Effective Date of Rule: Thirty-one days after filing.

     Purpose: This rule making amends guidelines pertaining to the administration of sterile procedures to more clearly articulate who can and cannot perform certain services.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-106-0020.

     Statutory Authority for Adoption: RCW 74.08.090, 74.09.520.

      Adopted under notice filed as WSR 08-01-089 on December 17, 2007.

     Changes Other than Editing from Proposed to Adopted Version: The proposed language was amended as follows:

     (2) Individual providers must not provide: (a) Sterile procedures unless the provider is a family member or the client self directs the procedure.

     (3) Agency providers, including family members who provide care while working as an agency provider:

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.

     Date Adopted: February 6, 2008.

Stephanie E. Schiller

Rules Coordinator

     (1) Child care.

     (2) Individual providers ((and agency providers must not provide sterile procedures, administration of medications, or other tasks requiring a licensed health professional unless these tasks are provided through nursing delegation, self-directed care or provided by a family member)) must not provide:

     (a) Sterile procedures unless the provider is a family member or the client self directs the procedure;

     (b) Administration of medications or other tasks requiring a licensed health professional unless these tasks are provided through nurse delegation, self-directed care, or the provider is a family member.

     (3) Agency providers, including family members who provide care while working as an agency provider, must not provide:

     (a) Sterile procedures;

     (b) Self-directed care;

     (c) Administration of medications or other tasks requiring a licensed health care professional unless these tasks are provided through nurse delegation.

     (4) Services provided over the telephone.

     (((4))) (5) Services to assist other household members not eligible for services.

     (((5))) (6) Development of social, behavioral, recreational, communication, or other types of community living skills.

     (((6))) (7) Nursing care.

     (((7))) (8) Pet care.

     (((8))) (9) Assistance with managing finances.

     (((9))) (10) Respite.

     (((10))) (11) Yard care.

[Statutory Authority: RCW 74.08.090, 74.09.520. 05-11-082, § 388-106-0020, filed 5/17/05, effective 6/17/05.]

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