reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › PRACTICE REQUIREMENTS AND LIMITATIONS › Section 246-830-557 - Massage of the gluteal cleft or perineum

Current through Register Vol. 24-14, July 15, 2024
(1) A massage therapist may massage the
				  gluteal cleft from distal to the coccyx to the anus, and the perineum, after
				  meeting the requirements in subsections (3), (4), and (5) of this
				  section.
(2) For the purpose of
				  this section and WAC
				  246-830-550, the perineum is
				  defined as the tissues between the anus and scrotum or vulva. Massage of the
				  perineum does not include massage of any areas of the body listed in WAC
				  246-830-550(1)(b) through
				  (f).
(3) A massage therapist performing massage of
				  the body parts listed in subsection (1) of this section must maintain evidence
				  of the completion of at least sixteen hours of specific in-person education and
				  training in massage of the specified areas beyond the minimum competencies. The
				  education and training for massage of the body parts listed in subsection (1)
				  of this section includes, but is not limited to, indications,
				  contraindications, therapeutic treatment techniques, expected outcomes, client
				  or patient safety, client or patient consent, client or patient communication,
				  draping techniques, sanitation, and ethical responsibilities related to
				  massaging the body parts listed in subsection (1) of this section.
(4) Prior to performing massage of the body
				  parts listed in subsection (1) of this section, a massage therapist must obtain
				  signed or initialed written and verbal informed consent from the client or
				  patient. If the client or patient is under eighteen years of age, prior written
				  consent must be obtained from a parent or legal guardian of the client or
				  patient. This written consent may be included within the consent to massage
				  document, if clearly delineated. The written consent must:
(a) Be maintained with the client or patient
				  records;
(b) Include a statement
				  that the client or patient may discontinue the treatment at any time for any
				  reason;
(c) Include a statement
				  that the client or patient has the option to have a witness present, and that
				  the witness must be provided by the client or patient; and
(d) Provide a therapeutic rationale for
				  massaging the body parts listed in subsection (1) of this section that is
				  acknowledged by the client or patient.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › PRACTICE REQUIREMENTS AND LIMITATIONS › Section 246-830-560 - Coverage and draping

Current through Register Vol. 24-14, July 15, 2024
(1) A massage
				  therapist must:
(a) Allow a client or patient
				  privacy to dress or undress except as may be necessary in emergencies or
				  custodial situations; and
(b)
				  Always provide the client or patient a gown or draping except as may be
				  necessary in emergencies.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › PRACTICE REQUIREMENTS AND LIMITATIONS › Section 246-830-565 - Recordkeeping

Current through Register Vol. 24-14, July 15, 2024
(1) A massage
				  therapist providing professional services to a client or patient must document
				  services provided. Documentation should be appropriate to the venue, the type
				  and complexity of those services and, when applicable, in sufficient detail to
				  support and enable anticipated continuity of care. The documentation must
				  include:
(a) Client or patient name and
				  contact information or name and contact information of a parent or guardian if
				  a client or patient is under eighteen years of age;
(b) Age of client or patient;
(c) Health history sufficient to ascertain if
				  there are cautions or contraindications to safe application of massage therapy,
				  and an update of the current health status at each session;
(d) Date massage therapy is provided and the
				  duration of treatment;
(e) The
				  types of techniques and modalities applied;
(f) The location or areas of the body that
				  received massage therapy;
(g)
				  Written informed consent to treat. A written consent is considered valid for
				  one year unless revoked;
(h) If
				  breast massage is performed, an additional written consent to treat per WAC
				  246-830-555, and documentation of
				  a therapeutic rationale;
(i) If
				  breast massage that includes the nipples and areolae is involved, documentation
				  of the prescription or referral per WAC
				  246-830-555(3)(a),
				  or an additional written consent to treat per WAC
				  246-830-555(3)(b);
(j) If performing massage of the gluteal
				  cleft or perineum, an additional written and verbal informed consent to treat
				  is required to detail that the client or patient has a clear understanding of
				  the therapeutic rationale, treatment plan, and areas to be massaged for that
				  region per WAC 246-830-557(4);
(k)
				  Documentation of any written consent or any modification in coverage and
				  draping as required by WAC
				  246-830-560; and
(l) For massage therapy where the focus is on
				  treating a health condition, the following additional information is required:
(i) Symptoms, for example, pain, loss of
				  function, and muscle stiffness;
(ii) Evaluation and findings, for example,
				  movement, posture, palpation assessment and findings;
(iii) Outcome measures, for example,
				  improvement in symptoms, movement, posture, palpation, and function;
				  and
(iv) Treatment plan for future
				  sessions.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › PRACTICE REQUIREMENTS AND LIMITATIONS › Section 246-830-570 - Record retention

Current through Register Vol. 24-14, July 15, 2024
(1) Massage
				  therapist records for clients or patients eighteen years of age and older must
				  be retained by, or be otherwise accessible to the massage therapist for at
				  least three years from the date of last treatment.
(2) Massage therapist records for clients or
				  patients under the age of eighteen years old must be retained by, or be
				  otherwise accessible to the massage therapist for at least three years after
				  the client or patient reaches eighteen years old.
(3) The record retainer of the massage
				  therapist records for clients or patients shall comply with record retention
				  requirements of chapter 70.02 RCW, Medical records-Health care information
				  access and disclosure.
(4) All
				  records must be secured with properly limited access in compliance with chapter
				  70.02 RCW and the Health Insurance Portability and Accountability Act
				  (HIPAA).
(5) After the retention
				  period, records may be disposed of pursuant to this subsection. Disposal must
				  be done in a secure and confidential manner in compliance with chapter 70.02
				  RCW and HIPAA and must include as appropriate:
(a) Shredding;
(b) Deleting, erasing, or reformatting
				  electronic media; or
(c) Rendering
				  other readable forms of media unusable or unreadable.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › CREDENTIAL STATUS › Section 246-830-575 - Expired credential-Return to active status

Current through Register Vol. 24-14, July 15, 2024
(1) A person holding an expired credential
				  may not practice until the credential is returned to active status.
(2) If the credential has been expired for
				  less than three years, he or she must meet the requirements of chapter 246-12
				  WAC, Part 2.
(3) If the credential
				  has been expired for three years or more, he or she must comply with chapter
				  246-12 WAC, Part 2, and submit proof of completion of twenty-four hours of
				  continuing education which was completed within the past two years of the date
				  of application for renewal.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › DISCIPLINARY › Section 246-830-610

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						18.108.025(1). 95-11-108,
						§ 246-830-610, filed 5/23/95, effective 6/23/95. Statutory Authority:
						RCW
						18.108.085 and
						18.130.050. 92-02-018 (Order 224),
						§ 246-830-610, filed 12/23/91, effective 1/23/92. Statutory Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-830-610, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						18.130.070. 89-14-092 (Order PM 842), §
						308-51-230, filed 6/30/89.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › DISCIPLINARY › Section 246-830-620

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-830-620, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						18.130.070. 89-14-092 (Order PM 842), §
						308-51-240, filed 6/30/89.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › DISCIPLINARY › Section 246-830-630

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-830-630, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						18.130.070. 89-14-092 (Order PM 842), §
						308-51-250, filed 6/30/89.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › DISCIPLINARY › Section 246-830-640

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-830-640, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						18.130.070. 89-14-092 (Order PM 842), §
						308-51-260, filed 6/30/89.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › DISCIPLINARY › Section 246-830-650

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-830-650, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						18.130.070. 89-14-092 (Order PM 842), §
						308-51-270, filed 6/30/89.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › DISCIPLINARY › Section 246-830-660

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-830-660, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						18.130.070. 89-14-092 (Order PM 842), §
						308-51-280, filed 6/30/89.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › DISCIPLINARY › Section 246-830-670

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-830-670, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						18.130.070. 89-14-092 (Order PM 842), §
						308-51-290, filed 6/30/89.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › DISCIPLINARY › Section 246-830-680

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-830-680, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						18.130.070. 89-14-092 (Order PM 842), §
						308-51-300, filed 6/30/89.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-830 - Massage therapists › FEES › Section 246-830-990 - Massage fees and renewal cycle

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Licenses must be renewed every year on the practitioner's birthday as provided
				  in chapter 246-12 WAC, Part 2.
(2)
				  The following nonrefundable fees will be charged:
Title of Fee
Fee
Original application
Application and initial license
$210.00
UW online access fee (HEAL-WA)
16.00
Active license renewal
Renewal
150.00
Late renewal penalty
75.00
Expired license reissuance
50.00
UW online access fee (HEAL-WA)
16.00
Inactive license renewal
Inactive license renewal
50.00
Expired inactive license reissuance
50.00
UW online access fee (HEAL-WA)
16.00
Verification of license
10.00
Duplicate license
10.00
Intraoral massage endorsement
25.00
Statutory Authority:
						RCW
						43.70.110(3)(c) and
						43.70.250. 12-19-088, §
						246-830-990, filed 9/18/12, effective 11/1/12. Statutory Authority:
						RCW
						18.108.025,
						18.108.125, and
						43.70.250. 09-11-016, §
						246-830-990, filed 5/7/09, effective 6/7/09. Statutory Authority:
						RCW
						43.70.110,
						43.70.250, 2008 c 329. 08-15-014,
						§ 246-830-990, filed 7/7/08, effective 7/7/08. Statutory Authority:
						RCW
						43.70.250, [43.70.]280 and43.70.110 .
						05-12-012, § 246-830-990, filed 5/20/05, effective 7/1/05. Statutory
						Authority:
						RCW
						43.70.250. 03-07-095, § 246-830-990,
						filed 3/19/03, effective 7/1/03; 99-08-101, § 246-830-990, filed 4/6/99,
						effective 7/1/99. Statutory Authority:
						RCW
						43.70.280. 98-05-060, § 246-830-990,
						filed 2/13/98, effective 3/16/98. Statutory Authority:
						RCW
						18.108.025(1). 95-11-108,
						§ 246-830-990, filed 5/23/95, effective 6/23/95. Statutory Authority:
						RCW
						43.70.250. 93-14-011, § 246-830-990,
						filed 6/24/93, effective 7/25/93. Statutory Authority:
						RCW
						18.108.085 and
						43.70.250. 92-02-018 (Order 224),
						§ 246-830-990, filed 12/23/91, effective 1/23/92. Statutory Authority:
						RCW
						43.70.040. 91-02-049 (Order 121), recodified
						as § 246-830-990, filed 12/27/90, effective 1/31/91. Statutory Authority:
						RCW
						43.24.086. 88-24-042 (Order PM 788), §
						308-51-210, filed 12/6/88; 87-18-031 (Order PM 667), § 308-51-210, filed
						8/27/87.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-010 - Credentialing requirements

Current through Register Vol. 24-14, July 15, 2024
(1) An
				applicant for a reflexologist certification must be eighteen years of age or
				older.
(2) An applicant for a
				reflexologist certification must submit to the department:
(a) A completed application on forms provided
				by the secretary;
(b) Fees as
				required in WAC
				246-831-990;
(c) Evidence of completion of:
(i) A reflexology education program approved
				by the secretary;
(ii) An
				examination approved by the secretary;
(iii) A jurisprudence examination approved by
				the secretary.
(d) Any
				additional documents or information requested by the secretary.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-020 - Documents in a foreign language

Current through Register Vol. 24-14, July 15, 2024
All application documents, as required in WAC
				  246-831-010, submitted in a
				  foreign language must be accompanied by an accurate translation of those
				  documents into English. Translated documents must bear a notarized affidavit
				  certifying that the translator is competent in both the language of the
				  document and the English language and that the translation is a true and
				  complete translation of the foreign language original. The applicant is
				  responsible for all costs of translation of all documents.
Statutory Authority:
					 2012 c
					 137 . 13-12-044, § 246-831-020, filed
					 5/31/13, effective 7/1/13.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-030 - Display of credential and advertising

Current through Register Vol. 24-14, July 15, 2024
(1) A certified reflexologist shall
				conspicuously display his or her credential in his or her principal place of
				business.
(2) If the certified
				reflexologist does not have a principal place of business, or conducts business
				in any other location, he or she shall have a copy of his or her credential
				available for inspection while performing services within his or her authorized
				scope of practice.
(3) A certified
				reflexologist's name and certification number must conspicuously appear on all
				of the reflexologist's advertisements.
Statutory Authority:
					 2012 c
					 137 . 13-12-044, § 246-831-030, filed
					 5/31/13, effective 7/1/13.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-040 - Educational requirements

Current through Register Vol. 24-14, July 15, 2024
Training in reflexology must include a minimum of two hundred
				  hours of instruction. One hour of instruction is defined as fifty minutes of
				  actual instructional time. The two hundred hours shall consist of the
				  following:
(1) Thirty hours of
				reflexology theory, history, zones, reflex maps and relaxation response, and
				contraindications;
(2) Forty hours
				of in-person, classroom study of body systems as related to reflexology:
(a) The study of the leg, feet, hands and
				outer ears as structures;
(b)
				Hands-on palpation of landmarks and reflex points with sensory identification
				of palpated areas;
(c) A map of
				reflexes as they are anatomically reflected on the feet, hands and outer ears;
				and
(d) How the reflexes are
				affected by stimulation to the feet, hands and outer ears through hands-on
				experience.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-050 - Examination

Current through Register Vol. 24-14, July 15, 2024
(1) All applicants
				must take and pass the American Reflexology Certification Board (ARCB) written
				examination or another examination approved by the secretary.
(2) The secretary will accept the passing
				score established by the testing company for examinations approved by the
				secretary.
(3) An applicant who
				fails an approved examination may take an approved examination up to two
				additional times.
(4) After three
				failed examinations, the secretary may invalidate the applicant's application
				and remedial education may be required before future examinations can be
				taken.
Statutory Authority:
					 2012 c
					 137 . 13-12-044, § 246-831-050, filed
					 5/31/13, effective 7/1/13.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-060 - Waiver of examination

Current through Register Vol. 24-14, July 15, 2024
An applicant may obtain a waiver of the examination for
				  certification as a reflexologist.
(1)
				The applicant must apply for certification between July 1, 2013 and July 1,
				2014.
(2) In addition to the
				requirements in
				RCW
				18.108.131, the applicant must provide to the
				department:
(a) A completed application on
				forms provided by the secretary;
(b) Fees as required in WAC
				246-831-990; and
(c) Evidence of completion of a jurisprudence
				examination approved by the secretary.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-070 - Applicants licensed in another state

Current through Register Vol. 24-14, July 15, 2024
The secretary may issue a person credentialed as a
				  reflexologist in another state or territory of the United States a reflexology
				  certification. The applicant must provide to the department:
(1) Evidence of meeting substantially
				equivalent education requirements as defined in WAC
				246-831-040; and
(2) Verification of a current active
				credential from any state or territory of the United States.
Statutory Authority:
					 2012 c
					 137 . 13-12-044, § 246-831-070, filed
					 5/31/13, effective 7/1/13.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-080 - Equipment and sanitation

Current through Register Vol. 24-14, July 15, 2024
(1) The
				definitions in this subsection apply throughout this section unless the context
				clearly states otherwise.
(a) "Cleaning"
				means the removal of all visible dust, soil, and other foreign material,
				usually done using water with soaps, detergents, or enzymatic products along
				with physical action such as brushing. Cleaning precedes
				disinfection.
(b) "Disinfection"
				means a process that kills or destroys nearly all disease-producing
				microorganisms. Disinfectants are used on inanimate objects. Disinfectants can
				include those registered with the U.S. Environmental Protection Agency (EPA).
				Disinfectants must be used according to product instructions.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-090 - Health, sanitation, and facility standards

Current through Register Vol. 24-14, July 15, 2024
All schools, programs, and apprenticeship programs must have
				  adequate facilities and equipment available for students learning reflexology.
				  All facility equipment must be maintained in accordance with local rules and
				  ordinances in addition to those imposed by this chapter. Instructional and
				  practice equipment must be similar to that found in common occupational
				  practice. Programs must make available an adequate reference library
				  appropriate to the subjects being taught. Reference materials may be in
				  electronic format.
Statutory Authority:
					 2012 c
					 137 . 13-12-044, § 246-831-090, filed
					 5/31/13, effective 7/1/13.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-100 - Approval of school, program, or apprenticeship program

Current through Register Vol. 24-14, July 15, 2024
The secretary will consider for approval any school, program,
				  or apprenticeship program which meets the requirements as outlined in this
				  chapter.
(1) The authorized
				representative of the school or program, or the administrator of the
				apprenticeship program shall request approval of a school, program, or
				apprenticeship program on a form provided by the department.
(2) The authorized representative of the
				school or program, or the administrator of the apprenticeship program may
				request approval of the school or program, as of the date of the application or
				retroactively to a specified date.
(3) The application for approval of a school,
				program, or apprenticeship program must include, but not be limited to,
				documentation required by the secretary pertaining to:
(a) Syllabus;
(b) Qualifications of instructors;
(c) Training locations, and
				facilities;
(d) Outline of
				curriculum plan specifying all subjects and length in hours such subjects are
				taught;
(e) Class objectives;
				and
(f) A sample copy of one of
				each of the following exams: Reflexology theory, history, zones, reflex points,
				relaxation response and contraindications; body systems as related to
				reflexology, anatomy, and physiology; and business standards and
				ethics.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-831 - Certified reflexologists › Section 246-831-990 - Certified reflexologist - Fees and renewal cycle

Current through Register Vol. 24-14, July 15, 2024
(1) Credentials must be renewed every year on
				the practitioner's birthday as provided in chapter 246-12 WAC, Part
				2.
(2) The following nonrefundable
				fees will be charged for a certified reflexologist credential:
Title of Fee
Fee
Initial credential
$50.00
Renewal
40.00
Late renewal penalty
25.00
Expired credential reissuance
25.00
Certification of credential
10.00
Duplicate credential
10.00
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, §
					 246-831-990, filed 11/27/12, effective
					 7/1/13.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-020 - Secretary accredited midwifery programs

Current through Register Vol. 24-14, July 15, 2024
The secretary accepts midwifery education programs that meet
				  the Midwifery Education Accreditation Council (MEAC) standards and competencies
				  established in 2014 as accredited and approved courses of
				  instruction.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-030 - Eligibility for state licensing examination

Current through Register Vol. 24-14, July 15, 2024
Candidates for the state licensing examination shall meet the
				  following conditions, unless applying under WAC
				  246-834-066 Certified
				  professional midwife (CPM) licensure requirements:
(1) Midwifery training shall be at least
				three academic years, and shall consist of both didactic and clinical
				instruction sufficient to meet the educational standards of the school and this
				section. However, the length of required training may be shortened, but not to
				less than two academic years, after consideration of the student's documented
				education and experience in the required subjects, if the applicant is a
				registered nurse or practical nurse licensed under chapter 18.79 RCW, or has
				had previous nursing education or practical midwifery experience.
(2) The applicant must receive instruction in
				the following educational areas:
(a)
				Midwifery, basic sciences (including biology, physiology, microbiology, anatomy
				with emphasis on female reproductive anatomy, genetics and embryology), normal
				and abnormal obstetrics and gynecology, family planning techniques, childbirth
				education, nutrition both during pregnancy and lactation, chest feeding,
				neonatology, epidemiology, community care, and medicolegal aspects of
				midwifery; and
(b) Basic nursing
				skills and clinical skills including, but not limited to, vital signs, perineal
				prep, catheterization, aseptic techniques, administration of medications both
				orally and by injection, local infiltration for anesthesia, venipuncture,
				administration of intravenous fluids, infant and adult resuscitation, and
				charting.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-050 - Examination requirements for licensure as a midwife

Current through Register Vol. 24-14, July 15, 2024
(1) An applicant for midwifery licensure
				shall successfully pass:
(a) The midwifery
				examination offered by the North American Registry of Midwives
				(NARM);
(b) The Washington state
				licensure examination with a minimum passing score of 80; and
(c) The midwifery jurisprudence examination
				with a passing score of 100 percent, as offered by the department.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-055 - Examination failures

Current through Register Vol. 24-14, July 15, 2024
(1) An applicant
				who has failed the NARM examination or the Washington state licensing
				examination, or both, shall retake and pass the examination(s) which he or she
				failed.
(2) The applicant who fails
				the Washington state licensing examination may sit for the reexamination if the
				individual:
(a) Applies to the department at
				least 14 days prior to the next scheduled examination; and
(b) Pays the required fee as specified in WAC
				246-834-990.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-060 - Initial application requirements for licensure as a midwife

Current through Register Vol. 24-14, July 15, 2024
(1) An applicant
				for a midwife license shall submit to the department the following:
(a) Initial application on forms provided by
				the department.
(b) Fees required
				in WAC
				246-834-990.
(c) Proof of high school graduation, or its
				equivalent.
(d) Proof of at least
				three years of midwifery training, per
				RCW
				18.50.040(2)(a), unless the
				applicant qualifies for a reduced academic period.
(e) Proof of successful completion of the
				midwifery jurisprudence exam, as required in WAC
				246-834-050.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-062 - Initial or reinstating application for individuals who have not been in the active practice of midwifery

Current through Register Vol. 24-14, July 15, 2024
This section applies to applicants for an initial license as
				  a licensed midwife, or reinstatement of a midwifery license, who have not been
				  in the active practice of midwifery prior to initial or reinstatement license
				  application.
(1) Any applicant who has
				not been engaged in the active practice of midwifery for more than three years
				but less than five years prior to the date of application shall, in addition to
				the requirements for licensure as specified in WAC 246-834-030 and
				246-834-060:
(a) Provide documentation of a minimum of 10
				births while acting as a birth assistant under the supervision of a preceptor
				within the last 12 months; and
(b)
				Provide documentation of completion of continuing education for the three years
				prior to application that meets the requirements of WAC
				246-834-355.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-065 - Application for examination-Foreign trained

Current through Register Vol. 24-14, July 15, 2024
An applicant for a midwife license who graduated from a
				  foreign educational institution on midwifery outside of any U.S. jurisdiction
				  may sit for the licensing examination provided the applicant completes all
				  requirements in this section:
(1)
				Complete application requirements for licensure in WAC
				246-834-060;
(2) Provide proof of a certificate or diploma
				from a foreign institution on midwifery of equal requirements conferring the
				full right to practice midwifery in the country in which it was issued. The
				diploma must bear the seal of the institution from which the applicant
				graduated. If applicable, the candidates must, at the individual's own expense,
				present with the application a certified translation of the foreign certificate
				or diploma;
(3) Submit proof of
				completing at least three years of midwifery training including the study of
				basic nursing that meets the requirements under WAC 246-834-030(1);
(4) Submit proof of meeting minimum
				educational requirements under WAC 246-834-030 (2)(a) and (b);
(5) Submit to the department documentation of
				attendance at 100 births that meets the requirements of WAC 246-834-030
				(3)(a);
(6) Submit to the
				department documentation of prenatal care examinations of 50 individuals and
				early postpartum care examinations of 50 individuals that meets the
				requirements of WAC 246-834-030 (3)(b); and
(7) Demonstrate competency in the use and
				administration of legend drugs and devices described in RCW 18.50.115 and WAC
				246-834-250. The applicant shall
				submit documentation of competency to the department on a department supplied
				form. A licensed health care professional who, within the individual's scope of
				practice, is qualified in the use and administration of legend drugs and
				devices described in RCW 18.50.115 and WAC
				246-834-250 must sign the
				form.
Statutory Authority:
					 RCW
					 43.70.280. 98-05-060, § 246-834-065,
					 filed 2/13/98, effective 3/16/98. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-065, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 89-16-037 (Order PM 856), §
					 308-115-065, filed 7/25/89, effective
					 8/25/89.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-067 - Preceptor for certified professional midwife (CPM) licensure program

Current through Register Vol. 24-14, July 15, 2024
This section defines the role of a preceptor as used in WAC
				  246-834-066. A certified
				  professional midwife (CPM) applicant for licensure as a midwife may use more
				  than one preceptor to meet the requirements for licensure under WAC
				  246-834-066.
(1) A preceptor for clinical requirements
				including observed, managed, and assisted births, and prenatal and postpartum
				examinations must:
(a) Have a current
				Washington state license as a midwife under chapter 18.50 RCW, physician under
				chapter 18.71 RCW, osteopathic physician under chapter 18.57 RCW, or certified
				nurse midwife under chapter 18.79 RCW; and
(b) Have actively practiced obstetrics for at
				least three consecutive years or attended at least 150 births.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-068 - Trainee permit for certified professional midwife (CPM) licensure program

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				may issue a trainee permit to a certified professional midwife (CPM) who has
				submitted an initial application to the department accompanied by a
				nonrefundable fee as specified in WAC
				246-834-990.
(2) The CPM trainee permit authorizes the CPM
				to complete the licensure requirements outlined in WAC 246-834-066(1)(c)
				through (e).
(3) A CPM trainee
				permit expires one year from the date of issuance. The department may extend
				the permit upon request to accommodate extenuating circumstances.
(4) The department may deny, modify or revoke
				a CPM trainee permit at any time if the department determines that patient
				safety, health or welfare may be in jeopardy or the trainee fails to comply
				with the requirements of this section.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-070 - Release of examination results (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.50.060. 99-03-064, § 246-834-070,
					 filed 1/18/99, effective 2/18/99. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-070, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-070, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-080 - Examination failures (Recodified)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.50.060. 99-03-064, § 246-834-080,
					 filed 1/18/99, effective 2/18/99. Statutory Authority:
					 RCW
					 18.50.135 and
					 18.50.045. 92-02-018 (Order 224),
					 § 246-834-080, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-080, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-080, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-090 - Purpose of accreditation of midwifery educational programs (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.50.135 and
					 18.50.045. 92-02-018 (Order 224),
					 § 246-834-090, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-090, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-090, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-100 - Philosophy, purpose and objectives of an accredited midwifery educational program (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-100, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-100, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-110 - Advisory body (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-110, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-110, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-120 - Learning sites (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-120, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-120, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-130 - Staffing and teacher qualifications (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.50.135 and
					 18.50.045. 92-02-018 (Order 224),
					 § 246-834-130, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-130, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.045. 86-16-012 (Order PM 608), §
					 308-115-130, filed 7/25/86. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-130, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-140 - Eligibility for state licensing examination (Recodified)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.50.135 and
					 18.50.045. 92-02-018 (Order 224),
					 § 246-834-140, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-140, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 87-21-011 (Order PM 686), §
					 308-115-140, filed 10/9/87; 85-23-044 (Order PL 566 ), § 308-115-140,
					 filed 11/18/85; 82-19-079 (Order PL 406 ), § 308-115-140, filed
					 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-150 - Students (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.50.135 and
					 18.50.045. 92-02-018 (Order 224),
					 § 246-834-150, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-150, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 85-23-044 (Order PL 566 ), §
					 308-115-150, filed 11/18/85; 82-19-079 (Order PL 406 ), § 308-115-150,
					 filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-160 - Student midwife permit

Current through Register Vol. 24-14, July 15, 2024
(1) A
				student midwife permit may be issued to any individual who has:
(a) Successfully completed an accredited
				midwifery program as specified in WAC 246-834-020, or is foreign trained as
				specified in WAC
				246-834-065(1);
(b) Obtained a minimum period of midwifery
				training of at least three academic years as required by WAC
				246-834-030;
(c) Met the minimum
				education requirements required in WAC 246-834-030 (2)(a) and (b);
(d) Documentation of undertaking the care of
				not less than 50 individuals in each of the prenatal, intrapartum and early
				postpartum periods as required by RCW 18.50.040 (2)(c);
(e) Satisfactorily completed the NARM
				examination required by WAC
				246-834-050; and
(f) Filed a completed application for student
				midwife permit under WAC
				246-834-060 and accompanied by a
				nonrefundable fee as specified in WAC
				246-834-990.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-165 - Application requirements for a licensed midwife seeking a limited prescriptive license extension, a license extension for medical devices, or a license extension for implants

Current through Register Vol. 24-14, July 15, 2024
(1) A licensed
				midwife seeking a limited prescriptive license extension shall:
(a) Submit evidence of completion of 15
				additional obstetrical pharmacology didactic training hours. The additional
				hours must include the prescription classifications listed in WAC
				246-834-250(4)
				and provide skills and knowledge beyond entry-level skills or knowledge in
				antibiotics and contraceptives; and
(b) Submit evidence of completion of
				additional training on family planning and treating common, low risk prenatal
				and postpartum conditions. Such training must be either:
(i) A clinical experience of at least 20
				cases reviewed in consultation with a licensed health care professional who,
				within their scope of practice, is qualified to use and administer legend drugs
				and devices described in RCW 18.50.115 and WAC
				246-834-250. The licensed health
				care professional must attest to the applicant's knowledge and skills by
				signing a form provided by the department; or
(ii) A clinical training course or courses
				approved by the department.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-170 - Reports to the department of health by accredited midwifery educational programs (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 43.70.280. 98-05-060, § 246-834-170,
					 filed 2/13/98, effective 3/16/98. Statutory Authority:
					 RCW
					 18.50.135 and
					 18.50.045. 92-02-018 (Order 224),
					 § 246-834-170, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-170, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-170, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-180 - Application for accreditation (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.50.135 and
					 18.50.045. 92-02-018 (Order 224),
					 § 246-834-180, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-180, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.045. 86-16-012 (Order PM 608), §
					 308-115-180, filed 7/25/86. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-180, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-190 - School survey visits (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.50.135 and
					 18.50.045. 92-02-018 (Order 224),
					 § 246-834-190, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-190, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 85-23-044 (Order PL 566 ), §
					 308-115-190, filed 11/18/85; 82-19-079 (Order PL 406 ), § 308-115-190,
					 filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-200 - Appeal of department of health decisions (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 43.70.280. 98-05-060, § 246-834-200,
					 filed 2/13/98, effective 3/16/98. Statutory Authority:
					 RCW
					 18.50.135,
					 18.50.045 and
					 34.05.220. 92-02-018 (Order 224),
					 § 246-834-200, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-200, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-200, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-210 - Closure of an accredited school of midwifery (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.50.135 and
					 18.50.045. 92-02-018 (Order 224),
					 § 246-834-210, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-210, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.135. 82-19-079 (Order PL 406 ), §
					 308-115-210, filed 9/21/82.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-834 - Midwives › Section 246-834-220 - Midwife-in-training program, credit toward educational requirements for licensure (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
					 RCW
					 18.50.135 and
					 18.50.045. 92-02-018 (Order 224),
					 § 246-834-220, filed 12/23/91, effective 1/23/92. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-834-220, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 RCW
					 18.50.040(3) and
					 18.50.115. 88-12-040 (Order PM
					 732), § 308-115-220, filed 5/27/88.