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Chapter 246-928 WAC

Last Update: 11/30/15

RESPIRATORY CARE PRACTITIONERS

WAC Sections

HTMLPDF246-928-310Introduction.
HTMLPDF246-928-320General definitions.
PART I
DEFINITIONS AND PROCEDURES FOR LICENSING AS A RESPIRATORY CARE PRACTITIONER
HTMLPDF246-928-410Who must be licensed as a respiratory care practitioner with the department.
HTMLPDF246-928-420How to become licensed as a respiratory care practitioner.
HTMLPDF246-928-430How and when to renew a respiratory care practitioner license.
HTMLPDF246-928-440Continuing education requirements.
HTMLPDF246-928-442Continuing education.
HTMLPDF246-928-443Verification of continuing education.
HTMLPDF246-928-450How to reinstate an expired respiratory care practitioner license.
PART II
REQUIREMENTS FOR LICENSURE AS A RESPIRATORY CARE PRACTITIONER
HTMLPDF246-928-510Overview of the qualifications required for licensure as a respiratory care practitioner.
HTMLPDF246-928-520Minimum educational qualifications for licensure as a respiratory care practitioner.
HTMLPDF246-928-530How new graduates may qualify for temporary practice and what is required.
HTMLPDF246-928-540Examination requirements for licensure as a respiratory care practitioner.
HTMLPDF246-928-550Education and training in AIDS prevention is required for licensure as a respiratory care practitioner.
HTMLPDF246-928-560How to apply for licensure for persons credentialed out-of-state.
HTMLPDF246-928-570How to apply for temporary practice permit for persons credentialed out-of-state.
PART III
REQUIREMENTS FOR REPORTING UNPROFESSIONAL CONDUCT
HTMLPDF246-928-710Mandatory reporting.
HTMLPDF246-928-720Health care institutions.
HTMLPDF246-928-730Respiratory care practitioner associations or societies.
HTMLPDF246-928-740Professional liability carriers.
HTMLPDF246-928-750Courts.
HTMLPDF246-928-760State and federal agencies.
PART IV
RESPIRATORY CARE PRACTITIONER LICENSING AND RENEWAL FEES
HTMLPDF246-928-990Respiratory care fees and renewal cycle.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
246-928-015Scope of practice—Allowed procedures. [Statutory Authority: Chapter 18.89 RCW and RCW 43.70.040. WSR 95-18-019, § 246-928-015, filed 8/24/95, effective 9/24/95.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-020Recognized educational programs—Respiratory care practitioners. [Statutory Authority: RCW 18.89.050. WSR 92-15-032 (Order 285), § 246-928-020, filed 7/7/92, effective 8/7/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-020, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 88-10-015 (Order 724), § 308-195-020, filed 4/27/88.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-030State examination—Examination waiver—Examination application deadline. [Statutory Authority: RCW 18.89.050. WSR 92-02-018 (Order 224), § 246-928-030, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-030, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 89-09-006 (Order PM 832), § 308-195-030, filed 4/7/89; WSR 88-10-015 (Order 724), § 308-195-030, filed 4/27/88.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-040Examination eligibility. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-040, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 88-10-015 (Order 724), § 308-195-040, filed 4/27/88.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-050Definition of "commonly accepted standards for the profession." [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-050, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 88-10-015 (Order 724), § 308-195-050, filed 4/27/88.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-060Grandfather—Verification of practice. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-060, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 88-10-015 (Order 724), § 308-195-060, filed 4/27/88.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-070Grandfather—Examination dates. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-070, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 88-23-001 (Order PM 787), § 308-195-070, filed 11/3/88; WSR 88-10-015 (Order 724), § 308-195-070, filed 4/27/88.] Repealed by WSR 92-02-018 (Order 224), filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 18.89.050.
246-928-080Reciprocity—Requirements for certification. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-080, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 88-10-015 (Order 724), § 308-195-080, filed 4/27/88.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-085Temporary permits—Issuance and duration. [Statutory Authority: RCW 18.130.050 and [18.130].075. WSR 92-15-032 (Order 285), § 246-928-085, filed 7/7/92, effective 8/7/92.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-090Certification renewal registration date. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-090, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 88-10-015 (Order 724), § 308-195-090, filed 4/27/88.] Repealed by WSR 98-05-060, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.280.
246-928-100Rural hospital exemption. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-100, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 88-10-015 (Order 724), § 308-195-100, filed 4/27/88.] Repealed by WSR 92-02-018 (Order 224), filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 18.89.050.
246-928-110General provisions. [Statutory Authority: RCW 18.89.050, 18.130.050 and 18.130.070. WSR 92-02-018 (Order 224), § 246-928-110, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-110, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-195-120, filed 6/30/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-120Mandatory reporting. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-120, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-195-130, filed 6/30/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-130Health care institutions. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-130, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-195-140, filed 6/30/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-140Respiratory care practitioner associations or societies. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-140, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-195-150, filed 6/30/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-150Professional liability carriers. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-150, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-195-160, filed 6/30/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-160Courts. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-160, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-195-170, filed 6/30/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-170State and federal agencies. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-170, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-195-180, filed 6/30/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-180Cooperation with investigation. [Statutory Authority: RCW 18.89.050, 18.130.050 and 18.130.070. WSR 92-02-018 (Order 224), § 246-928-180, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-180, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-195-190, filed 6/30/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-190AIDS prevention and information education requirements. [Statutory Authority: RCW 43.70.280. WSR 98-05-060, § 246-928-190, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.89.050 and 70.24.270. WSR 92-02-018 (Order 224), § 246-928-190, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-190, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.24.270. WSR 88-22-077 (Order PM 786), § 308-195-200, filed 11/2/88.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-200Temporary practice. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-200, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 89-09-006 (Order PM 832), § 308-195-210, filed 4/7/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-210Definitions—Alternative training respiratory care practitioners. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-210, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 89-09-006 (Order PM 832), § 308-195-220, filed 4/7/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-220Alternative training requirements. [Statutory Authority: RCW 18.89.050. WSR 92-02-018 (Order 224), § 246-928-220, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-220, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.89.050. WSR 89-09-006 (Order PM 832), § 308-195-230, filed 4/7/89.] Repealed by WSR 01-11-165, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 18.89.050(1).
246-928-441Implementation. [Statutory Authority: RCW 18.89.050(1) and 18.89.140. WSR 01-21-136, § 246-928-441, filed 10/24/01, effective 11/24/01.] Repealed by WSR 15-24-095, filed 11/30/15, effective 12/31/15. Statutory Authority: RCW 18.89.050 and 19.89.140 [18.89.140].


PDF246-928-310

Introduction.

This chapter explains the requirements for respiratory care practitioner licensure. These rules, which implement the provisions of chapter 18.89 RCW, are divided into four parts:
Part I explains the definitions for and the process to become licensed as a respiratory care practitioner;
Part II specifies the requirements for licensure including educational and examination criteria;
Part III explains the requirements for reporting unprofessional conduct;
Part IV lists the fees for licensure and renewal cycle for respiratory care practitioners.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-310, filed 5/23/01, effective 6/23/01.]



PDF246-928-320

General definitions.

This section defines terms used in the rules contained in this chapter.
(1) "Respiratory care practitioner" means a person licensed by the department of health, who is authorized under chapter 18.89 RCW and these rules to practice respiratory therapy. WAC 246-928-410 explains who must be licensed as a respiratory care practitioner.
(2) "Applicant" means a person whose application for licensure as a respiratory care practitioner is being submitted to the department of health.
(3) "Department" means the Washington state department of health.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-320, filed 5/23/01, effective 6/23/01.]



PDF246-928-410

Who must be licensed as a respiratory care practitioner with the department.

This section identifies who must be licensed as a respiratory care practitioner with the department and who is exempt from licensure.
(1) Any person performing or offering to perform the functions authorized in RCW 18.89.040 must be licensed as a respiratory care practitioner. A certification, registration or other credential issued by a professional organization does not substitute for licensure as a respiratory care practitioner in Washington state.
(2) The following individuals are exempt from licensure as a respiratory care practitioner with the department:
(a) Any person performing or offering to perform the functions authorized in RCW 18.89.040, if that person already holds a current licensure, certification or registration that authorizes these functions;
(b) Any person employed by the United States government who is practicing respiratory care as a performance of the duties prescribed for him or her by the laws of and rules of the United States;
(c) Any person who is pursuing a supervised course of study leading to a degree or certificate in respiratory care, if the person is designated by a title that clearly indicates his or her status as a student or trainee and limited to the extent of demonstrated proficiency of completed curriculum, and under direct supervision;
(d) Any person who is licensed as a registered nurse under chapter 18.79 RCW;
(e) Any person who is practicing respiratory care without compensation for a family member.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-410, filed 5/23/01, effective 6/23/01.]



PDF246-928-420

How to become licensed as a respiratory care practitioner.

This section explains how a person may become licensed as a respiratory care practitioner with the department.
(1) The department shall provide forms for use by an applicant for licensure as a respiratory care practitioner. All applications for licensure must be submitted on these forms, with the appropriate fee required in WAC 246-928-990. The specific requirements and process for licensure is set forth in WAC 246-12-020.
(2) The applicant shall certify that all information on the application forms is accurate. The applicant is subject to investigation and discipline by the department for any apparent violation of chapters 18.130 and 18.89 RCW, or this chapter.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-420, filed 5/23/01, effective 6/23/01.]



PDF246-928-430

How and when to renew a respiratory care practitioner license.

This section explains how and when to renew a respiratory care practitioner license.
(1) Applications for renewal of the license for respiratory care practitioner shall be submitted on forms provided by the department, with the appropriate fee required in WAC 246-928-990. The specific requirements and process for renewal of a license are set forth in WAC 246-12-030.
(2) Renewal fees must be postmarked on or before the renewal date or the department will charge a late renewal penalty fee and licensure reissuance fee.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-430, filed 5/23/01, effective 6/23/01.]



PDF246-928-440

Continuing education requirements.

Purposes. The ultimate aim of continuing education is to ensure the highest quality of professional work. Continuing education consists of educational activities designed to review existing concepts and techniques and to convey information and knowledge about advances in respiratory care as applied to the work settings. The objectives are to improve and increase the ability of the respiratory care practitioner to deliver the highest possible quality of respiratory care work and to keep the professional respiratory care practitioner abreast of current developments in a rapidly changing field. All respiratory care practitioners licensed under chapter 18.89 RCW will be required to meet the continuing education requirements set forth in these rules as a prerequisite to license renewal.
[Statutory Authority: RCW 18.89.050(1) and 18.89.140. WSR 01-21-136, § 246-928-440, filed 10/24/01, effective 11/24/01.]



PDF246-928-442

Continuing education.

All licensed respiratory care practitioners seeking to renew their license shall acquire thirty credit hours of continuing respiratory care education every two years as required in RCW 18.89.140. Licensees shall meet the continuing education requirement outlined in this section and report such continuing education as required in chapter 246-12 WAC, Part 7.
(1) The following are categories of acceptable continuing education activities for licensed respiratory care practitioners:
(a) A minimum of ten credit hours of continuing education during each two-year reporting cycle must be earned in courses approved by the American Association for Respiratory Care (AARC).
(b) The remaining twenty hours of continuing education during each two-year reporting cycle may be in any of the following areas:
(i) Sponsored courses. Courses sponsored or approved by the:
(A) American Academy of Pediatrics;
(B) American Academy of Physician Assistants;
(C) American Association of Critical Care Nurses;
(D) American Association of Respiratory Care;
(E) American College of Chest Physicians;
(F) American College of Emergency Physicians;
(G) American College of Physicians;
(H) American Medical Association;
(I) American Nurses Association;
(J) American Osteopathic Association;
(K) American Thoracic Society;
(L) Society of Critical Care Medicine;
(M) Washington academy of physician assistants;
(N) Washington osteopathic medicine association;
(O) Washington state medical association; or
(P) Washington state nurses association.
(ii) Certifications/examinations. Licensees shall only claim credit hours in this category that were obtained during the current reporting cycle.
(A) Ten credit hours each may be claimed for the following initial or renewal certifications:
(I) Advanced cardiac life support (also known as ACLS);
(II) Neonatal advanced life support (also known as NALS, or neonatal resuscitation program or NRP);
(III) Pediatric advanced life support (also known as PALS).
(B) Five credit hours may be claimed for initial or renewal certification in basic life support (also known as BLS).
(C) Ten credit hours each may be claimed for passing either of the following National Board of Respiratory Care (NBRC) advanced practitioner examinations:
(I) The NBRC therapist multiple-choice examination combined with the clinical simulation examination that awards NBRC registration (formerly known as the registered respiratory therapist, or "RRT," examination); or
(II) Registered pulmonary function technologist.
(D) Five credit hours each may be claimed for passing any of the following:
(I) The NBRC therapist multiple-choice examination that awards NBRC certification (formerly known as the entry level, or "CRT," examination);
(II) Any NBRC specialty examination;
(III) The NBRC self-assessment competency examination with a minimum score of seventy-five; or
(IV) National Asthma Educator Certification Board certified asthma educator examination.
(iii) Educational settings.
(A) A licensee may claim courses completed at a regionally accredited college, university, or institute of higher education. Such courses must focus on the clinical practice of respiratory care or education related to the cardiopulmonary system. Credit hours for such courses may be claimed as either:
(I) Actual semester contact hours (such as fifteen semester contact hours shall be equal to fifteen continuing education credits); or
(II) An academic credit formula that multiplies the academic credits by a factor of three (such as four academic credits shall be equal to twelve continuing education credits).
(B) A licensee may claim respiratory care educational offerings provided by hospitals or health organizations.
(C) A licensee may claim continuing education credit hours for serving as an instructor of educational offerings in respiratory care provided by hospitals or health organizations; or at a regionally accredited college, university, or institute of higher education. Such educational offerings must include learning objectives. The number of credit hours claimed for serving as an instructor shall be the same number as those earned by attendees. The credit hours for presenting a specific topic, lecture, or education course may only be used for continuing education once during each reporting cycle.
(c) No more than ten credit hours of continuing education during a two-year reporting cycle may be in any of the following areas:
(i) Self-study. Journal reading of publications related to respiratory care;
(ii) Practice related topics. Formal, internet-based, or video-format courses offered by organizations not listed in (b) of this subsection including, but not limited to, the American Association of Cardiovascular and Pulmonary Rehabilitation, the Association for the Treatment of Tobacco Use and Dependence, or the Council for Tobacco Treatment Training Programs; or
(iii) Nonclinical practice topics. Courses or activities including, but not limited to, health promotion, health care cost management, mandatory reporting, professional ethics, and regulatory affairs.
(2) Documentation. Licensees are responsible for acquiring and maintaining all acceptable documentation of their continuing education activities, as required in chapter 246-12 WAC, Part 7. Acceptable documentation shall include transcripts, letters from course instructors, or certificates of completion or other formal certifications provided by hospitals, course instructors, and health organizations. In all cases other than transcripts, the documentation must show the participant's name, activity title, number of continuing education credit hours, date(s) of activity, instructor's name(s) and degree and the signature of the verifying individual program sponsor.
[Statutory Authority: RCW 18.89.050 and 19.89.140 [18.89.140]. WSR 15-24-095, § 246-928-442, filed 11/30/15, effective 12/31/15. Statutory Authority: RCW 18.89.050(1) and 18.89.140. WSR 01-21-136, § 246-928-442, filed 10/24/01, effective 11/24/01.]



PDF246-928-443

Verification of continuing education.

(1) The licensee shall:
(a) Verify on renewal forms provided by the department, that the minimum continuing education has been completed within the two-year renewal cycle prior to the licensee's renewal date; and
(b) Keep records for four years as required in chapter 246-12 WAC, Part 7.
(2) Audits. The department may conduct random compliance audits of continuing education records, as described in chapter 246-12 WAC, Part 7.
(3) Exemptions. In certain emergency situations, the department may excuse all or part of the continuing education requirement as described in chapter 246-12 WAC, Part 7. The department may require verification of the emergency.
[Statutory Authority: RCW 18.89.050(1) and 18.89.140. WSR 01-21-136, § 246-928-443, filed 10/24/01, effective 11/24/01.]



PDF246-928-450

How to reinstate an expired respiratory care practitioner license.

This section explains the process for reinstatement of an expired respiratory care practitioner license. Applications for reinstatement of an expired license may be submitted on forms provided by the department, with the appropriate fee required in WAC 246-928-990. The specific requirements and process for reinstatement of an expired license is set forth in WAC 246-12-040.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-450, filed 5/23/01, effective 6/23/01.]



PDF246-928-510

Overview of the qualifications required for licensure as a respiratory care practitioner.

This section provides an overview of the qualifications required for licensure as a respiratory care practitioner.
The requirements for licensure are intended to ensure the minimum level of knowledge, skill and experience necessary to practice safely as a respiratory care practitioner. Licensure requires applicants to submit proof to the department that they have satisfied educational and examination requirements in this chapter.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-510, filed 5/23/01, effective 6/23/01.]



PDF246-928-520

Minimum educational qualifications for licensure as a respiratory care practitioner.

This section provides the minimum educational qualifications for licensure as a respiratory care practitioner.
(1) To meet the educational requirements required by RCW 18.89.090, an applicant must be a graduate of a two-year respiratory therapy educational program. Programs must be:
Accredited by the Committee On Accreditation for Respiratory Care (COARC) or accredited by the American Medical Association's (AMA) Committee on Allied Health Education and Accreditation (CAHEA), or its successor, the Commission on Accreditation of Allied Health Education Program (CAAHEP).
(2) An official transcript indicating completion of a two-year program must be provided as evidence of fulfillment of the required education.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-520, filed 5/23/01, effective 6/23/01.]



PDF246-928-530

How new graduates may qualify for temporary practice and what is required.

(1) An individual who has completed an approved program under WAC 246-928-520 is eligible for temporary practice. To meet the requirements for temporary practice under this rule, an individual is required to:
(a) Submit the application and fee as required in WAC 246-928-990;
(b) Sit for the examination within ninety days of graduation as required in WAC 246-928-560; and
(c) Be under the supervision of a licensed respiratory care practitioner.
Temporary practice may begin from the time the application and fee is submitted to the department.
(2) An applicant shall request examination results be submitted directly to the department from National Board for Respiratory Care.
(3) An applicant who receives notification that he or she successfully passed the examination may continue to practice under the supervision of a licensed respiratory care practitioner until the department has issued a license to the applicant.
(4) An applicant who receives notification of failure to pass the examination shall cease practice immediately. Resumption of practice may occur only after successfully passing the examination and becoming licensed as a respiratory care practitioner by the department.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-530, filed 5/23/01, effective 6/23/01.]



PDF246-928-540

Examination requirements for licensure as a respiratory care practitioner.

This section provides the minimum examination requirements for licensure as a respiratory care practitioner.
An applicant who has taken and passed the National Board for Respiratory Care (NBRC) entry level examination, has met the minimum examination requirements of RCW 18.89.090 (1)(b). Applicants shall request the NBRC to verify to the department that the applicant has successfully passed the NBRC examination.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-540, filed 5/23/01, effective 6/23/01.]



PDF246-928-550

Education and training in AIDS prevention is required for licensure as a respiratory care practitioner.

This section explains the required education and training in AIDS prevention.
Applicants must complete seven hours of AIDS education as required in chapter 246-12 WAC, Part 8.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-550, filed 5/23/01, effective 6/23/01.]



PDF246-928-560

How to apply for licensure for persons credentialed out-of-state.

This section explains how a person holding a license in another state or jurisdiction may apply for licensure.
(1) An applicant who is currently or was previously credentialed in another state or jurisdiction may qualify for licensure in Washington state. Applicants must submit the following documentation to be considered for licensure:
(a) An application fee and forms as specified in WAC 246-928-420 and 246-928-990; and
(b) Written verification directly from all states in which the applicant is or was credentialed, attesting that the applicant has or had a license in good standing and is not subject to charges or disciplinary action for unprofessional conduct or impairment; and
(c) Verification of completion of the required education and examination as specified in WAC 246-928-520.
(2) Applicants who have completed a two-year program recognized by the Canadian Society of Respiratory Therapists (CSRT) in their current list, or any previous lists, and are eligible to sit for the CSRT registry examination; or have been issued a registration by the CSRT are considered to have met the educational and examination requirements in this chapter. Canadian applicants are required to submit verification directly from CSRT, as well as all of the information listed above for applicants licensed in another jurisdiction.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-560, filed 5/23/01, effective 6/23/01.]



PDF246-928-570

How to apply for temporary practice permit for persons credentialed out-of-state.

This section explains how a person holding a license in another state or jurisdiction may apply for a temporary practice permit.
(1) An applicant who is currently or was previously credentialed in another state or jurisdiction may qualify for licensure in Washington state. Applicants must submit the following documentation to be considered for a temporary practice permit:
(a) A completed application on forms provided by the department with the request for a temporary practice permit indicated;
(b) An application fee and a temporary practice permit fee as specified in WAC 246-928-990;
(c) Written verification directly from all states or jurisdictions in which the applicant is or was licensed, attesting that the applicant has or had a license in good standing and is not subject to charges or disciplinary action for unprofessional conduct or impairment; and
(d) Verification of completion of the required education and examination as specified in WAC 246-928-520.
(2) The department shall issue a one-time-only temporary practice permit unless the department determines a basis for denial of the license or issuance of a conditional license.
(3) The temporary permit shall expire upon the issuance of a license by the department, or within three months, whichever occurs first. The permit shall not be extended beyond the expiration date.
(4) Issuance of a temporary practice permit does not ensure that the department will grant a full license. Temporary permit holders are subject to the same education and examination requirements as set forth in WAC 246-928-520 and 246-928-550.
(5) The following situations are not considered substantially equal for Washington state licensure:
(a) Certification of persons credentialed out-of-state through a state-constructed examination; or
(b) Grandfathering provisions where proof of education and examination was not required.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-570, filed 5/23/01, effective 6/23/01.]



PDF246-928-710

Mandatory reporting.

(1) All reports required by this chapter shall be submitted to the department as soon as possible, but no later than twenty days after a determination is made.
(2) A report should contain the following information if known:
(a) The name, address, and telephone number of the person making the report.
(b) The name, address, and telephone numbers of the respiratory care practitioner being reported.
(c) The case number of any patient whose treatment is a subject of the report.
(d) A brief description or summary of the facts which prompted the issuance of the report, including dates of occurrences.
(e) If court action is involved, the name of the court in which the action is filed along with the date of filing and docket number.
(f) Any further information which would aid in the evaluation of the report.
(3) Mandatory reports shall be exempt from public inspection and copying to the extent permitted under RCW 42.17.310 or to the extent that public inspection or copying of the report or any portion of the report would invade or violate a person's right to privacy as set forth in RCW 42.17.255.
(4) A person is immune from civil liability, whether direct or derivative, for providing information to the department pursuant to RCW 18.130.070.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-710, filed 5/23/01, effective 6/23/01.]



PDF246-928-720

Health care institutions.

The chief administrator, executive officer, or any health care institution shall report to the department when any respiratory care practitioner's services are terminated or are restricted based on a determination that the respiratory care practitioner has either committed an act or acts which may constitute unprofessional conduct or that the respiratory care practitioner may be unable to practice with reasonable skill or safety to clients by reason of any mental or physical condition.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-720, filed 5/23/01, effective 6/23/01.]



PDF246-928-730

Respiratory care practitioner associations or societies.

The president or chief executive officer of any respiratory care practitioner association or society within this state shall report to the department when the association or society determines that a respiratory care practitioner has committed unprofessional conduct or that a respiratory care practitioner may not be able to practice respiratory care with reasonable skill and safety to patients as the result of any mental or physical conditions. The report required by this section shall be made without regard to whether the license holder appeals, accepts, or acts upon the determination made by the association or society. Notification of appeal shall be included.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-730, filed 5/23/01, effective 6/23/01.]



PDF246-928-740

Professional liability carriers.

Every institution or organization providing professional liability insurance directly or indirectly to respiratory care practitioners shall send a complete report to the department of any malpractice settlement, award, or payment in excess of twenty thousand dollars as a result of a claim or action for damages alleged to have been caused by an insured respiratory care practitioner's incompetency or negligence in the practice of respiratory care. Such institution or organization shall also report the award, settlement, or payment of three or more claims during a twelve-month period as a result of the respiratory care practitioner's alleged incompetence or negligence.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-740, filed 5/23/01, effective 6/23/01.]



PDF246-928-750

Courts.

The department requests the assistance of the clerk of trial courts within the state to report all professional malpractice judgments and all convictions of licensed respiratory care practitioners, other than minor traffic violations.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-750, filed 5/23/01, effective 6/23/01.]



PDF246-928-760

State and federal agencies.

The department requests the assistance of executive officers of any state or federal program operating in the state of Washington, under which a respiratory care practitioner is employed to provide patient care services, to report to the department whenever such a respiratory care practitioner has been judged to have demonstrated his/her incompetency or negligence in the practice of respiratory care, or has otherwise committed unprofessional conduct, or has a mental or physical disability that prevents them from practicing competently and professionally. These requirements do not supersede any state or federal law.
[Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-760, filed 5/23/01, effective 6/23/01.]



PDF246-928-990

Respiratory care fees and renewal cycle.

(1) Licenses must be renewed every two years on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.
(2) The following nonrefundable fees will be charged:
Title of Fee
Fee
Application
$140.00
Temporary practice permit
50.00
Duplicate license
15.00
Verification of licensure
15.00
Renewal
110.00
Late renewal penalty
55.00
Expired license reissuance
65.00
[Statutory Authority: 43.70.280. WSR 15-19-149, § 246-928-990, filed 9/22/15, effective 1/1/16. Statutory Authority: RCW 43.70.110, 43.70.250, and 2010 c 37. WSR 10-19-071, § 246-928-990, filed 9/16/10, effective 10/15/10. Statutory Authority: RCW 43.70.110, 43.70.250 and 2008 c 329. WSR 08-16-008, § 246-928-990, filed 7/24/08, effective 7/25/08. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. WSR 05-12-012, § 246-928-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 18.89.050(1). WSR 01-11-165, § 246-928-990, filed 5/23/01, effective 6/23/01. Statutory Authority: RCW 43.70.250. WSR 99-08-101, § 246-928-990, filed 4/6/99, effective 7/1/99. Statutory Authority: RCW 43.70.280. WSR 98-05-060, § 246-928-990, filed 2/13/98, effective 3/16/98. Statutory Authority: Chapter 18.89 RCW and RCW 43.70.040. WSR 95-18-019, § 246-928-990, filed 8/24/95, effective 9/24/95. Statutory Authority: RCW 43.70.250. WSR 92-15-032 (Order 285), § 246-928-990, filed 7/7/92, effective 8/7/92. Statutory Authority: RCW 18.89.050 and 43.70.250. WSR 92-02-018 (Order 224), § 246-928-990, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-928-990, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 43.24.086. WSR 88-17-099 (Order PM 741), § 308-195-110, filed 8/23/88.]