reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-559 - Closing of an approved nursing education program located in Washington state

Current through Register Vol. 24-14, July 15, 2024
Voluntary Closure
(1) When a governing institution decides to
				  close a nursing education program it shall immediately notify the commission in
				  writing, stating the reason, plan, and date of intended closing. The governing
				  institution may choose one of the following closing procedures:
(a) The nursing education program may
				  continue until the last class enrolled is graduated if:
(i) The nursing education program continues
				  to meet the standards for approval, WAC 246-840-511 through 246-840-556 until
				  all of the enrolled students have graduated;
(ii) The date of closure is the date on the
				  degree, diploma, or certificate of the last graduate; and
(iii) The governing institution notifies the
				  commission in writing of the closing date; or
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-560 - Standard III Resources, facilities, and services for approved nursing education programs (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						18.79.110 and
						18.79.150. 05-12-058, §
						246-840-560, filed 5/26/05, effective 6/26/05. Statutory Authority:
						RCW
						18.79.110. 95-21-072, § 246-840-560,
						filed 10/16/95, effective 11/16/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-561 - Reinstatement of approval for nursing programs located in Washington state

Current through Register Vol. 24-14, July 15, 2024
The commission may consider reinstatement of withdrawn
					 approval of a nursing education program after one year and upon submission of
					 satisfactory evidence that the program will meet the standards of nursing
					 education, WAC 246-840-511 through 246-840-556. The commission may conduct a
					 site visit to verify the evidence provided by the nursing education
					 program.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-562 - Appeal of commission decisions

Current through Register Vol. 24-14, July 15, 2024
A nursing education program wishing to contest a decision
					 by the commission that affects the program's approval status shall have the
					 right to appeal the commission's decision in accordance with the provisions of
					 chapter 18.79 RCW,
					 chapter
					 34.05 RCW, the
					 Administrative Procedure Act, and chapter 246-11 WAC.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-563 - Criteria for approval of LPN and RN refresher course program located in Washington state

Current through Register Vol. 24-14, July 15, 2024
(1) A program
				  making application to the commission for approval of a refresher course for
				  LPNs and RNs in Washington state shall submit a commission approved application
				  at least three months before expected date of implementation.
(2) For in-state refresher course programs,
				  the refresher program shall have a designated nurse administrator who is
				  responsible for the overall operation and evaluation of the refresher program
				  meeting the following qualifications:
(a)
				  Active, unencumbered Washington state RN license; and
(b) Bachelor's degree in nursing with a
				  graduate degree in nursing from a nursing accredited nursing education program,
				  or bachelor's degree in nursing from a nursing education accredited program and
				  a graduate degree from a health-related field from an accredited
				  university.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-564 - Curriculum for LPN nurse refresher course

Current through Register Vol. 24-14, July 15, 2024
For practical nurse refresher course programs, the course
					 content must consist of a minimum of sixty hours of theory content and one
					 hundred twenty hours of clinical practice.
(1) The theory course content must include,
				  but not be limited to, a minimum of sixty hours in current basic concepts of:
(a) Nursing process and patient centered
				  care;
(b) Cultural competence
				  across the life span;
(c)
				  Pharmacology, medication calculation, administration, safety, and the
				  mitigation and reporting of medication errors;
(d) Review of the concepts in the areas of:
(i) Current practical nursing practice,
				  including legal expectations as identified in chapters 18.79 and
				  18.130 RCW, and nursing scope of
				  practice, including the commission approved scope of practice decision
				  tree;
(ii) Therapeutic and basic
				  communications and observational practices needed for identification,
				  reporting, and recording patient needs; and
(iii) Basic physical, biological, and social
				  sciences necessary for practice.
(e) Review and updating of practical nursing
				  knowledge and skills to include, but not be limited to, concepts of delegation,
				  leadership, fundamentals, medical, surgical, geriatric, and mental health
				  nursing.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-565 - Standard IV Students in approved nursing education programs (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						18.79.110 and
						18.79.150. 05-12-058, §
						246-840-565, filed 5/26/05, effective 6/26/05. Statutory Authority: Chapter
						18.79 RCW. 97-13-100, § 246-840-565, filed 6/18/97, effective 7/19/97.
						Statutory Authority:
						RCW
						18.79.110. 95-21-072, § 246-840-565,
						filed 10/16/95, effective 11/16/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-566 - Curriculum for registered nurse refresher course

Current through Register Vol. 24-14, July 15, 2024
For registered nurse refresher course programs, the course
					 content must consist of a minimum of forty hours core course content, forty
					 hours of specialty course content, and one hundred sixty hours of clinical
					 practice in the specialty area.
(1)
				  The core course content must include, but not be limited to, a minimum of forty
				  hours of theory in current basic concepts of:
(a) Nursing process and patient centered
				  care;
(b) Cultural competence
				  across the life span;
(c)
				  Pharmacology, major drug classifications, medication calculations and
				  administration, side effects, adverse reactions, associated lab tests and
				  mitigation and reporting of medication errors;
(d) Critical thinking, clinical reasoning,
				  and evidence-based practice;
(e)
				  Review of the concepts in the areas of:
(i)
				  Current professional nursing practice, including legal expectations as found in
				  chapters 18.79 and
				  18.130 RCW, and nursing scope of
				  practice, including the commission approved scope of practice decision
				  tree;
(ii) Therapeutic and clinical
				  communication skills and observational practices needed for identification,
				  reporting, and recording patient needs; and
(iii) Basic physical, biological and social
				  sciences necessary for practice.
(f) Review and updating of registered nursing
				  knowledge and skills, including delegation, leadership, interdisciplinary team
				  coordination and care management.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-567 - Refresher course program for advanced registered nurse practice nurses

Current through Register Vol. 24-14, July 15, 2024
(1) A college or
				  university approved by the commission and located in the state of Washington to
				  offer a graduate level nursing education program preparing students for
				  advanced registered nurse licensure may apply to offer an ARNP refresher course
				  program on a commission approved form.
(2) The nurse administrator or qualified
				  designee of an approved ARNP program shall be responsible for the ARNP
				  refresher course program. The designee shall meet the same qualification
				  requirements as identified in WAC 246-840-517(3).
(3) The faculty teaching in the ARNP
				  refresher program shall meet the requirements of WAC 246-840-523 and
				  246-840-527.
(4) The ARNP refresher
				  course will provide didactic and clinical instruction in the full scope of
				  practice of ARNP role and population foci as allowed in chapter 18.79 RCW and
				  this chapter.
(5) At a minimum, the
				  ARNP refresher program will include instruction and two hundred fifty hours of
				  associated clinical practice and may offer more hours if required for licensure
				  in:
(a) Advanced
				  physiology/pathophysiology;
(b)
				  Advanced health assessment;
(c)
				  Pharmacotherapeutics;
(d) Diagnosis
				  and management of diseases or conditions consistent with current standards of
				  care;
(e) Ordering and interpreting
				  diagnostic and laboratory tests;
(f) Safe and competent performance of
				  procedures;
(g) ARNP scope of
				  practice as defined in chapters 18.79 RCW and 246-840 WAC;
(h) Accepted standards of practice for
				  ARNP.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-568 - Criteria for approval of refresher course program located outside Washington state

Current through Register Vol. 24-14, July 15, 2024
(1) Refresher
				  courses located outside the state of Washington shall be reviewed individually
				  for approval by the commission and must meet curriculum and clinical practice
				  standards identified in WAC 246-840-563 and 246-840-564, or
				  246-840-566.
(2) The nurse
				  administrator shall hold an active, unencumbered RN license in the state of the
				  program's domicile location and have a bachelor's degree in nursing with a
				  graduate degree in nursing from a nursing accredited nursing education program,
				  or bachelor's degree in nursing from a nursing education accredited program and
				  a graduate degree from a health-related field from an accredited
				  university.
(3) The commission may:
(a) Approve a refresher program for no longer
				  than five years;
(b) Deny approval
				  of a refresher program;
(c)
				  Withdraw approval of a refresher program;
(d) Place a program on warning or conditional
				  approval status;
(e) Make on-site
				  visits to determine compliance with commission requirements for initial or
				  ongoing approval, or to investigate a complaint;
(f) Require a program to submit a plan of
				  correction; or
(g) Issue a directed
				  plan of correction.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-569 - Commission action regarding refresher course programs

Current through Register Vol. 24-14, July 15, 2024
(1) The commission may:
(a) Approve a refresher program for no longer
				  than five years;
(b) Deny approval
				  of a refresher program;
(c)
				  Withdraw approval of a refresher program;
(d) Place a program on warning or conditional
				  approval status;
(e) Make on-site
				  visits to determine compliance with commission requirements for initial or
				  ongoing approval, or to investigate a complaint;
(f) Require a program to submit a plan of
				  correction; or
(g) Issue a directed
				  plan of correction.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-570 - Standard V Faculty in approved nursing education programs (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						18.79.110 and
						18.79.150. 05-12-058, §
						246-840-570, filed 5/26/05, effective 6/26/05. Statutory Authority:
						RCW
						18.79.110. 95-21-072, § 246-840-570,
						filed 10/16/95, effective 11/16/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-571 - Out-of-state distance learning nursing program approval for practice experiences in Washington state

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  commission may approve out-of-state distance learning nursing education
				  programs for the purpose of placing student in clinical or practice experiences
				  in the state of Washington. The out-of-state distance learning nursing
				  education program shall:
(a) Complete and
				  submit a commission approved application and demonstrate equivalency to
				  requirements for instate Washington nursing programs;
(b) Provide clinical and practice supervision
				  and evaluation of students in Washington state;
(c) Ensure the faculty, preceptors and others
				  who teach, supervise, or evaluate clinical or practice experiences in the state
				  of Washington hold an active, unencumbered nursing license appropriate to the
				  level of student teaching. Faculty must be licensed in the state of Washington
				  as an ARNP if teaching advanced registered nurse practitioner
				  practice;
(d) Preceptors for
				  students in a nursing education program preparing nurses for advanced
				  registered nurse practitioner licensure shall not be related to the student or
				  personal friends, and shall have an active, unencumbered license as an ARNP
				  under chapter 18.79 RCW, a physician under
				  chapter
				  18.71 RCW, an osteopathic
				  physician under
				  chapter
				  18.57 RCW, or equivalent
				  in other states or jurisdictions;
(e) Ensure the faculty who teach didactic
				  distance learning nursing courses hold a current and active, unencumbered
				  nursing license in the state where the nursing program has legal
				  domicile;
(f) Be accredited by a
				  nursing education accrediting body approved by the United States Department of
				  Education;
(g) Maintain
				  accreditation status by the nursing education accrediting body;
(h) Report to the commission within thirty
				  days of notice from the nursing education accrediting body if the accreditation
				  status has changed; and
(i) Submit
				  an annual report to the commission as identified in commission approved
				  survey.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-575 - Curriculum for approved nursing education programs (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						18.79.110 and
						18.79.150. 05-12-058, §
						246-840-575, filed 5/26/05, effective 6/26/05. Statutory Authority:
						RCW
						18.79.110. 95-21-072, § 246-840-575,
						filed 10/16/95, effective 11/16/95.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-581 - Early remediation program purpose

Current through Register Vol. 24-14, July 15, 2024
WAC
					 246-840-582 and
					 246-840-583 establish the early
					 remediation program and its eligibility criteria and procedures. The intent of
					 this program is to effectively and efficiently protect patients by resolving
					 allegations of practice deficiencies of a less serious nature through a plan of
					 remedial education, training, and supervision. Such allegations may not include
					 substance abuse or drug diversions. The nursing care quality assurance
					 commission may resolve allegations of practice deficiencies through early
					 remediation during an investigation.
Statutory Authority:
						RCW
						18.79.110 and
						18.130.050. 10-17-107, §
						246-840-581, filed 8/17/10, effective
						9/17/10.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-582 - Early remediation program definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout WAC
					 246-840-581 and
					 246-840-583 unless the context
					 clearly requires otherwise.
(1)
				  "Action plan" means a documented agreement between the nurse named in the
				  complaint(s) and the commission listing remedial steps to be taken by the nurse
				  to resolve the identified practice deficiencies. Action plans may require
				  remedial education, on-the-job training, and follow-up monitoring of the
				  nurse's clinical practice by the current employer or other practice
				  monitor.
(2) "Commission" means the
				  Washington state nursing care quality assurance commission.
(3) "Complaint" means a documented report of
				  a possible violation of the Uniform Disciplinary Act which the commission shall
				  assess and may subsequently authorize an investigation.
(4) "Early remediation program" means a
				  process in which a complaint alleging practice deficiencies is resolved through
				  an action plan without initiating disciplinary procedures.
(5) "Practice deficiencies" include, but are
				  not limited to:
(a) Substandard nursing
				  practice;
(b) Failure to properly
				  conduct a patient assessment, document treatment, or administer medications;
				  and
(c) Failure to comply with
				  scope of practice requirements or delegation laws and regulations.
(d) Practice deficiencies do not include drug
				  diversion, patient abuse, fraud, theft, deceit or other willful misconduct, or
				  conduct resulting in more than minor patient harm.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING EDUCATION PROGRAMS › Section 246-840-583 - Early remediation program criteria

Current through Register Vol. 24-14, July 15, 2024
(1) In any complaint where the commission
				  identifies practice deficiencies, the commission may resolve the matter through
				  the early remediation program.
(2)
				  The commission shall use the following criteria to determine eligibility for
				  early remediation:
(a) The identified
				  practice deficiencies could be corrected by remedial education, on-the-job
				  training and practice monitoring within six months or less, and patient
				  protection does not require significant long-term practice limits;
(b) The nurse is willing and able to
				  participate in the early remediation program;
(c) The nurse's current employer agrees to
				  participate in the action plan;
(d)
				  The nurse has no current charges or disciplinary history of unprofessional
				  conduct and has not previously participated in an action plan; and
(e) The degree of patient harm suffered as a
				  result of the nurse's substandard practice is minor, if any.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-710 - Violations of standards of nursing conduct or practice

Current through Register Vol. 24-14, July 15, 2024
The following conduct may subject a nurse to disciplinary
					 action under the Uniform Disciplinary Act, chapter 18.130 RCW:
(1) Engaging in conduct described in
				  RCW
				  18.130.180;
(2) Failure to adhere to the standards in WAC
				  246-840-700 which may include,
				  but are not limited to:
(a) Failing to assess
				  and evaluate a client's status or failing to institute nursing intervention as
				  required by the client's condition;
(b) Willfully or repeatedly failing to report
				  or document a client's symptoms, responses, progress, medication, or other
				  nursing care accurately and legibly;
(c) Willfully or repeatedly failing to make
				  entries, altering entries, destroying entries, making incorrect or illegible
				  entries and making false entries in employer or employee records or client
				  records pertaining to the giving of medication, treatments, or other nursing
				  care;
(d) Willfully or repeatedly
				  failing to administer medications and treatments in accordance with nursing
				  standards;
(e) Willfully or
				  repeatedly failing to follow the policy and procedure for the wastage of
				  medications where the nurse is employed or working;
(f) Nurses shall not sign any record
				  attesting to the wastage of controlled substances unless the wastage was
				  personally witnessed;
(g) Willfully
				  causing or contributing to physical or emotional abuse to the client;
(h) Engaging in sexual misconduct with a
				  client as defined in WAC
				  246-840-740; or
(i) Failure to protect clients from unsafe
				  practices or conditions, abusive acts, and neglect;
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-720 - Mitigating circumstances

Current through Register Vol. 24-14, July 15, 2024
The commission recognizes that there may be circumstances
					 inherent to various practice settings that may affect the commission's decision
					 whether to issue a statement of charges, to make a finding of unprofessional
					 conduct, or to determine a sanction.
Statutory Authority: Chapter 18.79 RCW. 97-13-100, §
						246-840-720, filed 6/18/97, effective
						7/19/97.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-730 - Mandatory reporting

Current through Register Vol. 24-14, July 15, 2024
Any person including, but not limited to, a registered
					 nurse, a licensed practical nurse, advanced registered nurse practitioner,
					 health care facility, or governmental agency shall always report in compliance
					 with the uniform mandatory reporting rules found in WAC
					 246-16-200 through
					 246-16-270.
Statutory Authority:
						RCW
						18.79.110. 00-01-186, § 246-840-730,
						filed 12/22/99, effective 1/22/00. Statutory Authority: Chapter 18.79 RCW.
						97-13-100, § 246-840-730, filed 6/18/97, effective
						7/19/97.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-745 - Adjudicative proceedings

Current through Register Vol. 24-14, July 15, 2024
The commission adopts the model procedural rules for
					 adjudicative proceedings as adopted by the department of health and contained
					 in chapter 246-11 WAC, including subsequent amendments.
Statutory Authority: Chapter 18.79 RCW. 97-13-100, §
						246-840-745, filed 6/18/97, effective
						7/19/97.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-747 - Appearance and practice before agency - Standards of ethical conduct

Current through Register Vol. 24-14, July 15, 2024
All persons appearing in proceedings before the commission
					 in a representative capacity shall conform to the standards of ethical conduct
					 required of attorneys before the courts of Washington. If any such person does
					 not conform to such standards, the commission may decline to permit such person
					 to appear in a representative capacity in any proceeding before
					 it.
Statutory Authority: Chapter 18.79 RCW. 97-13-100, §
						246-840-747, filed 6/18/97, effective
						7/19/97.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-750 - Philosophy governing voluntary substance use monitoring programs

Current through Register Vol. 24-14, July 15, 2024
The Washington state board of nursing (board) recognizes
					 the need to establish a means of providing early recognition and treatment
					 options for licensed practical nurses or registered nurses whose competency may
					 be impaired due to the use of drugs or alcohol. The board intends that such
					 nurses be treated, and their treatment monitored so that they can return to or
					 continue to practice their profession in a manner, that safeguards the public.
					 The Washington health professional services (WHPS) program is the board's
					 approved substance use monitoring program under
					 RCW
					 18.130.175. The board may refer licensed
					 practical nurses or registered nurses to WHPS as either an alternative to or in
					 connection with disciplinary actions under
					 RCW
					 18.130.160.
Statutory Authority: Chapter 18.79 RCW. 97-13-100, §
						246-840-750, filed 6/18/97, effective
						7/19/97.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-770 - Approval of substance use monitoring programs

Current through Register Vol. 24-14, July 15, 2024
The board uses WHPS as the approved monitoring
					 program.
(1) WHPS will:
(a) Employ staff with the qualifications and
				  knowledge of both substance use and the practice of nursing as defined in this
				  chapter to be able to evaluate:
(i) Clinical
				  laboratories;
(ii) Laboratory
				  results;
(iii) Providers of
				  substance use treatment, both individuals and facilities;
(iv) Peer support groups;
(v) The nursing work environment;
				  and
(vi) The ability of the nurse
				  to practice with reasonable skill and safety.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-780 - Conditions for participants entering the approved substance use monitoring program

Current through Register Vol. 24-14, July 15, 2024
(1) Any nurse
				  participating in the substance use monitoring program must:
(a) Undergo a complete substance use disorder
				  evaluation. This evaluation will be performed by health care professional(s)
				  with expertise in chemical dependency.
(b) Enter into a monitoring contract with
				  WHPS which includes, but is not limited to, the following terms, which require
				  the nurse to:
(i) Undergo any recommended
				  level of treatment by a board-designated licensed treatment provider, including
				  continuing care;
(ii) Abstain from
				  all mind-altering substances including alcohol and cannabis except for
				  medications prescribed by an authorized pre-scriber, as defined in
				  RCW
				  69.41.030 and
				  69.50.101;
(iii) Cause the treatment counselor(s) to
				  provide reports to the approved monitoring program at specified
				  intervals;
(iv) Attend peer support
				  group, or self-help group meetings, or both as specified by WHPS;
(v) Complete random or for-cause drug
				  screening as specified by WHPS;
(vi) Comply with specified employment
				  conditions and restrictions as defined by the monitoring contract;
(vii) Agree in writing to allow WHPS to
				  release information to the board if the nurse does not comply with any contract
				  requirements or is unable to practice with reasonable skill and
				  safety;
(viii) Pay the costs of any
				  required evaluations, substance use treatment, peer support group, random drug
				  screens, and other personal expenses incurred in relation to the monitoring
				  program;
(ix) Sign any requested
				  release of information authorizations.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-790 - Substance use disorder monitoring stipend program

Current through Register Vol. 24-14, July 15, 2024
(1) Applicants must meet the requirements in
				  RCW
				  18.79.440 to be eligible for the substance
				  use disorder monitoring stipend program (stipend program). All disbursements of
				  stipend program funds are subject to availability of budgeted funds.
(2) To be eligible for the stipend program, a
				  person must:
(a) Hold an active, inactive, or
				  suspended license issued pursuant to this chapter;
(b) Submit an application on forms provided
				  by the board;
(c) Be actively
				  participating in the board's approved substance use disorder monitoring program
				  (WHPS program) or have completed the WHPS program within six months of
				  submission of an application for the stipend program; and
(d) Have a demonstrated need for financial
				  assistance with the expenses incurred in connection with participation in the
				  WHPS program.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-800 - Scope of practice - Advisory opinions

Current through Register Vol. 24-14, July 15, 2024
(1) The commission may issue advisory
				  opinions in response to questions put to it by professional health
				  associations, nursing practitioners and consumers concerning the authority of
				  various categories of nursing personnel to perform particular acts. Such
				  questions must be presented in writing to the department staff.
(2) Questions may be referred to a committee
				  of the commission. Upon such referral, the committee shall develop a draft
				  response which shall be presented to the full commission at a public meeting
				  for ratification, rejection or modification. The committee may, at its
				  discretion, consult with health care practitioners for assistance in developing
				  its draft response.
(3) If the
				  commission issues an opinion on a given issue, such opinion shall be provided
				  to the requesting party and shall be included in the commission
				  minutes.
(4) Each opinion issued
				  shall include a clear statement to the effect that:
(a) The opinion is advisory and intended for
				  the guidance of the requesting party only; and
(b) The opinion is not legally binding and
				  does not have the force and effect of a duly promulgated regulation or a
				  declaratory ruling by the commission.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-810 - Provision for continuity of drug therapy for residents

Current through Register Vol. 24-14, July 15, 2024
When a resident of a long-term care facility has the
					 opportunity for an unscheduled therapeutic leave that would be precluded by the
					 lack of an available pharmacist to dispense drugs prescribed by an authorized
					 practitioner, a registered nurse designated by the facility and its consultant
					 or staff pharmacist and who agrees to such designation, may provide the
					 resident or a responsible person with up to a seventy-two-hour supply of a
					 prescribed drug or drugs for use during that leave from the resident's
					 previously dispensed package of such drugs. The drugs shall only be provided in
					 accordance with protocols developed by the pharmaceutical services committee
					 and shall be available for inspection. These protocols shall include the
					 following:
(1) Criteria as to what
				  constitutes an unscheduled therapeutic leave requiring the provision of drugs
				  by the registered nurse;
(2)
				  Procedures for repackaging and labeling the limited supply of previously
				  dispensed drugs by the designated registered nurse that comply with all state
				  and federal laws concerning the packaging and labeling of drugs;
(3) Provision to assure that none of the
				  medication provided to the resident or responsible person may be returned to
				  the resident's previously dispensed package of such drug or to the facility's
				  stock.
(4) Assurance that the RN
				  informs the resident or responsible person of:
(a) The name, strength and quantity of drug
				  provided;
(b) The proper
				  administration of the drug;
(c)
				  Potential adverse responses to the drug; and
(d) What actions to take should adverse
				  responses occur.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-820 - Provision for clean, intermittent catheterization in schools

Current through Register Vol. 24-14, July 15, 2024
Public school districts and private schools that offer
					 classes for any of the grades kindergarten through twelve may provide for
					 clean, intermittent catheterization of students or assisted
					 self-catheterization of students who are in the custody of the school district
					 at the time in accordance with the following rules:
(1) The student's file shall contain a
				  written request from the parent(s) or guardian for the clean, intermittent
				  catheterization of the student.
(2)
				  The student's file shall contain written permission from the parent(s) or
				  guardian for the performance of the clean, intermittent catheterization
				  procedure by the nonlicensed school employee.
(3) The student's file shall contain a
				  current written order for clean, intermittent catheterization from the
				  student's physician and shall include written instructions for the procedure.
				  The order shall be reviewed and/or revised each school year.
(4) The student's file shall contain written,
				  current, and unexpired instructions from a registered nurse licensed under
				  chapter 18.79 RCW regarding catheterization which include:
(a) A designation of the school district or
				  private school employee or employees who may provide for the catheterization;
				  and
(b) A description of the nature
				  and extent of any required supervision.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-830 - Determination and pronouncement of death by a licensed registered nurse

Current through Register Vol. 24-14, July 15, 2024
A registered nurse may determine and pronounce death, but
					 shall not certify death as defined in
					 RCW
					 70.58.160 unless the registered nurse is a
					 licensed ARNP as defined in WAC
					 246-840-300.
(1) A registered nurse may assume
				  responsibility for the determination and pronouncement of death only if there
				  are written policies and procedures relating to the determination and
				  pronouncement of death in the organization with which the registered nurse is
				  associated as an employee or by contract, provided:
(a) The decedent was under the care of a
				  health care practitioner qualified to certify cause of death; and
(b) The decedent was a patient of the
				  organization with which the registered nurse is associated; and
(c) There is a "do not resuscitate order" in
				  the patient's record when the decedent was assisted by mechanical life support
				  systems at the time of determination and pronouncement of death.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › PRACTICE STANDARDS › Section 246-840-835 - Nurse delegation-Blood glucose monitoring and testing in settings other than community-based and in-home care

Current through Register Vol. 24-14, July 15, 2024
In settings other than community-based and in-home care
					 that deliver health care services, registered nurses may delegate blood glucose
					 monitoring and testing only to registered or certified nursing assistants under
					 chapter 18.88A RCW in accordance with the delegation process in
					 RCW
					 18.79.260
					 (3)(a).
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING TECHNICIANS › Section 246-840-840 - Nursing technician

Current through Register Vol. 24-14, July 15, 2024
The purpose of the nursing technician credential is to
					 provide additional work related opportunities for students enrolled in an LPN,
					 ADN, or BSN program, within the limits of their education, to gain valuable
					 judgment and knowledge through expanded work opportunities.
(1) The nursing technician is as defined in
				  WAC
				  246-840-010(30).
(2) The nursing technician shall have
				  knowledge and understanding of the laws and rules regulating the nursing
				  technician and shall function within the legal scope of their authorization
				  under chapter 18.79 RCW and shall be responsible and accountable for the
				  specific nursing functions which they can safely perform as verified by their
				  nursing program.
(3) The nursing
				  technician shall work directly for the hospital, clinic or nursing home and may
				  not be employed in these facilities through a temporary agency.
Statutory Authority: Chapter 18.79 RCW and 2003 c 258.
						WSR 04-13-053, § 246-840-840, filed 6/11/04, effective 6/11/04. Statutory
						Authority: Chapter 18.79 RCW. WSR 97-13-100, § 246-840-840, filed 6/18/97,
						effective 7/19/97.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING TECHNICIANS › Section 246-840-850 - Use of nomenclature

Current through Register Vol. 24-14, July 15, 2024
(1) Any person
				  who meets the definition of nursing technician under WAC
				  246-840-010(30)
				  shall use the title nursing technician.
(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 chapter 18.79 RCW, unless otherwise exempted by
				  chapter 18.79 RCW.
Statutory Authority: Chapter 18.79 RCW and 2003 c 258.
						04-13-053, § 246-840-850, filed 6/11/04, effective 6/11/04. Statutory
						Authority: Chapter 18.79 RCW. 97-13-100, § 246-840-850, filed 6/18/97,
						effective 7/19/97.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING TECHNICIANS › Section 246-840-860 - Nursing technician criteria

Current through Register Vol. 24-14, July 15, 2024
To be eligible for employment as a nursing technician a
					 student must meet the following criteria:
(1) Satisfactory completion of at least one
				  academic term (quarter or semester) of a nursing program approved by the
				  commission. The term must have included a clinical component.
(2) Currently enrolled in a nursing
				  commission approved program will be considered to include:
(a) All periods of regularly planned
				  educational programs and all school scheduled vacations and holidays;
(b) Thirty days after graduation from an
				  approved program; or
(c) Sixty days
				  after graduation if the student has received a determination from the secretary
				  that there is good cause to continue the registration period.
(d) Current enrollment does not include:
(i) Leaves of absence or withdrawal,
				  temporary or permanent, from the nursing educational program.
(ii) Students who are awaiting the
				  opportunity to reenroll in nursing courses.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING TECHNICIANS › Section 246-840-870 - Functions of the nursing technician

Current through Register Vol. 24-14, July 15, 2024
The nursing technician is authorized only to perform
					 specific nursing functions within the limits of their education, up to their
					 skills and knowledge, as verified by their nursing program. The nursing
					 technician:
(1) May function only
				  under the direct supervision of a registered nurse who has agreed to act as
				  supervisor and is immediately available.
(2) May gather information about patients and
				  administer care to patients.
(3)
				  May not assume ongoing responsibility for assessments, planning,
				  implementation, or evaluation of the care of patients. The nursing technician
				  may participate in all aspects of the nursing care process under the guidance
				  of the registered nurse and within the scope of the nursing technician's
				  education.
(4) May never function
				  independently, act as a supervisor, or delegate tasks to licensed practical
				  nurses, nursing assistants, or unlicensed personnel.
(5) May not administer chemotherapy, blood or
				  blood products, intravenous medications, scheduled drugs, nor carry out
				  procedures on central lines.
(6)
				  May not perform any task or function that does not appear on the verification
				  sent to the nursing technician's employer by the nursing program in which the
				  nursing technician is enrolled. This document verifies that the nursing
				  technician has demonstrated the ability and is safe to perform these tasks and
				  functions. If the nursing technician is requested to perform any task not
				  verified by the nursing program, the nursing technician must inform their
				  supervisor that the task or function is not within their scope and must not
				  perform the task.
Statutory Authority: Chapter 18.79 RCW and 2003 c 258.
						04-13-053, § 246-840-870, filed 6/11/04, effective 6/11/04. Statutory
						Authority: Chapter 18.79 RCW. 97-13-100, § 246-840-870, filed 6/18/97,
						effective 7/19/97.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING TECHNICIANS › Section 246-840-880 - Functions of the registered nurse supervising the nursing technician

Current through Register Vol. 24-14, July 15, 2024
The registered nurse who is responsible for supervising the
					 nursing technician:
(1) Is accountable
				  at all times for the client's safety and well-being.
(2) Is responsible at all times for the
				  nursing process as delineated in WAC
				  246-840-700 and this
				  responsibility cannot be delegated.
(3) Shall maintain at all times an awareness
				  of the care activities of the nursing technician and of the current assessment
				  of the patient/resident.
(4) Shall
				  be immediately available at all times to the nursing technician.
(5) Shall have knowledge of the specific
				  nursing functions the nursing technician is authorized to perform. The
				  authorized functions appear on the verification sent to the nursing
				  technician's employer by the nursing program in which the nursing technician is
				  enrolled.
Statutory Authority: Chapter 18.79 RCW and 2003 c 258.
						04-13-053, § 246-840-880, filed 6/11/04, effective 6/11/04. Statutory
						Authority: Chapter 18.79 RCW. 97-13-100, § 246-840-880, filed 6/18/97,
						effective 7/19/97.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING TECHNICIANS › Section 246-840-890 - Functions of the employing facility

Current through Register Vol. 24-14, July 15, 2024
In addition to the responsibilities required by
					 RCW
					 18.79.360(4)(e), the
					 employer of the nursing technician shall:
(1) Verify the nursing technician's
				  enrollment in a nursing program approved by the commission.
(2) Verify that the nursing technician
				  continues to qualify as a nursing technician and continues to be in good
				  standing within three weeks of completion of each academic term (semester or
				  quarter).
(3) Obtain and maintain
				  written documentation of the specific nursing functions that the nursing
				  technician may perform from the approved nursing program.
(4) Follow their own guidelines, policies,
				  principles and procedures relating to nursing technicians.
(5) Identify the student nurse as a "nursing
				  technician."
(6) Advise the
				  department and nursing program of any practice-related action taken against the
				  nursing technician. The employing facility shall notify the department at P.O.
				  Box 47864, Olympia, Washington, 98504-7864.
(7) Provide training regarding the provisions
				  of RCW
				  18.79.330 through
				  18.79.370 as specified in
				  RCW
				  18.79.360(4)(e).
Statutory Authority: Chapter 18.79 RCW and 2003 c 258.
						04-13-053, § 246-840-890, filed 6/11/04, effective 6/11/04. Statutory
						Authority: Chapter 18.79 RCW. 97-13-100, § 246-840-890, filed 6/18/97,
						effective 7/19/97.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-840 - Practical and registered nursing › NURSING TECHNICIANS › Section 246-840-900 - Functions of the nursing program

Current through Register Vol. 24-14, July 15, 2024
The nursing program in which the nursing technician is
					 enrolled should:
(1) Provide to the
				  employer written documentation of specific nursing functions the nursing
				  technician may perform. This documentation should be based upon, and limited
				  to, the nursing technician's education and demonstrated ability to safely
				  perform the functions listed.
(2)
				  Provide to the employer and the commission written documentation when a nursing
				  technician is no longer considered to be in good standing as defined in WAC
				  246-840-010(16).
				  The nursing program should notify the employer and the commission immediately
				  if the nursing technician is no longer in good standing. Notification to the
				  commission should be sent to P.O. Box 47864, Olympia, Washington,
				  98504-7864.
Statutory Authority: Chapter 18.79 RCW and 2003 c 258.
						04-13-053, § 246-840-900, filed 6/11/04, effective 6/11/04. Statutory
						Authority: Chapter 18.79 RCW. 97-13-100, § 246-840-900, filed 6/18/97,
						effective 7/19/97.