H-3636              _______________________________________________

                                                   HOUSE BILL NO. 1495

                        _______________________________________________

State of Washington                              49th Legislature                              1986 Regular Session

By Representative Brekke

Read first time 1/17/86 and referred to Committee on Social & Health Services.

AN ACT Relating to health care assistants; and amending RCW 18.135.060.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

        Sec. 1.  Section 6, chapter 281, Laws of 1984 and RCW 18.135.060 are each amended to read as follows:

          Any health care assistant certified pursuant to this chapter shall perform the functions authorized in this chapter only by delegation of authority from the health care practitioner and under the supervision of a health care practitioner acting within the scope of his or her license.  In the case of subcutaneous, intradermal and intramuscular and intravenous injections, a health care assistant may perform such functions only under the supervision of a health care practitioner having authority, within the scope of his or her license, to order such procedures:  PROVIDED, That a health care assistant in a renal dialysis center or facility approved by the director may perform venipuncture for blood withdrawal, administration of oxygen as necessary by cannula or mask, venipuncture for placement of fistula needles, intravenous administration of heparin and sodium chloride solutions as an integral part of dialysis treatment, and intradermal, subcutaneous, or topical administration of local anesthetics in conjunction with placement of fistula needles, if a registered nurse licensed under chapter 18.88 RCW is physically present and immediately available in such facility.