Last Update: 8/17/16

Chapter 246-840 WAC

PRACTICAL AND REGISTERED NURSING

WAC Sections

Definitions.
Credentials issued to an LPN, RN, or ARNP in Washington state.
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.
DOCUMENTING CONTINUING COMPETENCY
Continuing competency purpose statement.
Continuing competency definitions.
Continuing competency requirementsActive status.
Continuing competency audit process and compliance.
Extension.
Continuing competency requirementsReactivation from expired status.
Continuing competency requirementsReactivation from inactive status.
ADVANCED PRACTICE
ARNP scope of practice.
ARNP designations, certification, and approved certification examinations.
Use and protection of professional titles.
ARNP previously adopted specialties.
Initial ARNP requirements.
Licensure for ARNP applicants by interstate endorsement.
Licensure for ARNP applicants educated and licensed outside the United States.
Renewal of ARNP licensure.
Continuing education for ARNP license renewal.
Inactive and reactivating an ARNP license.
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.
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) in-state nursing education programs.
Accreditation requirements for all nursing education programs located in Washington state.
Standards and evaluation of nursing education programs.
Reporting and recordkeeping requirements for nursing education programs.
Purpose and outcomes for approved nursing education programs.
Organization and administration for all nursing education programs.
Nurse administrator qualification requirements in nursing education programs located in Washington state.
Resources, facilities and services for approved nursing education programs.
Student requirements in all approved nursing education programs.
Additional student requirements for prelicensure registered nurse nursing education programs located in the state of Washington.
Additional student requirements for RN to BSN and graduate nursing education programs.
Faculty requirements for nursing education programs.
Degree requirements for faculty teaching in practical nursing education programs.
Degree requirements for nursing faculty teaching in prelicensure registered nurse or for RN to BSN education programs.
Degree and licensing requirements for nursing faculty teaching in a nursing education program leading to licensure as an advanced registered nurse practitioner.
Degree requirements for nursing faculty teaching in a graduate nursing education program not leading to licensure as an advanced registered nurse practitioner.
Exceptions to nursing faculty degree requirements in prelicensure registered nurse nursing education programs.
Clinical and practice experiences for students in approved nursing education programs.
Faculty to student ratios for clinical and practice experience in nursing education programs.
Preceptors, interdisciplinary mentors, and proctors in clinical or practice settings for nursing education programs located in Washington state.
Use of simulation for clinical experiences in LPN, RN, or RN to BSN nursing education programs located in Washington state.
Dedicated education units for practical nurse or registered nurse nursing education programs.
Curriculum for approved nursing education programs.
Curriculum for practical nurse nursing education programs.
Curriculum for prelicensure registered nursing education programs.
Curriculum for registered nurse to bachelor's or master's in nursing education programs.
Curriculum for nursing education programs preparing students for licensure as advanced registered nurse practitioners (ARNP).
Curriculum for graduate nursing education programs.
Distance-learning nursing education course or courses offered by approved nursing programs.
Extended or satellite nursing campus of nursing education programs approved in Washington state.
Internationally educated nurse program approval criteria for nursing education programs approved in Washington state.
Internationally educated practical nurse program in an approved nursing education program.
Internationally educated registered nurse program in an approved nursing education program.
Innovation projects or program approach for approved nursing education programs located in Washington state.
Ongoing evaluation and approval of nursing education programs located in Washington state.
Ongoing approval, accreditation and commission reviews.
Commission action following commission site visit, complaint investigation, or national accreditation visits of nursing education programs located in Washington state.
Denial, statement of deficiencies, conditional approval or withdrawal of approval of nursing education programs located in Washington state.
Closing of an approved nursing education program located in Washington state.
Reinstatement of approval for nursing programs located in Washington state.
Appeal of commission decisions.
Criteria for approval of LPN and RN refresher course program located in Washington state.
Curriculum for LPN nurse refresher course.
Curriculum for registered nurse refresher course.
Refresher course program for advanced registered nurse practice nurses.
Criteria for approval of refresher course program located outside Washington state.
Commission action regarding refresher course programs.
Out-of-state distance learning nursing program approval for practice experiences in Washington state.
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.