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PDFWAC 388-78A-2290

Family assistance with medications and treatments.

(1) An assisted living facility may permit a resident's family member to administer medications or treatments or to provide medication or treatment assistance, including obtaining medications or treatment supplies, to the resident.
(2) The assisted living facility must disclose to the department, residents, the residents' legal representatives, if any, and if not the residents' representative if any, and to interested consumers upon request, information describing whether the assisted living facility permits such family administration or assistance and, if so, the extent of any limitations or conditions.
(3) If the assisted living facility allows family assistance with or administration of medications and treatments, and the resident and a family member(s) agree a family member will provide medication or treatment assistance, or medication or treatment administration to the resident, the assisted living facility must request that the family member submit to the assisted living facility a written plan for such assistance or administration that includes at a minimum:
(a) By name, the family member who will provide the medication or treatment assistance or administration;
(b) A description of the medication or treatment assistance or administration that the family member will provide, to be referred to as the primary plan;
(c) An alternate plan if the family member is unable to fulfill his or her duties as specified in the primary plan;
(d) An emergency contact person and telephone number if the assisted living facility observes changes in the resident's overall functioning or condition that may relate to the medication or treatment plan; and
(e) Other information determined necessary by the assisted living facility.
(4) The plan for family assistance with medications or treatments must be signed and dated by:
(a) The resident, if able;
(b) The resident's representative, if any;
(c) The resident's family member responsible for implementing the plan; and
(d) A representative of the assisted living facility authorized by the assisted living facility to sign on its behalf.
(5) The assisted living facility may, through policy or procedure, require the resident's family member to immediately notify the assisted living facility of any changes in the medication or treatment plans for family assistance or administration.
(6) The assisted living facility must require that whenever a resident's family provides medication assistance or medication administration services, the resident's significant medications remain on the assisted living facility premises whenever the resident is on the assisted living facility premises.
(7) The assisted living facility's duty of care shall be limited to: Observation of the resident for changes in overall functioning consistent with RCW 18.20.280; notification to the person or persons identified in RCW 70.129.030 when there are observed changes in the resident's overall functioning or condition, or when the assisted living facility is aware that both the primary and alternate plan are not implemented; and appropriately responding to obtain needed assistance when there are observable or reported changes in the resident's physical or mental functioning.
[Statutory Authority: Chapter 18.20 RCW. WSR 13-13-063, § 388-78A-2290, 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-2290, filed 7/30/04, effective 9/1/04.]
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