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PDFWAC 246-851-600

Certification required for administration of epinephrine by injection for treatment of anaphylactic shock.

(1) To qualify for certification to administer epinephrine by injection for anaphylactic shock, licensed optometrists must provide documentation that he or she:
(a) Is certified to use or prescribe topical drugs for diagnostic and therapeutic purposes under WAC 246-851-400 and has successfully completed a minimum of four hours of didactic and supervised clinical instruction from an institution of higher learning, accredited by those agencies recognized by the United States Office of Education or the Council on Postsecondary Accreditation to qualify for certification by the optometry board to administer epinephrine by injection; or
(b) Holds a current active license in another state that has licensing standards substantially equivalent to those in Washington state. The licensee's level of licensure must also be substantially equivalent to the licensing standards in Washington state.
(2) The didactic instruction must include the following subject area:
(a) Review of urgencies, emergencies and emergency-use agents;
(b) Ocular urgencies:
(i) Thermal burns-direct and photosensitivity-based ultraviolet burn;
(ii) Electrical injury;
(iii) Cryo-injury and frostbite;
(iv) Insect stings and bites;
(v) Punctures, perforations, and lacerations;
(c) General urgencies and emergencies:
(i) Anaphylaxis;
(ii) Hypoglycemic crisis;
(iii) Narcotic overdose.
(3) The supervised clinical instruction must include the following subject areas:
(a) Instrumentation;
(b) Informed consent;
(c) Preparation (patient and equipment);
(d) All routes of injections.
(4) With the exception of the administration of epinephrine by injection for treatment of anaphylactic shock, no injections or infusions may be administered by an optometrist.
[Statutory Authority: RCW 18.54.070(2) and 18.53.010. WSR 10-21-067, § 246-851-600, filed 10/15/10, effective 11/15/10. Statutory Authority: 2003 c 142 and RCW 18.54.072(2). WSR 04-05-004, § 246-851-600, filed 2/5/04, effective 3/7/04.]
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