WSR 09-03-066PERMANENT RULES
DEPARTMENT OFSOCIAL AND HEALTH SERVICES
(Aging and Disability Services Administration)
[
Filed January 14, 2009,
3:06 p.m.
, effective February 14, 2009
]
Effective Date of Rule:
Thirty-one days after filing.
Purpose: 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.
Citation of Existing Rules Affected by this Order: Amending WAC 388-112-0175, 388-112-0180, 388-112-0250,
388-71-0520, 388-71-05810, and 388-71-05895.
Statutory Authority for Adoption: Chapter 146, Laws of
2008 (ESSHB [E2SHB] 2668), RCW 18.20.090, 74.08.090, chapter 70.128 RCW.
Adopted under notice filed as WSR 08-22-053
on November
3, 2008.
Changes Other than Editing from Proposed to Adopted Version: WAC 388-112-02610 What is HIV/AIDS training?
HIV/AIDS training is training that meets the department of
health standards. It is recommended that the HIV/AIDS
training be taught in classroom style by an experienced and
knowledgeable instructor who can answer technical questions.
WAC 388-112-02630 Who is required to complete HIV/AIDS
training, and when? Adult family home and boarding home staff
who have potential exposure to bodily fluids must complete
HIV/AIDS training.
(1) Licensed, certified or registered staff must meet the
HIV/AIDS training requirements for their specific department
of health license, certification or registration prior to
initially obtaining a health care credential.
(2) All other adult family home and boarding home staff
must complete the HIV/AIDS training, as defined in WAC 388-112-02610 within thirty days of employment.
Changes were made in response to stakeholder comments.
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Repealed 0;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Repealed 0;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 12,
Amended 5,
Repealed 0.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Repealed 0.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 0,
Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures:
New 5,
Amended 1,
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 17,
Amended 6,
Repealed 0.
Date Adopted: January 14, 2009.
Stan Marshburn
Interim Secretary
4042.2
AMENDATORY SECTION(Amending WSR 05-11-082, filed 5/17/05,
effective 6/17/05)
WAC 388-71-0520
Are there training requirements for an
individual provider or a home care agency provider of an adult
client?
An individual provider or a home care agency provider
for an adult client must meet the training requirements in WAC 388-71-05665 through 388-71-05865 and WAC 388-71-0801 through
388-71-0826.
[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.]
AMENDATORY SECTION(Amending WSR 04-02-001, filed 12/24/03,
effective 1/24/04)
WAC 388-71-05810
What knowledge and skills must nurse
delegation core training include?
Only the ((curricula))
curriculum developed by DSHS ((may be used)), "Nurse
Delegation for Nursing Assistants", meets the training
requirement for nurse delegation core training.
[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.]
AMENDATORY SECTION(Amending WSR 04-02-001, filed 12/24/03,
effective 1/24/04)
WAC 388-71-05895
What additional qualifications are
required for instructors of nurse delegation core training and
specialized diabetes nurse delegation training?
An instructor
for nurse delegation core training and specialized diabetes
nurse delegation training must have a current RN license in
good standing.
[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.]
NEW SECTION
WAC 388-71-0801
What is specialized diabetes nurse
delegation training?
Specialized diabetes nurse delegation
training is the required training for nursing assistants,
certified or registered, who will be delegated the task of
insulin injections. DSHS approves the instructors for the
specialized diabetes nurse delegation training.
[]
NEW SECTION
WAC 388-71-0806
What knowledge and skills must
specialized diabetes nurse delegation training include?
Specialized diabetes nurse delegation training consists of
three modules on diabetes, insulin, and injections. Only the
curriculum developed by DSHS, "Nurse Delegation for Nursing
Assistants: Special Focus on Diabetes", may be used for the
specialized diabetes nurse delegation training.
[]
NEW SECTION
WAC 388-71-0811
Is competency testing required for the
specialized diabetes nurse delegation training?
Passing the
DSHS competency test is required for successful completion of
specialized diabetes nurse delegation training, as provided
under WAC 388-71-05835 through 388-71-05865.
[]
NEW SECTION
WAC 388-71-0816
Is there a challenge test for
specialized diabetes nurse delegation training?
There is no
challenge test for specialized diabetes nurse delegation
training.
[]
NEW SECTION
WAC 388-71-0821
What documentation is required for
successful completion of specialized diabetes nurse delegation
training?
(1) Specialized diabetes nurse delegation training
must be documented by a certificate of successful completion
of training, issued by the instructor or training entity, that
includes: (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.
[]
NEW SECTION
WAC 388-71-0826
Who is required to complete the
specialized diabetes nurse delegation training, and when?
Specialized diabetes nurse delegation training is required
before a nursing assistant, certified or registered, who meets
the qualifications in WAC 388-71-05830, may be delegated the
task of insulin injections.
[]
4041.3
AMENDATORY SECTION(Amending WSR 02-15-065, filed 7/11/02,
effective 8/11/02)
WAC 388-112-0175
What knowledge and skills must nurse
delegation core training include?
Only the curriculum
developed by DSHS ((may be used)), "Nurse Delegation for
Nursing Assistants", meets the training requirement for nurse
delegation core training.
[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.]
AMENDATORY SECTION(Amending WSR 02-15-065, filed 7/11/02,
effective 8/11/02)
WAC 388-112-0180
Is competency testing required for
nurse delegation core training?
Passing the DSHS competency
test is required for successful completion of nurse delegation
core training, as provided under WAC ((388-112-0265))
388-112-0290 through ((388-112-0295)) 388-112-0315.
[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.]
NEW SECTION
WAC 388-112-0196
What is specialized diabetes nurse
delegation training?
Specialized diabetes nurse delegation
training is the required training for nursing assistants,
certified or registered, who will be delegated the task of
insulin injections. DSHS approves the instructors for
specialized diabetes nurse delegation training.
[]
NEW SECTION
WAC 388-112-01961
What knowledge and skills must
specialized diabetes nurse delegation training include?
Specialized diabetes nurse delegation training consists of
three modules on diabetes, insulin, and injections. Only the
curriculum developed by DSHS, "Nurse Delegation for Nursing
Assistants: Special Focus on Diabetes", may be used for the
specialized diabetes nurse delegation training.
[]
NEW SECTION
WAC 388-112-01962
Is competency testing required for the
specialized diabetes nurse delegation training?
Passing the
DSHS competency test is required for successful completion of
the specialized diabetes nurse delegation training, as
provided under WAC 388-112-0290 through 388-112-0315.
[]
NEW SECTION
WAC 388-112-01963
Is there a challenge test for
specialized diabetes nurse delegation training?
There is no
challenge test for specialized diabetes nurse delegation
training.
[]
NEW SECTION
WAC 388-112-01964
What documentation is required for
successful completion of specialized diabetes nurse delegation
training?
(1) Specialized diabetes nurse delegation training
must be documented by a certificate of successful completion
of training, issued by the instructor or training entity, that
includes: (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.
[]
NEW SECTION
WAC 388-112-01965
Who is required to complete the
specialized diabetes nurse delegation training, and when?
Specialized diabetes nurse delegation training is required
before a nursing assistant, certified or registered, who meets
the qualifications in WAC 388-112-0195, may be delegated the
task of insulin injections.
[]
AMENDATORY SECTION(Amending WSR 06-16-072, filed 7/28/06,
effective 8/28/06)
WAC 388-112-0250
What is CPR training?
Cardiopulmonary
resuscitation (CPR) training is training provided by an
authorized CPR instructor. Trainees must successfully
complete the written and skills demonstrations tests.
[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.]
NEW SECTION
WAC 388-112-02610
What is HIV/AIDS training?
It is
recommended that the HIV/AIDS training be taught in classroom
style by an experienced and knowledgeable instructor who can
answer technical questions. The Washington state department
of health's "KNOW HIV Prevention Education for Health Care
Facility Employees" manual is the state model, designed as a
complete training. HIV/AIDS training must be based on this
curriculum, be a minimum of two to three hours, and include
the following topics: (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.
[]
NEW SECTION
WAC 388-112-02615
Is competency testing required for
HIV/AIDS training?
No competency testing is required for
HIV/AIDS training.
[]
NEW SECTION
WAC 388-112-02620
Is there a challenge test for HIV/AIDS
training?
There is no challenge test for HIV/AIDS training.
[]
NEW SECTION
WAC 388-112-02625
What documentation is required for
completion of HIV/AIDS training?
HIV/AIDS training must be
documented by: (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.
[]
NEW SECTION
WAC 388-112-02630
Who is required to complete HIV/AIDS
training, and when?
Adult family home and boarding home staff
who have potential exposure to bodily fluids must complete
HIV/AIDS training. (1) Licensed, certified or registered staff must meet the
HIV/AIDS training requirements for their specific department
of health license, certification or registration prior to
obtaining a health care credential.
(2) All other adult family home and boarding home staff
must complete the HIV/AIDS training, as defined in WAC 388-112-02610 within thirty days of employment.
[]
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