WSR 00-01-074

PERMANENT RULES

DEPARTMENT OF HEALTH


(Board of Nursing Home Administrators)

[ Filed December 13, 1999, 4:25 p.m. ]

Date of Adoption: November 19, 1999.

Purpose: Amendatory section adds a mandatory continuing education (CE) course for licensees and requires attendance within 180 days of initial licensure. The mandatory CE replaces the state law part of the examination for initial license. Amendatory section condenses and renames general subject areas of CE determined to be critical to the role of a nursing home administrator. Amendatory section requires licensees who have an active license and practice solely out of state to have CE that covers the same general subject areas as licensees who have an active license and practice in Washington. Language in the repealer is moved to the CE rules for easier reference.

Citation of Existing Rules Affected by this Order: Repealing WAC 246-843-125 and amending WAC 246-843-130 and 246-843-150.

Statutory Authority for Adoption: Chapter 18.52 RCW.

Other Authority: Chapter 34.05 RCW.

Adopted under notice filed as WSR 99-20-095 on October 5, 1999.

Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 2, Repealed 1.

Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 2, Repealed 1.

Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 0, Repealed 0. Effective Date of Rule: Thirty-one days after filing.

November 24, 1999

Barbara A. Hayes

Program Manager

OTS-2399.3


AMENDATORY SECTION(Amending Order 217B, filed 11/27/91, effective 12/28/91)

WAC 246-843-130
Continuing education courses ((of study)).

A course ((of study)) provided to satisfy the continuing education requirement of licensed nursing home administrators shall meet the following conditions before ((approval)) being approved by the board ((will be considered)):

(1) ((Such course of study)) A request for approval shall be ((registered before being offered)) submitted on forms provided by the department at least one day prior to the start of the course;

(2) Such course of study shall consist of a minimum of one hour of organized instruction with the exception of board-approved ((correspondence courses of)) self-study courses;

(3) Such course of study may include the following general subject areas or their equivalents, and shall be oriented to the nursing home administrator and reasonably related to the ((administrator)) administration of nursing homes:

(a) ((Applicable standards of environmental health and safety

(b) Local health and safety regulations

(c) General administration

(d) Psychology of patient care

(e) Principles of medical care

(f) Personal and social care

(g) Therapeutic and supportive care and services in long-term care

(h) Departmental organization and management

(i) Community inter-relationships;)) Resident management;

(b) Personnel management;

(c) Financial management;

(d) Environmental management;

(e) Governance and management;

(f) Laws relating to Washington state nursing homes;

(4) Within one hundred eighty days after becoming licensed, nursing home administrators shall attend an approved course on laws relating to nursing homes in Washington. The board will grant retroactive credit to those licensees who obtain the required training as administrators-in-training under WAC 246-843-090. The board will approve state law training courses based on the following criteria.

A minimum of a six-hour program, with formal training objectives, that covers the following subjects: The requirements of chapter 18.52 RCW and essential areas of laws that apply to nursing homes regulated by the department of social and health services under chapter 388-97 WAC:

• Resident services, medical and social;

• Resident rights, including resident decision making, informed consent, advance directives and notices to residents;

• Enforcement;

• Criminal history inquiries;

• Differences between federal and state law.

(5) Such course of study shall issue certificates of attendance or other evidence satisfactory to the board((; and

(5) All courses of study for continuing education are subject to board approval)).

[Statutory Authority: RCW 18.52.100.      91-24-050 (Order 217B), § 246-843-130, filed 11/27/91, effective 12/28/91; 91-06-060 (Order 141B), recodified as § 246-843-130, filed 3/1/91, effective 4/1/91.      Statutory Authority: RCW 18.52.100(11).      88-23-038 (Order PM 791), § 308-54-130, filed 11/9/88.      Statutory Authority: RCW 18.52.100(14) and 18.52.110(2).      82-20-092 (Order PL 407), § 308-54-130, filed 10/6/82.      Statutory Authority: RCW 18.52.100(14) and 18.52.110.      80-01-057 (Order PL 328), § 308-54-130, filed 12/20/79; Order PL 265, § 308-54-130, filed 3/21/77; Order PL 260, § 308-54-130, filed 12/10/76; Order PL 107, § 308-54-130, filed 3/3/71.]


AMENDATORY SECTION(Amending WSR 98-05-060, filed 2/13/98, effective 3/16/98)

WAC 246-843-150
Continuing education requirements ((to meet the conditions of reregistration)) for renewal of license.

(1) Licensed nursing home administrators must demonstrate completion of fifty-four hours of continuing education every three years as provided in chapter 246-12 WAC, Part 7.

(2) ((Practitioners)) Licensees practicing ((only)) solely out of ((the state of)) Washington ((may petition the board for full recognition of the continuing education requirement through fulfillment of their state of practice's licensing and continuing education requirements with the condition that their state has equal hours of continuing education requirements)) state are exempt from WAC 246-843-130(1) and must meet all other requirements.

(3) A preceptor for an administrator-in-training program may be granted continuing education credit of one hour per month of the AIT program. Credit as a preceptor is limited to twenty-four hours of continuing education in any three-year period.

[Statutory Authority: RCW 43.70.280.      98-05-060, § 246-843-150, filed 2/13/98, effective 3/16/98.      Statutory Authority: RCW 18.52.100.      91-24-050 (Order 217B), § 246-843-150, filed 11/27/91, effective 12/28/91; 91-06-060 (Order 141B), recodified as § 246-843-150, filed 3/1/91, effective 4/1/91.      Statutory Authority: RCW 18.52.100(14) and 18.52.110(2).      84-07-051 (Order PL 461), § 308-54-150, filed 3/21/84.      Statutory Authority: RCW 18.52.110.      80-04-069 (Order 338), § 308-54-150, filed 3/26/80; Order PL 260, § 308-54-150, filed 12/10/76; Order PL 107, § 308-54-150, filed 3/3/71.]


REPEALER

     The following section of the Washington Administrative Code is repealed:
WAC 246-843-125 Continuing education credit for preceptors for administrators-in-training programs.

© Washington State Code Reviser's Office