RCW 74.42.230
Physician or authorized practitioner to prescribe medication—Communication of order by licensed nurse, pharmacist, or another physician.
(1) The resident's attending or staff physician or authorized practitioner approved by the attending physician shall order all medications for the resident. The order may be oral or written and shall continue in effect until discontinued by a physician or other authorized prescriber, unless the order is specifically limited by time. An "authorized practitioner," as used in this section, is a registered nurse under chapter 18.79 RCW when authorized by the nursing care quality assurance commission, a physician assistant under chapter 18.71A RCW when authorized by the Washington medical commission, or a pharmacist under chapter 18.64 RCW when authorized by the pharmacy quality assurance commission.
(2) An oral order shall be given only to a licensed nurse, pharmacist, or another physician. The oral order shall be recorded and physically or electronically signed immediately by the person receiving the order. The attending physician shall sign the record of the oral order in a manner consistent with good medical practice.
(3) A licensed nurse, pharmacist, or another physician receiving and recording an oral order may, if so authorized by the physician or authorized practitioner, communicate that order to a pharmacy on behalf of the physician or authorized practitioner. The order may be communicated verbally by telephone, by facsimile manually signed by the person receiving the order pursuant to subsection (2) of this section, or by electronic transmission pursuant to RCW 69.41.055. The communication of a resident's order to a pharmacy by a licensed nurse, pharmacist, or another physician acting at the prescriber's direction has the same force and effect as if communicated directly by the delegating physician or authorized practitioner. Nothing in this provision limits the authority of a licensed nurse, pharmacist, or physician to delegate to an authorized agent, including but not limited to delegation of operation of a facsimile machine by credentialed facility staff, to the extent consistent with his or her professional license.
[ 2020 c 80 § 57; 2019 c 55 § 20; 2016 c 148 § 9; 1994 sp.s. c 9 § 751; 1982 c 120 § 2; 1979 ex.s. c 211 § 23.]
NOTES:
Effective date—2020 c 80 §§ 12-59: See note following RCW 7.68.030.
Intent—2020 c 80: See note following RCW 18.71A.010.
Severability—Headings and captions not law—Effective date—1994 sp.s. c 9: See RCW 18.79.900 through 18.79.902.
Structure Revised Code of Washington
Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.
74.42.020 - Minimum standards.
74.42.030 - Resident to receive statement of rights, rules, services, and charges.
74.42.040 - Resident's rights regarding medical condition, care, and treatment.
74.42.050 - Residents to be treated with consideration, respect—Complaints.
74.42.055 - Discrimination against medicaid recipients prohibited.
74.42.056 - Department assessment of medicaid eligible individuals—Requirements.
74.42.057 - Notification regarding resident likely to become medicaid eligible.
74.42.058 - Department case management services.
74.42.060 - Management of residents' financial affairs.
74.42.080 - Confidentiality of records.
74.42.090 - Work tasks by residents.
74.42.110 - Freedom of association—Limits.
74.42.120 - Personal possessions.
74.42.130 - Individual financial records.
74.42.140 - Prescribed plan of care—Treatment, medication, diet services.
74.42.150 - Plan of care—Goals—Program—Responsibilities—Review.
74.42.170 - Rehabilitative services.
74.42.190 - Activities program—Recreation areas, equipment.
74.42.200 - Supervision of health care by physician—When required.
74.42.210 - Pharmacist services.
74.42.220 - Contracts for professional services from outside the agency.
74.42.225 - Self-medication programs for residents—Educational program—Implementation.
74.42.240 - Administering medication.
74.42.250 - Medication stop orders—Procedure for persons with developmental disabilities.
74.42.260 - Drug storage, security, inventory.
74.42.280 - Adverse drug reaction.
74.42.285 - Immunizations—Rules.
74.42.290 - Meal intervals—Food handling—Utensils—Disposal.
74.42.300 - Nutritionist—Menus, special diets.
74.42.310 - Staff duties at meals.
74.42.320 - Sanitary procedures for food preparation.
74.42.340 - Administrative support—Purchasing—Inventory control.
74.42.350 - Organization chart.
74.42.360 - Adequate staff—Minimum staffing standards—Exceptions—Definition.
74.42.370 - Licensed administrator.
74.42.380 - Director of nursing services.
74.42.390 - Communication system.
74.42.400 - Engineering and maintenance personnel.
74.42.420 - Resident record system.
74.42.430 - Written policy guidelines.
74.42.440 - Facility rated capacity not to be exceeded.
74.42.455 - Transitional care management.
74.42.460 - Organization plan and procedures.
74.42.470 - Infected employees.
74.42.490 - Room requirements—Waiver.
74.42.500 - Toilet and bathing facilities.
74.42.510 - Room for dining, recreation, social activities—Waiver.
74.42.540 - Building requirements.
74.42.560 - Emergency lighting for facilities housing persons with developmental disabilities.
74.42.570 - Health and safety requirements.
74.42.580 - Penalties for violation of standards.
74.42.620 - Departmental rules.
74.42.630 - Conflict with federal requirements.
74.42.640 - Quality assurance committee.
74.42.910 - Construction—Conflict with federal requirements.
74.42.920 - Chapter 74.42 RCW suspended—Effective date delayed until January 1, 1981.