RCW 18.20.330
Intermittent nursing services.
(1) Assisted living facilities are not required to provide intermittent nursing services. The assisted living facility licensee may choose to provide any of the following intermittent nursing services through appropriately licensed and credentialed staff, however, the facility may or may not need to provide additional intermittent nursing services to comply with the reasonable accommodation requirements in federal or state law:
(a) Medication administration;
(b) Administration of health care treatments;
(c) Diabetic management;
(d) Nonroutine ostomy care;
(e) Tube feeding; and
(f) Nurse delegation consistent with chapter 18.79 RCW.
(2) The licensee shall clarify on the disclosure form any limitations, additional services, or conditions that may apply under this section.
(3) In providing intermittent nursing services, the assisted living facility shall observe the resident for changes in overall functioning and respond appropriately when there are observable or reported changes in the resident's physical, mental, or emotional functioning.
(4) The assisted living facility may provide intermittent nursing services to the extent permitted by RCW 18.20.160.
[ 2012 c 10 § 22; 2004 c 142 § 5.]
NOTES:
Application—2012 c 10: See note following RCW 18.20.010.
Effective dates—2004 c 142: See note following RCW 18.20.020.
Structure Revised Code of Washington
Title 18 - Businesses and Professions
Chapter 18.20 - Assisted Living Facilities.
18.20.040 - Application for license.
18.20.090 - Rules, regulations, and standards.
18.20.095 - Resident contact information—Department requirements and duties.
18.20.110 - Inspection of assisted living facilities—Approval of changes or new facilities.
18.20.115 - Quality improvement consultation program—Principles.
18.20.126 - Screening—Certificates of parental improvement.
18.20.130 - Fire protection—Duties of chief of the Washington state patrol.
18.20.140 - Operating without license—Penalty.
18.20.150 - Operating without license—Injunction.
18.20.160 - Persons requiring medical or nursing care.
18.20.170 - Facilities operated by religious organizations.
18.20.184 - Communication system—Telephones and other equipment.
18.20.190 - Department response to noncompliance or violations.
18.20.195 - Disputed violations, enforcement remedies—Informal dispute resolution process.
18.20.210 - License suspension—Noncompliance with support order—Reissuance.
18.20.220 - Residential care contracted services, conversion to—Requirements.
18.20.230 - Training standards review—Proposed enhancements.
18.20.250 - Federal funding programs, opportunities—Secretary's duty to comply.
18.20.270 - Long-term caregiver training.
18.20.280 - General responsibility for each resident.
18.20.290 - Holding a medicaid eligible resident's room or unit—Payment rates.
18.20.300 - Domiciliary care services—Scope of services—Disclosure form.
18.20.305 - Disclosure to nonresidents.
18.20.310 - Assistance with activities of daily living.
18.20.320 - Health support services.
18.20.330 - Intermittent nursing services.
18.20.350 - Preadmission assessment—Initial resident service plan—Respite care.
18.20.360 - Full reassessment of resident.
18.20.370 - Negotiated service agreement.
18.20.380 - Provision of outside services—Licensee's duty of care/negligence.
18.20.390 - Quality assurance committee.
18.20.400 - Correction of violation/deficiency—Not included in facility report.
18.20.410 - Standards for small assisted living facilities—Study.
18.20.415 - Rule-making authority.
18.20.420 - Temporary management.
18.20.430 - Assisted living facility temporary management account.
18.20.440 - Withdrawal from medicaid program—Notice—Duties.
18.20.500 - Information for consumers.
18.20.510 - Work group—Quality metrics.
18.20.520 - Stop placement orders and limited stop placement orders.
18.20.525 - Disaster preparedness plan.
18.20.900 - Severability—1957 c 253.
18.20.901 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.