PDFWAC 246-840-300

ARNP scope of practice.

The scope of practice of a licensed ARNP is as provided in RCW 18.79.250 and this section.
(1) The ARNP is prepared and qualified to assume primary responsibility and accountability for the care of patients.
(2) ARNP practice is grounded in nursing process and incorporates the use of independent judgment. Practice includes collaborative interaction with other health care professionals in the assessment and management of wellness and health conditions.
(3) The ARNP functions within his or her scope of practice
following the standards of care defined by the applicable certifying body as defined in WAC 246-840-302. An ARNP may choose to limit the area of practice within the commission approved certifying body's practice.
(4) An ARNP shall obtain instruction, supervision, and consultation as necessary before implementing new or unfamiliar techniques or practices.
(5) Performing within the scope of the ARNP's knowledge, experience and practice, the licensed ARNP may perform the following:
(a) Examine patients and establish diagnoses by patient history, physical examination, and other methods of assessment;
(b) Admit, manage, and discharge patients to and from health care facilities;
(c) Order, collect, perform, and interpret diagnostic tests;
(d) Manage health care by identifying, developing, implementing, and evaluating a plan of care and treatment for patients;
(e) Prescribe therapies and medical equipment;
(f) Prescribe medications when granted prescriptive authority under this chapter;
(g) Refer patients to other health care practitioners, services, or facilities; and
(h) Perform procedures or provide care services that are within the ARNP's scope of practice according to the commission approved certifying body as defined in WAC 246-840-302.
[Statutory Authority: RCW 18.79.050, 18.79.110, and 18.79.160. WSR 16-08-042, § 246-840-300, filed 3/30/16, effective 4/30/16. Statutory Authority: RCW 18.79.010, [18.79.]050, [18.79.]110, and [18.79.]210. WSR 09-01-060, § 246-840-300, filed 12/11/08, effective 1/11/09. Statutory Authority: RCW 18.79.110 and 18.79.050. WSR 00-21-119, § 246-840-300, filed 10/18/00, effective 11/18/00. Statutory Authority: Chapter 18.79 RCW. WSR 97-13-100, § 246-840-300, filed 6/18/97, effective 7/19/97.]