WSR 09-02-081

PERMANENT RULES

DEPARTMENT OF HEALTH


[ Filed January 7, 2009, 11:24 a.m. , effective February 7, 2009 ]


     Effective Date of Rule: Thirty-one days after filing.

     Purpose: Chapter 246-826 WAC amends health care assistant rules by expanding the scope of practice to include oral, topical or nasal administration of vaccines, and to make housekeeping changes, and eliminate sections that are no longer needed.

     Citation of Existing Rules Affected by this Order: Repealing WAC 246-826-090 and 246-826-190; and amending WAC 246-826-030, 246-826-070, 246-826-080, and 246-826-100.

     Statutory Authority for Adoption: RCW 18.135.030 (SHB 2475, chapter 58, Laws of 2008).

      Adopted under notice filed as WSR 08-15-086 on July 16, 2008.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 4, Repealed 2.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 4, Repealed 2.

     Date Adopted: November 26, 2008.

Mary C. Selecky

Secretary

OTS-1733.1


AMENDATORY SECTION(Amending Order 121, filed 12/27/90, effective 1/31/91)

WAC 246-826-030   Supervision of health care assistants.   A health care assistant may be supervised by either the ((practitioner who delegated the act)) delegator or by ((a)) another practitioner who ((could)) can order the act under his or her own license. The practitioner who is supervising the health care assistant must be physically present and immediately available in the facility during the administration of injections or vaccines. The supervising practitioner need not be present during procedures to withdraw blood.

[Statutory Authority: RCW 43.70.040. 91-02-049 (Order 121), recodified as § 246-826-030, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.135.030. 85-06-018 (Order PL 515), § 308-175-020, filed 2/25/85.]


AMENDATORY SECTION(Amending Order 224, filed 12/23/91, effective 1/23/92)

WAC 246-826-070   Maintenance of listing of drugs and functions authorized.   Each delegator must maintain a list of the specific medications((/)), diagnostic agents, or vaccines and the route of administration of each that he or she has authorized ((for injection)). Both the delegator and the delegatee shall sign and date the ((above)) list((, indicating the date of each signature)). The signed list shall be available for review by the secretary of the department of health or his/her designee.

[Statutory Authority: RCW 18.135.030. 92-02-018 (Order 224), § 246-826-070, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. 91-02-049 (Order 121), recodified as § 246-826-070, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.135.030. 85-06-018 (Order PL 515), § 308-175-060, filed 2/25/85.]


AMENDATORY SECTION(Amending Order 224, filed 12/23/91, effective 1/23/92)

WAC 246-826-080   Medication ((and)), diagnostic agent, and vaccine list.   The list of specific medications, diagnostic agents, and vaccines, and the route of administration of each that has been authorized ((for injection pursuant to RCW 18.135.065)) shall be submitted to the secretary at the time of initial certification ((registration)) and again with every recertification ((registration)). If any changes occur which alter the list, a new list with the delegator and delegatee's signatures must be submitted to the department within thirty days of the change. All submitted lists will be maintained ((in)) by the department of health ((filed under the name of the certifying practitioner or facility and shall be available for review)).

[Statutory Authority: RCW 18.135.030. 92-02-018 (Order 224), § 246-826-080, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. 91-02-049 (Order 121), recodified as § 246-826-080, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.135.030. 87-23-022 (Order PM 689), § 308-175-065, filed 11/12/87.]


AMENDATORY SECTION(Amending WSR 02-06-115, filed 3/6/02, effective 4/6/02)

WAC 246-826-100   Health care assistant classification.   ((Effective December 2001, there are seven categories of health care assistants:)) There are seven categories of health care assistants. All categories may administer vaccines with appropriate delegation and supervision. This can be done by injection, orally, topically, or by nasal administration.

     (1) Category A assistants may perform venous and capillary invasive procedures for blood withdrawal.

     (2) Category B assistants may perform arterial invasive procedures for blood withdrawal.

     (3) Category C assistants may perform intradermal, subcutaneous and intramuscular injections for diagnostic agents and administer skin tests.

     (4) Category D assistants may perform intravenous injections for diagnostic agents.

     (5) Category E assistants may perform intradermal, subcutaneous and intramuscular injections for therapeutic agents and administer skin tests.

     (6) Category F assistants may perform intravenous injections for therapeutic agents.

     (7) Category G assistants may perform hemodialysis.

[Statutory Authority: RCW 18.135.030 and 18.135.020. 02-06-115, § 246-826-100, filed 3/6/02, effective 4/6/02. Statutory Authority: RCW 43.70.040. 91-02-049 (Order 121), recodified as § 246-826-100, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.135.030. 87-23-022 (Order PM 689), § 308-175-075, filed 11/12/87.]


REPEALER

     The following sections of the Washington Administrative Code are repealed:
WAC 246-826-090 Decertification or disciplinary actions.
WAC 246-826-190 Grandfather clause.

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