Original Notice.

     Preproposal statement of inquiry was filed as WSR 08-15-135.

     Title of Rule and Other Identifying Information: The department is amending chapter 388-71 WAC, Home and community services and programs and chapter 388-112 WAC, Residential long-term care services.

     Hearing Location(s): Blake Office Park East, Rose Room, 4500 10th Avenue S.E., Lacey, WA 98503 (one block north of the intersection of Pacific Avenue S.E. and Alhadeff Lane. A map or directions are available at http://www1.dshs.wa.gov/msa/rpau/docket.html or by calling (360) 664-6094), on December 9, 2008, at 10:00 a.m.

     Date of Intended Adoption: Not earlier than December 10, 2008.

     Submit Written Comments to: DSHS Rules Coordinator, P.O. Box 45850, Olympia, WA 98504-5850, delivery 4500 10th Avenue S.E., Lacey, WA 98503, e-mail DSHSRPAURulesCoordinator@dshs.wa.gov, fax (360) 664-6185, by

5 p.m. on December 9, 2008.

     Assistance for Persons with Disabilities: Contact Jennisha Johnson, DSHS rules consultant, by November 25, 2008, TTY (360) 664-6178 or (360) 664-6094 or by e-mail at johnsjl4@dshs.wa.gov.

     Purpose of the Proposal and Its Anticipated Effects, Including Any Changes in Existing Rules: Chapter 146, Laws of 2008 (ESSHB [E2SHB] 2668) requires that all nursing assistants who will be delegated the task of insulin injections complete a specialized diabetes nurse delegation training. The new language in chapters 388-71 and 388-112 WAC add this requirement.

     The purpose of new rules in WAC 388-112-02605 through 388-112-02630 is to add content requirements for the existing HIV/AIDS training requirement.

     New language in WAC 388-112-0250 clarifies that the existing CPR training requirement must include skills demonstration tests.

     WAC 388-112-0180 is amended to correct a WAC reference.

     Statutory Authority for Adoption: Chapter 146, Laws of 2008 (ESSHB [E2SHB] 2668), RCW 18.20.090, 74.08.090, chapter 70.128 RCW.

     Statute Being Implemented: Chapter 146, Laws of 2008 (ESSHB [E2SHB] 2668), RCW 18.20.090, 74.08.090, chapter 70.128 RCW.

     Rule is not necessitated by federal law, federal or state court decision.

     Name of Proponent: Department of social and health services, governmental.

     Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Barbara Hanneman, P.O. Box 45600, Olympia, WA 98504-5600, (360) 725-2540.

     No small business economic impact statement has been prepared under chapter 19.85 RCW. The department has analyzed the rules and determined that no more than minor costs will be imposed on small businesses or nonprofit organizations.

     A cost-benefit analysis is required under RCW 34.05.328. A preliminary cost-benefit analysis may be obtained by contacting Barbara Hanneman, Home and Community Services, P.O. Box 45600, Olympia, WA 98504-5600, phone (360) 725-2540, fax (360) 725-2646, e-mail HanneBJ@dshs.wa.gov.

October 29, 2008

Stephanie E. Schiller

Rules Coordinator

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-71-0520, filed 5/17/05, effective 6/17/05. Statutory Authority: RCW 74.39A.050, 2003 c 140, chapters 18.79, 18.88A RCW. 04-02-001, § 388-71-0520, filed 12/24/03, effective 1/24/04. Statutory Authority: Chapter 74.39A RCW and 2000 c 121. 02-10-117, § 388-71-0520, filed 4/30/02, effective 5/31/02. Statutory Authority: RCW 74.08.090, 74.09.520, 43.20A.050, 43.43.842, 74.39A.090, 43.20A.710, 74.39.050, 43.43.830. 00-03-043, § 388-71-0520, filed 1/13/00, effective 2/13/00.]

[Statutory Authority: RCW 74.39A.050, 2003 c 140, chapters 18.79, 18.88A RCW. 04-02-001, § 388-71-05810, filed 12/24/03, effective 1/24/04.]

[Statutory Authority: RCW 74.39A.050, 2003 c 140, chapters 18.79, 18.88A RCW. 04-02-001, § 388-71-05895, filed 12/24/03, effective 1/24/04.]

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     (a) The name of the trainee;

     (b) The name of the training;

     (c) The name of the training entity giving the training;

     (d) The instructor's name and signature; and

     (e) The date(s) of training.

     (2) The trainee must be given an original certificate.

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[Statutory Authority: RCW 18.20.090, 70.128.040, 74.39A.050, 34.05.020, 2000 c 121, and 2002 c 233. 02-15-065, § 388-112-0175, filed 7/11/02, effective 8/11/02.]

[Statutory Authority: RCW 18.20.090, 70.128.040, 74.39A.050, 34.05.020, 2000 c 121, and 2002 c 233. 02-15-065, § 388-112-0180, filed 7/11/02, effective 8/11/02.]

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     (a) The name of the trainee;

     (b) The name of the training;

     (c) The name of the training entity giving the training;

     (d) The instructor's name and signature; and

     (e) The date(s) of training.

     (2) The trainee must be given an original certificate. Adult family homes and boarding homes must keep a copy of the certificate on file.

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[Statutory Authority: RCW 18.20.090, 70.128.040, 70.128.230. 06-16-072, § 388-112-0250, filed 7/28/06, effective 8/28/06. Statutory Authority: RCW 18.20.090, 70.128.040, 74.39A.050, 34.05.020, 2000 c 121, and 2002 c 233. 02-15-066, § 388-112-0250, filed 7/11/02, effective 8/11/02.]

     (1) Causes of HIV and how it is spread, including:

     (a) Reported cases in the United States and Washington state; and

     (b) Risk groups and risky behaviors.

     (2) Transmission and infection control, including:

     (a) Infection control precautions;

     (b) Factors affecting the risk for transmission; and

     (c) Risks for transmission to health care workers.

     (3) Legal and ethical issues, including:

     (a) Confidentiality;

     (b) Informed consent;

     (c) Legal reporting requirements;

     (d) Ethical issues; and

     (e) Civil rights.

     (4) Psychosocial issues, including:

     (a) Personal impact of HIV continuum;

     (b) The human response to death and dying;

     (c) Issues for care providers;

     (d) Family issues; and

     (e) Special populations.

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     (1) Proof of registration, certification or licensure from the department of health; or

     (2) A certificate of completion of the state developed twenty-eight hour revised fundamentals of caregiving, completed after December 19, 2003; or

     (3) A certificate of completion of HIV/AIDS training issued by the instructor or training entity that includes:

     (a) The name of the trainee;

     (b) The name of the training curriculum;

     (c) The name of the home or training entity giving the training;

     (d) The instructor's name and signature; and

     (e) The date(s) of the training session(s).

     (4) The trainee must be given an original certificate. The facility or entity must keep a copy of the certificate on file.

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     (1) Licensed, certified or registered staff meet the HIV/AIDS training requirements for their specific department of health license, certification or registration.

     (2) All other adult family home and boarding home staff must complete the HIV/AIDS training, as defined in WAC 388-112-02610.

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