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Chapter 246-840 WAC

Last Update: 12/20/13

PRACTICAL AND REGISTERED NURSING

WAC Sections

Definitions.
Credentials issued to nurses in Washington.
Initial licensure for registered nurses and practical nursesCommission approved Washington state nursing education program.
Initial licensure for registered nurses and practical nursesOut-of-state traditional nursing education program approved by another United States nursing board.
Initial licensure for registered nursesOut-of-state nontraditional nursing education program approved by another United States nursing board as defined by WAC 246-840-010(16).
Initial licensure for registered nurses and practical nurses who graduate from an international school of nursing.
Licensing examination.
Results and retaking of examination.
Licensure for nurses by interstate endorsement.
Temporary practice permits.
Brief adjudicative proceedingsDenials based on failure to meet education, experience, or examination prerequisites for licensure.
Expired license.
Inactive credential.
Retired active credential.
Criteria for approved refresher course.
DOCUMENTING CONTINUING COMPETENCY
Continuing competency purpose statement.
Continuing competency definitions.
Continuing competency requirementsActive status.
Continuing competency requirementsReactivation from expired status.
Continuing competency requirementsReactivation from inactive status.
Continuing competency audit process and compliance.
Failure to meet continuing competency requirements.
ADVANCED PRACTICE
Advanced registered nurse practitioner (ARNP) scope of practice.
ARNP designations, certification and approved certification examinations.
Certification and certification program requirements.
Use and protection of professional titles.
ARNP previously adopted specialties.
ARNP application requirements for new graduates of advanced registered nurse programs.
ARNP application requirements for licensed advanced practice nurse applicants from other states or jurisdictions.
ARNP application requirements for advanced practice nurse applicants educated and licensed outside the United States.
Application requirements for ARNP interim permit.
Renewal of ARNP license.
Continuing education for ARNP license renewal.
Inactive credential.
Expired license.
ARNP prescriptive authority.
Application requirements for ARNP prescriptive authority.
Authorized prescriptions by ARNP with prescriptive authority.
Renewal of ARNP prescriptive authority.
Continuing education requirements for ARNP prescriptive authority.
Requirements for advanced registered nurse practice educational programs in Washington state.
ADVANCED PRACTICEPAIN MANAGEMENT
Pain managementIntent.
Exclusions.
Definitions.
Patient evaluation.
Treatment plan.
Informed consent.
Written agreement for treatment.
Periodic review.
Long-acting opioids, including methadone.
Episodic care.
ConsultationRecommendations and requirements.
ConsultationExemptions for exigent and special circumstances.
ConsultationExemptions for the advanced registered nurse practitioner.
Pain management specialist.
NURSING EDUCATION PROGRAMS
Philosophy governing approval of nursing education programs.
Purposes of commission approval of nursing education programs.
Approval of initial (new) nursing education programs.
Branch campus and distance learning nursing education programs.
Ongoing evaluation and approval of nursing education programs.
Commission action following survey visits.
Denial, conditional approval or withdrawal of approval.
Reinstatement of approval.
Appeal of commission decisions.
Closing of an approved nursing education program.
Standards and evaluation of nursing education.
Standard I. Purpose and outcomes for approved nursing education programs.
Standard II. Organization and administration for approved nursing education programs.
Standard III. Resources, facilities, and services for approved nursing education programs.
Standard IV. Students in approved nursing education programs.
Standard V. Faculty in approved nursing education programs.
Curriculum for approved nursing education programs.
Early remediation program purpose.
Early remediation program definitions.
Early remediation program criteria.
PRACTICE STANDARDS
Standards of nursing conduct or practice.
Functions of a registered nurse and a licensed practical nurse.
Violations of standards of nursing conduct or practice.
Mitigating circumstances.
Mandatory reporting.
Sexual misconduct prohibited.
Adjudicative proceedings.
Appearance and practice before agencyStandards of ethical conduct.
Philosophy governing voluntary substance abuse monitoring programs.
Definitions of terms used in WAC 246-840-750 through 246-840-780.
Approval of substance abuse monitoring programs.
Participants entering the approved substance abuse monitoring program must agree to the following conditions.
Scope of practiceAdvisory opinions.
Provision for continuity of drug therapy for residents.
Provision for clean, intermittent catheterization in schools.
Determination and pronouncement of death by a licensed registered nurse.
NURSING TECHNICIANS
Nursing technician.
Use of nomenclature.
Nursing technician criteria.
Functions of the nursing technician.
Functions of the registered nurse supervising the nursing technician.
Functions of the employing facility.
Functions of the nursing program.
How to register as a nursing technician.
DELEGATION OF NURSING CARE TASKS IN COMMUNITY-BASED AND IN-HOME CARE SETTINGS
Purpose.
Definitions.
Criteria for delegation.
Washington state nursing care quality assurance commission community-based and in-home care setting delegation decision tree.
How to make changes to the delegated tasks.
Rescinding delegation.
Accountability, liability, and coercion.
Fees and renewal cycle.