WebNursing Pool | Washington State Department of Health You & Your Family Community & Environment Licenses, Permits, & Certificates Data & Statistical Reports Emergencies For Public Health & Health Care Providers In this section Nursing Pool Laws Licensing Information Rules in Progress Nursing Pool We can help you: It is beyond the scope of the licensed practical nurse to apply or remove an internal electronic fetal monitor. The employer may have policies or guidelines about crushing or splitting medications. Apply here. The licensed practical nurse should consider consulting with a pharmacist and follow current guidance or standards and/or contact the prescriber or pharmacist to see if there is another alternative, such as liquid form or getting the medication in the appropriate dose. These procedures require a prescription from an authorized health care practitioner. The facility can be more restrictive. See theNCQAC Standing and Verbal Orders Advisory Opinionfor guidelines and recommendations. Appropriate documentation of a focused patient assessment and evaluation must substantiate intervention. The nursing law and rules do not prohibit the competent and appropriately trained licensed practical nurse from giving drugs, including antineoplastic drugs, under the direction of an authorized provider or under the direction and supervision of the registered nurse. See theNCQAC's Prevention and Treatment of Opioid-Related Overdoses Advisory OpinionandFrequently Asked Questions for Nursing Professionals of the Prevention and Treatment of Opioid-Related Overdoses for more information. Triaging occurs in various setting such as managed care organization, primary and specialty care, emergency departments, and crisis lines. Competent practice may require the administration of first aid and/or CPR. Initial licensure for registered nurses and practical nurses who graduate from an international school of nursing. PO Box 47852 Olympia, Washington 98504-7852 . The patient must be in a stable condition. 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. The licensed practical nurse must apply adequate knowledge and skills in determining the dosage to be administered at any given time. Web(a) Delegating nursing care function or responsibilities to a person the nurse knows or has reason to know lacks the ability or knowledge to perform the function or responsibility, or delegating to unlicensed persons those functions or responsibilities the nurse knows or has reason to know are to be performed only by licensed persons. The Nursing Care Quality Assurance Commission recommends the licensed practical nurse use the Scope of Practice Decision Tree to determine if an activity is within the nurse's scope of practice. Section B may require nursing delegation for some tasks following the delegation process. The Nursing Care Quality Assurance Commission (NCQAC) recommends all Washington nurses complete the telemedicine training as a demonstration of competence as soon as practical to provide an overview of the roles, responsibilities, liability, and legal requirements for providing telehealth services. A facility or supervisor may require direct or immediate supervision for specific activities or if there are concerns about the licensed practical nurse's competency. The delegating physician need not be on the premises during the procedure, but the physician must be reachable by telephone to be able to respond within thirty minutes to treat complications. The licensed practical nurse may carry and administer epinephrine under the direction of an authorized health care practitioner or under the direction and supervision of the registered nurse. The Nursing Care Quality Assurance Commission recommends the licensed practical nurse use theScope of Practice Decision Treeto determine if the administration of experimental drugs is within his or her regulatory and individual scope of practice. WebWashington state nursing care quality assurance commission community-based and in-home care setting delegation decision tree. A competent adult patient or the legal surrogate may always change their medical decisions and request alternative treatment. 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. Reinstatement of approval for nursing programs located in Washington state. It is within the scope of practice of the appropriately prepared and competent licensed practical nurse to assist an authorized health care practitioner, or the registered nurse, in removing trans-thoracic (epicardial) pacing wire following open-heart surgery, following clinical practice standards. WebRCW 18.79 Nursing Care and WAC 246-840 Practical and Registered Nursing. Continuing education requirements for ARNP prescriptive authority. Collect and verify the patient's complete medication history. It is within the scope of an appropriately prepared and competent licensed practical nurse to insert prostaglandin into the vagina for a cervical ripening or induction of labor with a viable fetus under the direction of an authorized health care practitioner, or under the direction and supervision, of the registered nurse, following clinical practice standards. It is within the scope of practice of an appropriately trained and competent licensed practical nurse to insert a feeding tube in a neonate, infant, child, or adult under the direction of an authorized health care practitioner, or under the direction and supervision of the registered nurse, following clinical practice standards. The licensed practical nurse may assist an authorized provider or the registered nurse in performing these procedures following clinical practice standards. It is within the scope of practice of an appropriately prepared and competent licensed practical nurse to perform peritoneal dialysis under the direction of an authorized health care practitioner, or under the direction and supervision of the registered nurse, following clinical practice standards. An order from an authorized health care practitioner is required. The nursing care plan may only be developed, implemented, and evaluated by a registered nurse. With insulin injections, the supervision occurs at least weekly for the first four weeks. The Community Based Nurse Delegation Program is authorized through the written rules within the Nurse Practice Act (WAC) and through Washington State Law (RCW). WAC 388-112-0260 Adult Family Homes and Assisted Living Facilitiesalso have specific requirements for CPR and first aid training. 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. Stable and predictable may include a patient with sliding scale insulin orders. The MSE requires a comprehensive assessment. Initial licensure for registered nurses and practical nurses. The Nursing Care Quality Assurance Commission recommends following theWAC 246-919-606for physicians. The nursing laws and rules do not require a licensed practical nurse to get a special certification to perform infusion therapy, phlebotomy, or laboratory tests. Standing orders are certainly not to be used in lieu of medical consultation or intervention. The nurse should use theScope of Practice Decision Treeto determine if these activities are within the nurse's legal and individual scope of practice. The registered nurse delegator ensures the task to be delegated can be properly and safely performed by the nursing assistant or home care aide. WebHealthcare Delivery Systems (HCM340) Abnormal Psychology (PSY215) Community Health Nursing (NU 420) Care Management 2 (NUR 3219C) Human Physiology Laboratory (BIOL 3120 ) StuDocu Summary Library EN ATI Medical-Surgical (101) Marketing Management (BUS 5112) Biology: Basic Concepts And Biodiversity (BIOL 110) Trending Chemical Provision for clean, intermittent catheterization in schools. The Nursing Care Quality Assurance Commission'sStanding Orders and Verbal Orders Advisory Opinionprovides additional guidance and recommendations. It is not within the scope of the licensed practical nurse to replace a suprapubic catheter in a non-established tract. These online courses are on-demand eLearning with virtual proctored final exams. (10) The nurse shall not disclose the contents of any licensing examination or solicit, accept or compile information regarding the contents of any examination before, during or after its administration. Is the task within the registered nurse's scope of practice? Another option is for the facility or employer to become an authorized entity. A licensed practical nurse may work in any setting where nursing care is provided. 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 assist an authorized health care practitioner or the registered nurse to remove the device, following clinical practice standards. The ALF may choose to provide, but is not required to provide, intermittent nursing services. The licensed practical nurse implements health care plans developed by the registered nurse or other authorized health care practitioner. Abnormal test results should be communicated by someone who can provide supporting information about the test, implications, and follow-up care. The nursing laws and rules allow a competent and appropriately trained licensed practical nurse to perform phototherapy such as Type B Ultraviolet (UVB), Grenz Ray, or Psoralen and Long-Wave Ultraviolet Radiation (PUVA) under the direction of an authorized health care practitioner or under the direction and supervision of a registered nurse. 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