be processed.
(1) Training programs
				  will communicate accurate information about the state certification exam to
				  students and share written and video resources including, but not limited to:
(a) Testing service provider's website and
				  how to access it. This includes the testing handbook, practice tests, and steps
				  to register for the exam.
(b) The
				  commission's website and how to access it. This includes information to help
				  students navigate through training, testing, and certification.
(c) The department of health website and how
				  to access it. This includes steps to apply for nursing assistant registration
				  and certification.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › INITIAL AND ONGOING APPROVAL OF NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-463 - Traditional program and nursing education program students-Application requirements for nursing assistant certification

Current through Register Vol. 24-14, July 15, 2024
(1) To be eligible to apply for nursing
				  assistant-certified, a traditional program or nursing education program student
				  must:
(a) Have successfully completed a
				  Washington state-approved training program as outlined in WAC
				  246-841A-440 or the equivalent in
				  an approved nursing education program; and
(b) Have successfully completed a competency
				  evaluation.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-841A - Nursing assistants › CORRECTIVE ACTION FOR NURSING ASSISTANT TRAINING PROGRAMS › Section 246-841A-465 - Complaint investigations

Current through Register Vol. 24-14, July 15, 2024
The commission may investigate complaints of alleged
					 deficiencies or violations relating to this chapter. The commission:
(1) Will notify the program director in
				  writing within 10 business days when a complaint investigation is opened.
(a) Failure by the program director to
				  cooperate with an investigation may result in disciplinary action against the
				  program director's license as a registered nurse in the state of Washington in
				  accordance with the Uniform Disciplinary Act, chapter 18.130 RCW.
(b) Failure to cooperate with an
				  investigation may result in withdrawal of program approval by the
				  commission.