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WAC 388-78A-2320

Intermittent nursing services systems.

(1) When an assisted living facility provides intermittent nursing services to any resident, either directly or indirectly, the assisted living facility must:
(a) Develop and implement systems that support and promote the safe practice of nursing for each resident; and
(b) Ensure the requirements of chapters 18.79 RCW and 246-840 WAC are met.
(2) The assisted living facility providing nursing services, either directly or indirectly, must ensure that the nursing services systems include:
(a) Nursing services supervision;
(b) Nurse delegation, if provided;
(c) Initial and on-going assessments of the nursing needs of each resident;
(d) Development of, and necessary amendments to, the nursing component of the negotiated service agreement for each resident;
(e) Implementation of the nursing component of each resident's negotiated service agreement; and
(f) Availability of the supervisor, in person, by pager, or by telephone, to respond to residents' needs on the assisted living facility premises as necessary.
(3) The assisted living facility must ensure that all nursing services, including nursing supervision, assessments, and delegation, are provided in accordance with applicable statutes and rules, including, but not limited to:
(a) Chapter 18.79 RCW, Nursing care;
(b) Chapter 18.88A RCW, Nursing assistants;
(c) Chapter 246-840 WAC, Practical and registered nursing;
(d) Chapter 246-841 WAC, Nursing assistants; and
(e) Chapter 246-888 WAC, Medication assistance.
[Statutory Authority: Chapter 18.20 RCW. WSR 13-13-063, § 388-78A-2320, filed 6/18/13, effective 7/19/13. Statutory Authority: RCW 18.20.090 (2004 c 142 § 19) and chapter 18.20 RCW. WSR 04-16-065, § 388-78A-2320, filed 7/30/04, effective 9/1/04.]
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