Extended or satellite nursing campus of nursing education programs approved in Washington state. The licensed practical nurse should use theScope of Practice Decision Treeto determine if handing out a pre-labeled, pre-packed sample is within the licensed practical nurse's regulatory and individual scope of practice. See theWashington State Department of Health Overdose Education and Naloxone Distribution Webpagefor more information. The nurse may want to consult with an authorized health care practitioner or a registered nurse in situations when the nurse is unsure if the patient still requires an intravenous line or if the patient's intravenous line is insufficient to support the therapy needed. Can the task be performed without requiring judgment based on nursing knowledge? RCW 7.70.065(1)(c). The nurse must follow Federal and State blood-borne pathogen andClinical Laboratory Improvement Amendments (CLIA)regulations. This section should not be construed as prohibiting delegation to family members and other caregivers exempted by RCW. BOX 47864, Olympia, WA 98504-7864, Location: 111 Israel Road SE, Tumwater, WA 98501, Subscribe to receive updates from the Nursing Commission, About | News| Meeting Schedule | Contact, Nursing Care Quality Assurance Commission, Washington Administrative Code (WAC) 246-840, Neonatal Intubation and Related Procedures Advisory Opinion, Standing Orders and Verbal Orders Advisory Opinion, WAC 246-320 Hospital Licensing Regulations, WAC 246-330 Ambulatory Surgical Facilities, WAC 388-112-0260 Adult Family Homes and Assisted Living Facilities, D20-010 Assessment and Person-Centered Service Planning Process during COVID-19 Outbreak Policy (March 17, 2020), D20-028 Delivery of Skilled Nursing, Nurse Delegation, and Private Duty Nursing Services during the COVID-19 Outbreak (April 10, 2020), Medical Quality Assurance Commission WAC 246-919-606 Nonsurgical Medical Cosmetic Procedures, Dentist Scope of Practice - Use of Botulinum Toxin Injections/Dermal Fillers Interpretive Statement, Medical Quality Assurance Commission WAC 246-919-605 Use of Laser, Light, Radiofrequency, and Plasma (LLRP) Devices as Applied to the Skin, Food and Drug Administration's website, Using Eye Cosmetics Safely, NCQAC Standing and Verbal Orders Advisory Opinion, WAC 246-870 Electronic Transmission of Prescription Information, Washington State Department of Health Pharmacies website, Compounding Medications by Licensed Practical Nurses, Registered Nurses, and Advanced Registered Nurse Practitioners Advisory Opinion, Washington State Tuberculosis Laws and Guidelines, Centers for Disease Control Guidelines for TB Screening and Follow-Up, Medication Organizer Device Letter from Secretary of Health (PDF), Food and Drug Administration Understanding Unapproved Use of Approved Drugs "Off-Label" website, Institute for Safe Medication Practices (ISMP), WAC 388-76 Adult Family Home Minimum Licensing Requirements, Washington State Department of Health Patient Rights Guidelines, Epinephrine Autoinjectors and Anaphylaxis Training and Reporting for Authorized Entities Frequently Asked Questions, NCQAC's Prevention and Treatment of Opioid-Related Overdoses Advisory Opinion, Frequently Asked Questions for Nursing Professionals of the Prevention and Treatment of Opioid-Related Overdoses for more information, WAC 246-865-060 Pharmaceutical Services-Extended Care Facility, WAC 246-874-050 Accountability Requirements for an Automated Drug Dispensing Device (ADDD), WAC 246-840 Practical and Registered Nursing, advisory opinions and interpretive statements, WAC 246-919-605 Use of Laser, Light, Radiofrequency, and Plasma (LLRP) Devices as Applied to the Skin. Additional student requirements for prelicensure registered nurse nursing education programs located in the state of Washington. The nursing law and rules do not prohibit the competent and appropriately trained licensed practical nurse from giving experimental drugs by any route under the direction of an authorized provider or under the direction and supervision of the registered nurse. Routine radiology tests (such as chest, extremity); Computerized axial tomography (CAT) scans; Fluoroscopy, including upper gastrointestinal and barium enema procedures; Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA); Nuclear medicine such as bone scans, thyroid scans, and thallium cardiac stress tests; The nurse providing synchronous (real-time audio and video) VDOT is required to take the telemedicine training. The licensed practical nurse (LPN) or registered nurse (RN) should consider what they are trying to accomplish based on the patient needs and safety and within their scope of practice. WebWhat Is Nurse Delegation? The RN must be appropriately trained and competent to provide nursing telehealth services. Nurse Delegation Program Contacts nursedelegation@dshs.wa.gov The nurse should use theScope of Practice Decision Treeto determine if these activities are within the nurse's regulatory and individual scope of practice. There should be some consultation with the physician to initiate a standing order particularly if the signs/symptoms are deviations from the patient's norm. TheFood and Drug Administration Understanding Unapproved Use of Approved Drugs "Off-Label" websiteprovides information about using unapproved off-label drugs. This includes following the Washington State Department of HealthStatewide Standing Order to Dispense Naloxone. See theNCQAC Standing and Verbal Orders Advisory Opinionfor guidelines and recommendations. The Nursing Care Quality Assurance Commission does not have authority to interpret the laws governing the provision of health care in K-12, public and private schools. Facilities should develop policies to manage legal risk in these situations. Some facility laws and rules require nurses to have a CPR certification. Nurse administrator qualification requirements in nursing education programs located in Washington state. The licensed practical nurse should use theScope of Practice Decision Treeto determine if these activities are within the nurse's legal and individual scope of practice. This includes initiating or discontinuing therapy using pre-mixed medicated peritoneal dialysis bags, collecting specimens, catheter site care, and performing tubing or adaptor changes. The Washington State Department of Social and Health Services issued the following policies related to COVID-19, telehealth services, and delegation requirements: The nursing laws and rules allow a competent and appropriately trained licensed practical nurse to administer neuromodulators (such as Botox, Dysport, or Xeomin) or administering medications for sclerotherapy, asclerotherapy, or dermal fillers under the direction of an authorized health care practitioner or under the direction and supervision of a registered nurse. Licensure for nurses by interstate endorsement. The licensed practical nurse should use theScope of Practice Decision Treeto determine if these activities are within the nurse's legal and individual scope of practice. The licensed practical nurse may document symptoms or other findings and may document using a nursing diagnosis already made by the registered nurse. Yes. The patient must be in a stable condition. The rule of thumb is to recommend POLST for patients if their provider would not be surprised if they die within a year. It is within the scope of practice of an appropriately trained and competent licensed practical nurse to perform ostomy care under the direction of an authorized provider or under the direction and supervision of a registered nurse, following clinical practice standards. See the Nursing Care Quality Assurance Commission'sStanding Orders and Verbal Orders Advisory Opinionfor additional information. Medication reconciliation is a formal process for creating the most complete and accurate list possible of a patient's current medications and comparing the list to those in the patient record or medication orders. TheRCW 18.79 Nursing Careand theWAC 246-840 Practical and Registered Nursingallow nurses to employ their full scope of practice in multiple settings. The LPN may determine and pronounce death. The licensed practical nurse should use theScope of Practice Decision Treeto determine if any of the activities the licensed practical nurse is assisting with, is within the nurse's legal and individual scope of practice. Washington state is not a member of the Nurse Licensure Compact (NLC) through the National Council of State Boards of Nursing (NCSBN) that allows the nurse to practice in member states with one state licensure in another state in the NLC. The licensed practice nurse must work under the direction of an authorized health care practitioner or under the direction and supervision of a registered nurse. The licensed practical nurse should use theScope of Practice Decision Treeto determine if these activities are the nurse's legal and individual scope of practice. The nursing laws and rules do not require an authorized health care practitioner or registered nurse to be on the premises when a licensed practical nurse provides nursing care or performs medical regimens. The prescriber or the registered nurse does not need to be on onsite when the licensed practical nurse administers medications. If the patient is not in a stable condition, the licensed practical nurse may assist an authorized provider, or the registered nurse, in performing these procedures. The SNF may allow the licensed practical nurse to initiate the admission assessment within licensed practical nurse's scope of practice including collecting information and data without a registered nurse on the premises with the intent that the registered nurse will complete the comprehensive assessment and care planning. Accreditation requirements for all nursing education programs located in Washington state. Ongoing evaluation and approval of nursing education programs located in Washington state. The Nursing Care Quality Assurance Commission determines it is beyond the scope of the licensed practical nurse to perform pulmonary artery pressure monitoring procedures due to the complexity of the procedure. It is expected that the registered nurse would complete an appropriate age-specific nursing assessment and nursing care plan. The facility or employer may require a specific certification or training program. It is within the scope of an appropriately prepared and competent licensed practical nurse to assist an authorized health care practitioner or the registered nurse, in providing epidural care, following clinical practice standards. The licensed practical nurse should use theScope of Practice Decision Treeto determine if these activities are within the nurse's legal and individual scope of practice. Communication is defined as a process by which information is exchanged between individuals through a common system of speech, symbols, signs, and written communication or behaviors that serves as both a means of gathering information and of influencing the behavior, actions, attitudes, and feelings of others; and, (b) The registered nurse and licensed practical nurse shall document, on essential client records, the nursing care given and the client's response to that care; and. The patient's most recent communications, made in the context of their current medical condition, are the most likely to reflect their current wishes. A prescription or order from an authorized health care practitioner is required. The LPN and RN may provide telehealth nursing services within their scope of practice to patients in Washington state. The Nursing Care Quality Assurance Commission'sStanding Orders and Verbal Orders Advisory Opinionand Verbal Orders provides additional guidance and recommendations. (2) "Coercion" means to force or compel another, by authority, to do something that he/she would not otherwise choose to do. Internationally educated practical nurse program in an approved nursing education program. TheWashington State Department of Health COVID-19 Guidance for Home Care, Home Health, and Hospice Agenciesprovides guidance and resources for health care professionals providing services in these settings. RCW 69.41.095allows the Licensed Practical Nurse to carry and administer an opioid antagonist (such as naloxone) to a person suspected of experiencing an opioid overdose in any setting. Suctioning of a non-established or established tracheostomy stoma. Are the results of the task reasonably predictable? An exception exists in the physician rules that require a physician to be on the immediate premises during the patient's initial treatment when a nurse is performing laser therapy:WAC 246-919-605 Use of Laser, Light, Radiofrequency, and Plasma (LLRP) Devices as Applied to the Skin. The medical provider makes the "medical judgment" as to the specific medication and dosage. Web10987 Luddington Street (818) 253-5989 Care provided: Assisted Living, Respite Care Brookdale Vista Grande 2780 Vickers Drive (719) 598-0400 Care provided: Assisted Living, Respite Care American Life Adult Care Center 8849 NW 169 Terrace (305) 827-3100 Care provided: Assisted Living, Respite Care Amor De Jesus Corp 14283 Sw 177 Street The licensed practical nurse should consider the area of practice in which the nurse is working. However, the Nursing Care Quality Assurance Commission (NCQAC) recommends licensed nurses complete the telemedicine training if they provide services such as; telephone triage, remote patient monitoring (RPM, which enables recording and monitoring health data remotely), asynchronous telehealth (such as Store and Forward technology that allows patient data to be collected, stored, and later retrieved by another professional), Mobile Health (mHealth, using smart devices such as smartphones and smart wearables that allow continuous data collection about a person's behavior or condition) or other types of telehealth. This section has been decodified as it was omitted from "The rules and regulations of the Washington state apprenticeship council," filed 2/12/65 and 10/11/65. The licensed practical nurse should use theScope of Practice Decision Treeto determine if these activities are within the nurse's legal and individual scope of practice. 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