AN
ACT Relating to an exemption to allow unregulated persons to perform sleep
monitoring tasks; and amending RCW 18.89.040.
BE IT
ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:
Sec.
1. RCW
18.89.040 and 1997 c 334 s 4 are each amended to read as follows:
(1)
A respiratory care practitioner licensed under this chapter is employed in the
treatment, management, diagnostic testing, rehabilitation, and care of patients
with deficiencies and abnormalities which affect the cardiopulmonary system and
associated aspects of other systems, and is under the direct order and under
the qualified medical direction of a physician. The practice of respiratory
care includes:
(a)
The use and administration of prescribed medical gases, exclusive of general
anesthesia;
(b)
The use of air and oxygen administering apparatus;
(c)
The use of humidification and aerosols;
(d)
The administration, to the extent of training, as determined by the secretary,
of prescribed pharmacologic agents related to respiratory care;
(e)
The use of mechanical ventilatory, hyperbaric, and physiological support;
(f)
Postural drainage, chest percussion, and vibration;
(g)
Bronchopulmonary hygiene;
(h)
Cardiopulmonary resuscitation as it pertains to advanced cardiac life support
or pediatric advanced life support guidelines;
(i)
The maintenance of natural and artificial airways and insertion, without
cutting tissues, of artificial airways, as prescribed by a physician;
(j)
Diagnostic and monitoring techniques such as the collection and measurement of
cardiorespiratory specimens, volumes, pressures, and flows;
(k)
The insertion of devices to draw, analyze, infuse, or monitor pressure in
arterial, capillary, or venous blood as prescribed by a physician or an
advanced registered nurse practitioner as authorized by the nursing care
quality assurance commission under chapter 18.79 RCW; and
(l)
Diagnostic monitoring of and therapeutic interventions for desaturation,
ventilatory patterns, and related sleep abnormalities to aid the physician in
diagnosis. This subsection does not prohibit any person from performing
sleep monitoring tasks as set forth in this subsection under the supervision or
direction of a licensed health care provider.
(2)
Nothing in this chapter prohibits or restricts:
(a)
The practice of a profession by individuals who are licensed under other laws
of this state who are performing services within their authorized scope of
practice, that may overlap the services provided by respiratory care
practitioners;
(b)
The practice of respiratory care by an individual employed by the government of
the United States while the individual is engaged in the performance of duties
prescribed for him or her by the laws and rules of the United States;
(c)
The practice of respiratory care by a person pursuing a supervised course of
study leading to a degree or certificate in respiratory care as a part of an
accredited and approved educational program, if the person is designated by a
title that clearly indicates his or her status as a student or trainee and
limited to the extent of demonstrated proficiency of completed curriculum, and
under direct supervision;
(d)
The use of the title "respiratory care practitioner" by registered
nurses authorized under chapter 18.79 RCW; or
(e)
The practice without compensation of respiratory care of a family member.
Nothing
in this chapter shall be construed to require that individual or group policies
or contracts of an insurance carrier, health care service contractor, or health
maintenance organization provide benefits or coverage for services and supplies
provided by a person licensed under this chapter.
