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246-826-080  <<  246-826-100 >>   246-826-110

WAC 246-826-100

Agency filings affecting this section

Health care assistant classification.

(1) There are seven categories of health care assistants. The table in this subsection outlines the tasks authorized for each category of health care assistant.
Categories
A
B
C
D
E
F
G
May perform:
Venous and capillary invasive procedures for blood withdrawal
Arterial invasive procedures for blood withdrawal
Intradermal, subcutaneous and intramuscular injections for diagnostic agents and administer skin tests
Intravenous injections for diagnostic agents
Intradermal, subcutaneous and intramuscular injections for therapeutic agents and administer skin tests
Intravenous injections for therapeutic agents
Hemodialysis
Injection
Not authorized
Not authorized
V, I
I
V, I
I
***
Oral
V
V
D, V
V
D, V
V
V
Topical
V
V
D, V
V
D, V
V
V, ***
Nasal
V
V
D, V
V
D, V
V
V, ****
Rectal
Not authorized
Not authorized
D
Not authorized
D
Not authorized
Not authorized
Otic
Not authorized
Not authorized
D
Not authorized
D
Not authorized
Not authorized
Ophthalmic
Not authorized
Not authorized
D
Not authorized
D
Not authorized
Not authorized
Inhaled
Not authorized
Not authorized
D
Not authorized
D
Not authorized
****
 
D - Drugs administered under RCW 18.135.130.
 
I - Drugs by injection under WAC 246-826-200.
 
V - Vaccines administered under RCW 18.135.120.
 
*** - Drugs by injection listed under WAC 246-826-303 (2)(c).
 
**** - Oxygen administration listed under WAC 246-826-303 (3)(a).
(2) The administration of drugs under RCW 18.135.130 expires on July 1, 2013, and only applies to a health care assistant certified in category C or E.
(3) A health care assistant certified in category C or E must have a written order from a supervising health care practitioner authorizing the administration of drugs listed in RCW 18.135.130.
(4) A health care assistant may perform supervised delegated functions as provided under WAC 246-826-020 and 246-826-030.
(5) A health care assistant certified in category C or E must be able to demonstrate initial and ongoing competency to the supervisor or delegator on the administration of authorized drugs listed in RCW 18.135.130. Competency may be demonstrated by:
(a) Practicing techniques in a simulated situation; or
(b) Observing and performing procedures on patients until the health care assistant demonstrates proficiency to administer authorized drugs identified in the table in subsection (1) of this section; or
(c) Documenting all training on a checklist appropriate to the facility of the administration of drugs by the health care assistant. The health care assistant must complete and sign the form, have the form signed by the supervisor and the delegator, and have the form placed in their employee personnel file; or
(d) Other methods determined by the delegator.
(6) The supervisor or delegator is responsible for the patient's care. The tasks delegated to any category of health care assistant must be based on the health care assistant's individual education and training.
[Statutory Authority: Chapter 18.135 RCW and 2011 c 43[c 70]. 11-23-109, § 246-826-100, filed 11/18/11, effective 12/19/11. Statutory Authority: RCW 18.135.030 and 2009 c 43. WSR 10-19-044, § 246-826-100, filed 9/13/10, effective 10/14/10. Statutory Authority: RCW 18.135.030, 2008 c 58. WSR 09-02-081, § 246-826-100, filed 1/7/09, effective 2/7/09. Statutory Authority: RCW 18.135.030 and 18.135.020. WSR 02-06-115, § 246-826-100, filed 3/6/02, effective 4/6/02. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-826-100, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.135.030. WSR 87-23-022 (Order PM 689), § 308-175-075, filed 11/12/87.]