Washington — RCW 18.88A.210

(1)A nursing assistant meeting the requirements of this section who provides care to individuals in community-based care settings or in-home care settings, as defined in RCW 18.79.260 (3), may accept delegation of nursing care tasks by a registered nurse as provided in RCW 18.79.260 (3).

(2)For the purposes of this section, "nursing assistant" means a nursing assistant-registered or a nursing assistant-certified. Nothing in this section may be construed to affect the authority of nurses to delegate nursing tasks to other persons, including licensed practical nurses, as authorized by law.

(3)(a) Before commencing any specific nursing care tasks authorized under this chapter, the nursing assistant must

(i)provide to the delegating nurse a certificate of completion issued by the department of social and health services indicating the completion of basic core nurse delegation training,

(ii)be regulated by the department of health pursuant to this chapter, subject to the uniform disciplinary act under chapter 18.130 RCW, and

(iii)meet any additional training requirements identified by the board. Exceptions to these training requirements must adhere to RCW 18.79.260 (3)(e)(vi).

(b)In addition to meeting the requirements of

(a)of this subsection, before commencing the care of individuals with diabetes that involves administration of insulin by injection, the nursing assistant must provide to the delegating nurse a certificate of completion issued by the department of social and health services indicating completion of specialized diabetes nurse delegation training. The training must include, but is not limited to, instruction regarding diabetes, insulin, sliding scale insulin orders, and proper injection procedures.

[ 2025 c 58 s 5041 ; 2008 c 146 s 12 ; 2003 c 140 s 5 ; 2000 c 95 s 1 ; 1998 c 272 s 10 ; 1995 1st sp.s. c 18 s 46 .]

Notes:

Explanatory note — 2025 c 58: See note following RCW 1.16.050 .

Findings — Intent — Severability — 2008 c 146: See notes following RCW 74.41.040 .

Effective date — 2003 c 140: See note following RCW 18.79.040 .

Findings — Severability — Effective date — 1998 c 272: See notes following RCW 18.20.230 .

Conflict with federal requirements — Severability — Effective date — 1995 1st sp.s. c 18: See notes following RCW 74.39A.030 .

RCW 18.88A.210

Delegation — Basic and specialized nurse delegation training requirements. (Effective July 1, 2026.)

(1)A nursing assistant meeting the requirements of this section who provides care to individuals in community-based care settings or in-home care settings, as defined in RCW 18.79.260 (3), may accept delegation of nursing care tasks by a registered nurse as provided in RCW 18.79.260 (3).

(2)For the purposes of this section, "nursing assistant" means a nursing assistant-registered or a nursing assistant-certified. Nothing in this section may be construed to affect the authority of nurses to delegate nursing tasks to other persons, including licensed practical nurses, as authorized by law.

(3)(a) Before commencing any specific nursing care tasks authorized under this chapter, the nursing assistant must

(i)provide to the delegating nurse a certificate of completion issued by the department of social and health services indicating the completion of basic core nurse delegation training,

(ii)be regulated by the department of health pursuant to this chapter, subject to the uniform disciplinary act under chapter 18.130 RCW, and

(iii)meet any additional training requirements identified by the board. Exceptions to these training requirements must adhere to RCW 18.79.260 (3)(e)(vi).

(b)In addition to meeting the requirements of

(a)of this subsection, before commencing the care of individuals with diabetes that involves administration of insulin by injection, the nursing assistant must provide to the delegating nurse a certificate of completion issued by the department of social and health services indicating completion of specialized diabetes nurse delegation training. The training must include, but is not limited to, instruction regarding diabetes, insulin, sliding scale insulin orders, and proper injection procedures.

[ 2025 c 58 s 5041 ; 2025 c 5 s 17 ; 2008 c 146 s 12 ; 2003 c 140 s 5 ; 2000 c 95 s 1 ; 1998 c 272 s 10 ; 1995 1st sp.s. c 18 s 46 .]

Notes:

Explanatory note — 2025 c 58: See note following RCW 1.16.050 .

Effective dates — 2025 c 5: See note following RCW 18.79.070 .

Findings — Intent — Severability — 2008 c 146: See notes following RCW 74.41.040 .

Effective date — 2003 c 140: See note following RCW 18.79.040 .

Findings — Severability — Effective date — 1998 c 272: See notes following RCW 18.20.230 .

Conflict with federal requirements — Severability — Effective date — 1995 1st sp.s. c 18: See notes following RCW 74.39A.030 .